Jeff is a 26 year old with T1DM and wears an insulin pump. He reports that he has noticed a pattern of hypoglycemia two to three hours after lunch and dinner. When asked, he states that before meals, and even after fast, he seems to have no problem. Which of the following pump setting changes would you recommend? A. Reducing his basal rate by 10% b/w lunch and bedtime
B. Changing his insulin to carb ratio from 10 to 12 for lunch and dinner only
C. Modifying his correction/sensitivity factor to give less insulin
D. Changing insulin to carb ratio form 10 to 8 for lunch and dinner only

Q&A Education