Riley has been on the pump for almost 2 years and I have never ever done a basal test.
When Riley started on the pump in March of 2006 his endo looked at his average daily dose and set his basals from that. For the next month or so she had me checking his sugar but even when he was high in between meals not correct. That way I was able to see if his basal was bringing him back down to range or not.
After we got a good basal rate going I have just adjusted here and there. If he has a string of highs around the same time every day I'll increase his basal a bit a couple of hours before the highs start. If he's having lows I do the same except I decrease basals.
Riley started on the pump when he was 3. Dr. M did not want him to miss meals or snacks.
So, I've never had him fast to test his basals. Am I the only one?
I've thought about it before but what's got me thinking about it again is this post by Carey over at dlife. He's wondering about how people are able to skip meals while on the pump.
I don't think Riley could skip a meal. His basals are kind of set up to accommodate snack and meals. Does that even make sense?
I had thought about asking his endo about testing his basals at his appointment last month but then I thought, why really bother? Riley eats at about the same time every day. He eats snack at the same time every day. The only exception is on the weekends he eats breakfast about an hour to an hour and half later and if he does it much later he skips snack and eats a little bit earlier lunch.
But, Carey's post got me thinking. It would be really nice to sleep in later on Saturdays. Or, Riley is going to see a play next month with his class. It is in the morning so the rest of his class will skip snack. I told his teacher it's important that Riley still receive a snack. It would be nice if he didn't have to do that.
Then I think, why mess with what is working? Riley's A1C is 7.3, down from 7.8 in September. And, to be honest, I have been very very pleased with his sugars as of late. He had a few lows a couple of days in a row, but none for the past few days. And, I really can't remember the last time he had a sugar in the 300s and I can only remember a couple in the 200s over the last several days.
The pump is a great tool. I want to get full benefits from it. If I can improve control by making better use of it that's what I want to do.
Is basal testing necessary when what you're doing seems to be working?
I'd like to hear your thoughts on this.