Do you have different basal insulin rates for nights than for days?

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- 5 hours, 25 minutes ago
  
  AnitaS likes your comment at
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  Only "illness" that makes it really difficult to control my blood sugar is getting steroid injections into my cervical spine or fingers. I leave my basal rate on my pump at 250% and need much higher bolus doses and many "extra" doses if my blood sugar remains really high. I tell the MD's that it turns my insulin into tap water and try to avoid it, experience with having gotten these injections over the past few years has helped, but having blood sugars of 400-500 despite much higher basal and bolus dosing is so frustrating!
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 5 hours, 26 minutes ago
  
  AnitaS has commented in the same post you commented in :
  When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
  When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
- 6 hours, 32 minutes ago
  
  Randell Cole has commented in the same post you commented in :
  Mark Cuban’s Cost Plus Drugs Tests New Insulin Program
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- 6 hours, 32 minutes ago
  
  Randell Cole has commented in the same post you commented in :
  Mark Cuban’s Cost Plus Drugs Tests New Insulin Program
  How can I get on the Mark Cuban test program ?
- 6 hours, 32 minutes ago
  
  Randell Cole has commented in the same post you commented in :
  Mark Cuban’s Cost Plus Drugs Tests New Insulin Program
  How can I get on the Mark Cuban test program ?
- 6 hours, 32 minutes ago
  
  Randell Cole has commented in the same post you commented in :
  Mark Cuban’s Cost Plus Drugs Tests New Insulin Program
  How can I get on the Mark Cuban test program ?
Clear All

Do you have different basal insulin rates for nights than for days?

If you use a CGM and share your CGM data with any of your loved ones through an app, for which types of CGM alerts does your network receive notifications? Select all that apply!

Sarah Howard

32 Comments

Ahh Life

12:00 am – 0.20 1.70 1:12 110
05:30 am. – 0.25 1.70 1.14 110
11:00 am – 0.25 1:70 1:12 110
11:00 am – 0.20 1:70 1:12 110

2 months ago Log in to Reply
1. Ahh Life
  
  Didn’t come out right. Try again
  12:00 am – 0.20 0.25 1.70 1:12 110
  05:30 am. – 0.25 0.25 1.70 1.14 110
  11:00 am – 0.25 0.25 1:70 1:12 110
  12:00 pm – 0.20 0.20 1:70 1:12 110
  
  1
  
  2 months ago Log in to Reply
2. Mary Dexter
  
  ? I don’t understand either post.
  
  2 months ago Log in to Reply
3. Ahh Life
  
  Mary Dexter — straight from the tSlim X2 profiels, i.e.
  
  Starting time + Basal rate +
  correction factor + Carb ratios + Target BG. 😊
  
  2 months ago Log in to Reply
GLORIA MILLER

Omnipod 5 does not allow us to set basal rates which is a flaw with the system, in my opinion. It is supposed to learn what we need but after more than three months it has not learned to adjust for the dawn phenomenon or feet on the floor demand for more insulin.

1

2 months ago Log in to Reply
Beckett Nelson

My peak basal is at 6pm. After 12 years of working straight nights, my “dawn phenomenon” happens then lol

1

2 months ago Log in to Reply
AnitaS

I set my basal rate dramatically lower for the night time (about 1/2 of the amount I use for day and evening amounts). However, my Control IQ also does do slight adjustments

1

2 months ago Log in to Reply
Steve Rumble

Currently use MDI with one shot of Lantus per day

2 months ago Log in to Reply
1. Mary Dexter
  
  Some of us split the basal dose, not necessarily evenly, according to the current needs.
  
  2 months ago Log in to Reply
Ms Cris

Fluctuate higher to lower throughout the night AND THROUGHOUT THE MENSTRUAL CYCLE (different at night for sure!).

Unfortunately, technology still hasn’t fully been able to account for my menstrual cycle better than I can. We tried control IQ, sleep mode, and basal IQ; none worked well. My Endo and Tandem tried with me – I do better manually.

2 months ago Log in to Reply
Lawrence S.

I could have selected two answers to the question. My insulin rates are lower during the night. But, I also use the Tandem X2 with Control IQ, and I use a pump that automatically adjusts my basal rates depending on my blood glucose levels. With my gastroparesis, my blood sugars often rise throughout the night, and my Control IQ kicks in so I wake up in the morning with a reasonable blood glucose level.

2 months ago Log in to Reply
Mary Dexter

Oh, the joys of LADA. Sometimes my basal is higher at night than during the day. Sometimes it’s lower. The only thing predictable is its unpredictability. I wear a G6 and adjust accordingly as it slides through its changes.

2 months ago Log in to Reply
Carol Meares

I am on Omnipod 5. During the day my bg levels are good. At night my bg levels are too high. It is driving me crazy and will probably bring my A1c up. I hope to meet with an educator to fix this soon.

2 months ago Log in to Reply
1. Carol Meares
  
  During the day I manage myself because the algorithm is too slow. I will be adjusting sensitivity level and ICR more aggressively to see if that helps. The algorithm is taking way too long to get to know me.There are other things I love about Omnipod 5 tho.
  
