I've been expecting this for the last two hours, watching my BGL drop steadily. I decided to wait another hour before changing the basal rate on my pump. The medical professional that is helping me recommended reducing my insulin rate from 1.2 units/hour to 1.1 units/hour. I've previously had success at 1.0 units/hour. I've decided to drop my rate down to 1.0 units/hour and see if that's too low. I can change the units by 0.05 so I can fine tune this until it's right. At least we know we're in the right ballpark now.

Once the basal is right, we can double check the bolus. Once the bolus is right, we can double check the correction. Once the correct is right, we can experiment with exercise basal rates and other things too. The real trick for me is going to be night time. I've experienced difficulty with overnight blood glucose levels skyrocketing up and waking up with very high BGLs in the morning. I'm hoping that won't happen with a stead trickle of fast acting insulin from the pump.

For those of you wondering about the cost of moving to the pump - it depends entirely on your insurance. I got mine for $30, yes, you heard me right - a $6000 piece of equipment for $30. Instead of purchasing the pump as a medical device, it was purchased through my drug company, so I paid the co-pay and that was it. The Medtronics guys loves doing it this way, because once you put it in to the system, it's approved on the spot - no reviews, no policy knock backs, it's in and it's done.

Then there as the same co-pay for a months supply of infusion sets and another $30 co-pay for reservoirs and a one time of $24.95 for the infusion set inserter. Then there's the usual $30 co-pay for the insulin itself (only one kind now, so that's a $30 saving there). All in all, my month to month expenses have increased by only $30.

The hypo came on with about the same feeling as I was getting before, so no difference there. I could "feel it coming on" while I was working, plus I also knew it should be coming on from my hourly measurements I was doing. I hope to have all these different insulin rates squared away in a couple of days so I can get on with my life and stop keeping a journal of all the bad things I'm eating :)