QUOTE(kk77 @ Oct 26 2009, 02:03 PM)
. I am about 5.5 weeks pregnant but I can't seem to keep my BG within an acceptable range. I'll have a normal BG, but then a couple of hours later and its running high after I have eaten and taken the bolus wizard suggested dose.(which has always been right on in the past). Not sure how I should adjust my pump. Maybe adjust the basal? Please help.
I have never been pregnant, but I have read that most women need a LOT more insulin when they are pregnant. I also am not medically trained, so this is not medical advice. It is based on what I have read:
In the other thread about pregnancy, Sophie said that Pumping Insulin recommends eating small meals with only 10g carb at a time. That would probably eliminate the post meal spike.
If you continue to eat the way you have been, here's a quick way to know what to adjust:If you are back to your target BG before the next meal
, then your overall amount of insulin is correct. One way to prevent the post meal spike is to take what is called a 'super bolus' at mealtime. This involves taking your bolus AND your basal for the next two hours all at once, and then cutting your basal back to almost zero (because you took it with your bolus). It's all explained in the pumping insulin book - if you don't have it you should get it.
Something else that might work is to just take your bolus 15 minutes before you start eating.If your BG is high at the next meal,
then you need to increase your basal.