Your first basal rates were estimated by your diabetes team when you started using your insulin pump. Basal rates need to be evaluated again from time to time.
Basal rates can change with:
Your basal rates may need to be evaluated again if:
A basal rate test is done when you haven’t taken any bolus insulin, and when you haven’t had any food for the last 5 hours. This is to find out how much sugar is coming from your liver, and how well your insulin is matched to this sugar at different times of the day.
Your blood sugar should not change more than 1.7 mmol/L over or under your starting blood sugar. For example, if your starting blood sugar was 7.0 mmol/L, then the acceptable range during the test would be 5.3 to 8.7 mmol/L. If your blood sugar goes higher than that, you may need more basal insulin. If your blood sugar goes lower than that, you may be taking too much basal insulin.
Current as of: October 21, 2020
Author: Primary Care and Chronic Disease Management, Alberta Health Services
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