What the hell, you ask? AhHa! I have technology on my side. I can’t see into the future, but I can damn sure see into the past; and very clearly at that. This morning I hit the ESC key twice to view the 24 hour graph. There my sugar was, stable and coasting down all night until about three am. Then up, up, up climbs my blood sugar. I scroll back for the exact time, using the down arrow key. I park the flashing cursor over the exact moment in time when the graph starts to swing upwards. 2:56 a.m.
I don’t know the cause, but I know the solution. For years my nighttime sugars have been stable. Now my liver is working overtime while I’m snoozing. I’m probably being abducted by aliens in my sleep (they want that tiny little transmitter back!). Well, short of a cure, a good treatment is always the best medicine.
A three a.m. spike means the two a.m. basal needs to go up. I open ParaPal and up the basal steps in the wee hours of the morning. Then I plug the otherwise unused BD Link meter into my computer and beam the new program to the pump.
It is worth mentioning that it is almost impossible to get the CoZmo to talk to a computer. You have to use an infrared reader that doesn’t really work well at all (understatement of the year award). Before you get ready for your 7-10 tries to get it to work you have to peel off the leather case and remove your CozMonitor by unscrewing the battery cap with a nickel. The Monitor uses the same infrared ports the computer needs. CoZmo software is almost as good as the infrared reader. So there you have two more very good reasons to switch to MedT, beyond smaller size and integrated CGM.
The ParaPump, on the other hand, communicates quickly and with no headaches so long as you take their advice and get as far from the computer as you can. They give you enough cable to hang yourself. This last time I left the pump on my belt, set the meter in my lap and gave myself a good push from the desk. My chair rolled back into the middle of the library and I downloaded just fine. Of course, then I couldn’t reach my key board.
Back to the basal quest. In the old days (like two years ago); you would only know that sometime between your bedtime fingerstick and your wakeup fingerstick your basal was off. You’d have no clue when. If you set you alarm to wake yourself up every couple of hours you risk interfering with your own experiment. A three a.m. alarm gives most of us a shot of adrenaline.
With CGM nighttime basal tweaking is a breeze. You can snooze all night uninterrupted and ParaPump is on the case, dutifully recording your blood sugar every five minutes the entire time. You can get a quick look at the night on your pump’s screen, then you can download for advanced study. And you can adjust night after night, until you get it right.