Monday, March 26, 2007
Trends and changes
Since starting a new endo late last year, I've come across a concern: she seems very apt to make changes to my basal rates after a single day's worth of tests. Her key communication method is fax - she expects this weekly, at the minimal. I've also grown up using the rule of thumb that you take a look at three days worth of results at least before making changes, to make sure you're seeing an accurate trend in the results. In mentioning this to my endo, her response was that with a pump, the changes are "instantaneous" - there's no need to wait. I'm not sure I agree with that; For example, one night may entail a inadequate carb counting or dosing for food, or a different routine of exercise. You can't see what's really happening with that basal by looking at just one day's results. This train of thought seems to be an almost old-school mentality merging with a contemporary push for pump therapy - someone who doesn't understand exactly. Maybe I'm off. She's a highly-recommended and commended endo, and has much creditentials, but I'm wary of this advice. So, I'm taking the suggested changes cautiously and watching my results carefully before making specific changes. Better safe than sorry.