Insulin:Carbohydrate ratio change on swith over to the pump

February 07, 2013 00:09

petmcgratt DAFNE Graduate
Belfast Health and Social Care Trust 4 posts

I have been doing DAFNE with MDI for 2 years until I got switched onto the Accuchek Aviva Combo insulin pump on Monday 4th Feb 2013. I would have been taking split dose Levemir (16 U am and 16 U pm) along with QA insulin:carb ratios 2:1 (breakfast & Lunch), 1:1 dinner time and 1.5:1 (bedtime).

Since starting the pump I have been put on a 1.0 u/hour basal rate in place of my Levemir and kept to the same ratios for my bolus injections. However for 2 days now I am constantly correcting hypos up until mid afternoon. I initially thought my basal rate was too high but having looked at my insulin and carbohydrate intake up until tea time over 48 hours my breakfast ratio has decreased from 2:1 to 1.5:1 and my lunchtime ratio has also decreased from 2:1 to 1.2:1.

has anyone else experienced such a quick change in some or all of their ratios going from MDI to the insulin pump or am I doing something fundamentally wrong.

February 07, 2013 11:44

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

I have answered this at diabetessupport...... Very Happy

February 09, 2013 21:49

kay70mea
Betsi Cadwaladr University Health Board 6 posts

Hi novorapidboi26,

I was wondering if you can tell me if so far you think that you are better off on the insulin pump and how you feel about the pump, as I am going to be on an isulin pump in the next 2 months, after having a lot of trouble with being given the run around for the last 7 years.

kay70mea. Smile

February 07, 2013 00:09 petmcgratt DAFNE Graduate Belfast Health and Social Care Trust 4 posts	I have been doing DAFNE with MDI for 2 years until I got switched onto the Accuchek Aviva Combo insulin pump on Monday 4th Feb 2013. I would have been taking split dose Levemir (16 U am and 16 U pm) along with QA insulin:carb ratios 2:1 (breakfast & Lunch), 1:1 dinner time and 1.5:1 (bedtime). Since starting the pump I have been put on a 1.0 u/hour basal rate in place of my Levemir and kept to the same ratios for my bolus injections. However for 2 days now I am constantly correcting hypos up until mid afternoon. I initially thought my basal rate was too high but having looked at my insulin and carbohydrate intake up until tea time over 48 hours my breakfast ratio has decreased from 2:1 to 1.5:1 and my lunchtime ratio has also decreased from 2:1 to 1.2:1. has anyone else experienced such a quick change in some or all of their ratios going from MDI to the insulin pump or am I doing something fundamentally wrong.
February 07, 2013 11:44 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	I have answered this at diabetessupport......
February 09, 2013 21:49 kay70mea Betsi Cadwaladr University Health Board 6 posts	Hi novorapidboi26, I was wondering if you can tell me if so far you think that you are better off on the insulin pump and how you feel about the pump, as I am going to be on an isulin pump in the next 2 months, after having a lot of trouble with being given the run around for the last 7 years. kay70mea.