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V: what is your 'basal insulin' when you inject it, as opposed to when you pump where you always use r.DB: It's been so long I haven't a clue what my basils were back then. The changes are never over a day, generally it lasts 3 days.ok,one variable that may confound your "old"(injectable) versus current(pump) comparison is the old basal insulins, some of them actually were not great in terms of bioavailability. this could change daily for a single individual by +/- 25%!! combine that with your own temporal changes in physiology week-to-week and you do everything right and still feel like you are on a roller coaster. the new basal insulins are superior in this regard.so in terms of your fluctuating sensitivity i suppose you've considered extent of physical activity, sleep, change in contents of typical food intake, alcohol intake etc. all these things and more impact sensitivity. It annoys me that your doc says "stuff like this does happen" since it is not possible if everything (and by everything i mean everything i.e internal things as well as the external things above - hormone levels etc) really remains constant. if we start with that premise, and it is valid for type 1, then the conclusion is that everything is NOT constant and from there it is possible with careful history and diagnostics to figure it out. your doc is basically saying its not worth his/her figuring it out probably because it is more than (s)he can cope with. oh well, good luck.
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