When you are a diabetic, you are constantly trying to manage your insulin needs through the balance of basal insulin (background insulin whose sole purpose is to keep you at a steady rate when there are no carbs ingested) and boluses for food.
When you have unexplained lows or highs, the only way to really tell what is going on is to take as much out of the equation as possible. On the pump, we have so many different time periods of different basal rates that we have to have a fasting basal test at a bunch of different times of day.
Last week, I did a fasting basal test skipping lunch. I bribed Emma with promises of great snacks after her nap if she would skip her lunch for then. I did get her to skip and saw some areas that we need to keep watching.
But right now, we are dealing with a very difficult time period - after breakfast. We have adjusted our carb ratios several times, taken difficult foods out of the equation, and even stretched out her breakfast insulin and she was still spiking. So, we figured that we needed to confirm that her basal rate during that time was accurate, because if it wasn't, it could be contributing to the spike.
So, this morning, instead of her regular breakfast, Emma had cheese, pepperoni, and Crystal Light "Breakfast in Bed" in my room (we didn't want her to see what her siblings were eating).
So far so good - we've had one increase of about 70 points in an hour that is probably a basal rate problem. I'm hoping to get her all the way to lunch to really see what's going on in the AM.
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