I have no numbers I wish to post for the past few days. They have been kind of a train wreck including a moderate nighttime hypo and followed by a bit of a prolonged rebound spike due to over-treating said hypo.
However, this along with some other developments has prompted a revised strategy that I will begin to implement tomorrow morning bright and early. Here’s how it will work.
I will begin the day at 4:00 a.m. promptly every morning. At 4:30 a.m. I will test, inject, make breakfast, then eat. For breakfast I will eat no more but as close to 15 grams of carbohydrate. I should be done eating around 5:00 a.m.. I will retest at 7:00 a.m. then exercise for 1/2 hour. I will eat 15 grams of carbohydrate for lunch between 11:00 a.m. and 1:00 p.m. and inject fifteen minutes prior to eating. At 4:30 p.m. I will test, inject, make supper and eat and should be done around 5:00 p.m.
I will reduce my morning dose of NPH to 20 to compensate for moving my exercise time from evening to morning. I will begin with a noontime bolus of one unit of aspart and adjust accordingly using the formula of 1 unit for every 15 grams of carbohydrate to be consumed plus one unit aspart for every 50 mg/dl drop in blood glucose I want to effect. I will continue with 10 units nph in the evening plus 1 unit asp. for every 15 grams of carbohydrate.
This really should get me to 70 mg/dl to 110 mg/dl all day every day.