Turning Down the Basal.
The Dexcom BEEEEEP!s and I swipe it off the bedside table, clicking the button to see what's up.
62 mg/dL and an arrow pointing to the right.
(Or to see what's down.)
Morning lows can throw off my diabetes control for an entire day. I have such a tendency to over-treat low blood sugars that it ends up thwarting my attempts at keeping things tightl. One mild low blood sugar in the 60's can be over-treated (sometimes simply with one rogue, impulsive spoonful of Nutella chasing down the carefully calculated glucose tabs) way up into the 300's, effing up the entire day. This does not bode well for my attempts at lowering my A1C without letting that number become the average of lows and highs.
So sometimes I dial down my basal rate when I'm experiencing mild morning lows.
This is not always the smartest move. Low blood sugars in the morning are risky at times, the ones I drift in and out of sleep during, sometimes turning a 70 mg/dL into a tough 40 mg/dL. But armed with info from the Dexcom, I have the gist of where my blood sugars are going. Am I low and dropping wicked fast, or have I been low for a while? If that's the case, I'm reaching for the bottle of juice on the bedside table. But if I'm lowish and holding steady, I'll turn my basal down to -70% for an hour and keep an eye on my blood sugar, hoping it goes up a bit in response.
My Animas Ping, changing up the basal rates
Almost 100% of the time, this dial-down works, so long as I'm not dropping fast. My basal rate for the majority of the day is 0.45u, but from 5 am - 9 am, it doubles up to 0.90u per hour. Dialing it down when I'm holding at 60 or 70 seems to be just enough to bring me back into range without running the risk of over-treating and ending up in the 200's.
Tweak ... tweak ...
Could be the sound of the birds finally arriving for spring, or is it the sound of me making small, hopefully useful, adjustments to my diabetes management? (Actually, I'll take both.)