So it's day 8. I decided to be a bit more patient and continue along this 50:50 path of basal and bolus insulin ratios. I'm still not seeing anything stabalizing just yet.. I'll have patience, but I'm still very dubious that such a scheme could possibly work. You don't adjust your basal rate just because you eat more one day and less the next, so if the bolus is based on how much carbs you eat, then your basal rate cannot be tied to the bolus amount unless you always eat the same number of carbs every day.. which I do not.. not in the slightest. Not in my wildest imagination.
Here are the daily totals from my pump: 70, 59, 44, 69, 61, 75, 63, 59.
So I remain skeptical.. and the longer I stay high with my BGL because of this dogged approach the more annoyed and angry I become.
I'll give you an example - at 1pm I ate 57 grams of carbs. I had a bgl of 187 mg/dl. Using a carb ratio of 1:5 and a basal rate of ~1/H with my old scheme before I went on the pump, I'd be back at the same BGL as I was when I started eating at ~4 after the meal. The pump claims it can keep you in the -target range- 2 hours after eating a meal. Sounds good to me, but does it really work?
Okay, so that aside, I'm currently at 1:7 carb ratio and 1.3/H basal on the pump and at 3pm I was at 264 bgl.. at 6pm I was at 304 bgl.. 7pm 292 bgl. What does this tell me? it tells me the basal is fine because I didn't change much from 3pm to 7pm.. however, it also tells me that the bolus was too low because I should have still been down at a range of 187 mg/dl. If I add in the missing insulin I would have had under my old scheme, which would be 3.3 units, I'd be at a, surprise, BGL of ~158 mg/dl at 3pm.. in theory.
I'd love to try my theory out, however even now the diabetes professionals are freaking out because my ratio between basal and bolus is no where near 50:50.. if I pushed up my carb ratio then it'd be even farther from 50:50. I'm willing to accept that I may be wrong and that my approach might be bad in some horrific kind of way.. but at some point I'm just going to snap at these people and change it and show them the results. I'll happily eat my own words if it doesn't work, but so far their way hasn't been working either.
I probably wouldn't be so down on the whole process if I wasn't continually rising up in to a high BGL range. When I'm up there I get cranky, frustrated, infuriated, angry, annoyed... all the worst things type 1 diabetes brings out in us.
I've just let the pump administer a correction of 5.6 units, which should in theory bring me down to ~100 mg/dl, but given the correction ratio is lower than what I used to give myself too, I'm expecting I won't end up at the predicted range.