32 Comments
Do you have different basal insulin rates for nights than for days?
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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
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
? I don’t understand either post.
Mary Dexter — straight from the tSlim X2 profiels, i.e.
Starting time + Basal rate +
correction factor + Carb ratios + Target BG. 😊
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.
My peak basal is at 6pm. After 12 years of working straight nights, my “dawn phenomenon” happens then lol
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
Currently use MDI with one shot of Lantus per day
Some of us split the basal dose, not necessarily evenly, according to the current needs.
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.
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.
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.
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.
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.
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).
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.
I love that Tandem’s Control IQ brings to 110 +/- 10 overnight consistently.
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.
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.
I just counted. I use 12 different basal rates/time zones. It fluctuates, depending upon how my BG levels change from season to season.
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.
I have different basal rates all throughout the day
using TSlim, so it also adjusts according to my glucose readings
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.
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.
“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.
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.
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.)
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.
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.
I use four different basal rates, the overnight is almost 1/2 my day’s.
I don’t administer basal (Lantus) at night.
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.