  2 months ago Log in to Reply
Thomas Cline

I’m on MDI and for my basal inject Levimir when I go to sleep and when I wake up, with more at bedtime than before breakfast. On the other hand, with MDI, where I simply titrate my levels during the day, I rely on Levimir to cover longer-term rises (i.e. after the effect of my Fiasp bolus has disappeared) from meals as well as my true basal requirement (which actually changes a bit fairly frequently anyway).

2 months ago Log in to Reply
Mark Schweim

My Basal rate patterns fluctuate so I have 6 Basal rates set for various times of day and night and some times of daylight hours I need more Basal than I need overnight, while there are also some times overnight that I need more hourly Basal than I need most hours during the day.

Since 1987 I have literally worked every work shift except swing shift, but in that time I have worked Day Shift hours a total of less than 6 years. The rest of my time since 1987 I have been working full-time nights or evening shifts so my work shift alone means my Basal patterns based on time of day would be expected to run pretty much completely opposite of what somebody working exclusively day shift would probably need.

2 months ago Log in to Reply
Bob Durstenfeld

I love that Tandem’s Control IQ brings to 110 +/- 10 overnight consistently.

3

2 months ago Log in to Reply
1. Amanda Barras
  
  Agree! I have a nice steady line too! I range between 80-110. On this pump I can confidently go to bed at 70-75 and not treat and know CIQ will suspend just enough to get me back in “range” and keep me there. Tho, I personally consider ideal in range for myself 70-100, I won’t treat until I’m below than range.
  
  1
  
  2 months ago Log in to Reply
kristina blake

I use the Tandem X@ with BIQ (the target on CIQ is too high for me) I have 9 “time zones” for my basal rates – I also have different correction (ISF) and carb:insulin rations throughout the day.

2

2 months ago Log in to Reply
1. Lawrence S.
  
  I just counted. I use 12 different basal rates/time zones. It fluctuates, depending upon how my BG levels change from season to season.
  
  2 months ago Log in to Reply
Amanda Barras

I have 6 different basal rates. My lowest are in the afternoon/early evening. But I also have a pump that adjusts as needed. I figure the times I’m less active (sleep and mornings) are when my rates are higher.

1

2 months ago Log in to Reply
Diana L.

I have different basal rates all throughout the day
using TSlim, so it also adjusts according to my glucose readings

2 months ago Log in to Reply
Joan McGinnis

slightly less from 9-12 am but I have Control IQ which adjusts automatically and while Inever thought I could live with that , I love it.

2 months ago Log in to Reply
Mick Martin

I’ve programmed my pump, a Medtronic 780G, to deliver 6 different rates within any 24 hour period, but my pump automatically adjusts my basal rates depending on my blood glucose levels, too.

2 months ago Log in to Reply
Britni

“Other.” My answer’s a “yes” in that I take lantus twice daily and my dose in the morning is different than my dose at night. But whether the PM dose is higher or lower than the AM dose depends on whether it’s a weekend or a weekday.

2 months ago Log in to Reply
Bonnie Lundblom

Using the Tandem Tslim I have 3 basal settings to select from: Exercise, NonExercise, and Steroid because my blood sugar is so different depending on how physically active I am and whether or not I’ve need any steroid injections. For each setting I always have to cover for the “dawn phenomenon” which for me starts around 3:30 AM and require much higher basal rates.

1

2 months ago Log in to Reply
Louise Robinson

My basal rates vary throughout the day with my lowest rates from midnight to 3 am and my highest rates from 3 am to 8 am, largely to combat Dawn Phenomenon. I have 9 separate basal rates during the day. This is with my using the Tandem t:slim pump with Control IQ which will also adjust basal rates as indicated by CGM readings. My last A1c was 5.7. (Dx’d Type 1 in 1976.)

2 months ago Log in to Reply
1. Louise Robinson
  
  I have also created numerous profiles with different settings. I have an Exercise profile to prevent my going too low during exercise. (The Exercise activity option in the pump which I also engage wasn’t enough to prevent lows.) I also created a Day 3 profile to increase my bolus and basal insulin delivery during Day 3 due to insulin absorption issues. After 1 year and a change of endo, Medicare has finally agreed to pay for my pump supplies so I can change every 2.5 days vs every 3 days. Yesterday, I received my first shipment of 40 (vs 30) infusion sets and insulin cartridges.
  
  2 months ago Log in to Reply
mbulzomi@optonline.net

I am running 6 different Basel rates throughout the entire 24-hour day. Of course, my nights rates are slightly lower than my day rates. However, I change my Basels almost every time I change my set. This is berceuse I have been a T1D for 55 years and on a pump for over 39 years. and have only used my abdomen area, 2 inches from the belly bottom to as far as I can comfortably reach to the rear, both sides.

2 months ago Log in to Reply
Steven Gill

I use four different basal rates, the overnight is almost 1/2 my day’s.

2 months ago Log in to Reply
Milly Bassett

I don’t administer basal (Lantus) at night.

2 months ago Log in to Reply
T1D4LongTime

My basal is lower during the night. Historically (56 years), I’ve always went low in the middle of the night. Along with the lower basal, the Carb Ratio, Target BG, and Correction Factors are less aggressive in the sleeping hours.

2 months ago Log in to Reply