What the heck is going on?!

[Kaylee's Mommy]

I'm getting so frustrated.. we started pre-bolusing along with extended bolusing a few days ago.. the first day things were terrific.. but so far today and the two other days things have gone haywire.. Kaylee woke up at 72.. I gave her 1/2 a juice box.. let that start to work, pre-bolused her 15 carbs, she had applesauce, then wanted a yogurt, so I dual waved with 60% upfront the remaining 6 for the applesauce and the 17 for the yogurt.. she was headed up fast.. because of the juice.. and is now 330:eek: Last night we had an aweful night.. she was high, stubborn high and wouldn't come down.. finally started too.. also pre-bolused and got up into the 300s again.. lunch same thing.. didn't get to the 300s but did go high.. Last night we went out to dinner.. I pre-bolused before we left since it is only about 10/15minutes away.. she was low (two arrows down on the sensor in the 70s.. BAD... ) so I gave her juice while waiting.. I didn't let her drink to much and then when she was mostly done dinner (FF and chicken tenders) I dual waved the rest, with 60% upfront.. ) I do an extended bolus for 3 hours.. but no matter what she spikes and then crashes.. so I'm not sure what to change anymore.. I want to stop those 300 spikes, and stop the crashes..I don't dare prebolus more than 15minutes.. and doing the extended bolus for more than 3hours is a problem, we run into her next meal..

ever sense we started the pre-bolusing it seems that she spikes and crashes harder (except the first day was really nice..)

[hypercarmona]

It sounds like perhaps she needs more up front (to reduce the spike) and less extended (to help reduce the crashes later on)? Maybe something like 80/20, or a shorter extension time (1 1/2 or 2 hours) that way she'd get more insulin up front. If it were me, I'd "trade" part of the extended insulin with the up front insulin until I got the numbers that I wanted. Switching something like a .10 of a unit (or a percentage-trying 65/35, then 70/30, etc.) from one to give to the other for a few days until something worked.

Good luck!