opinions welcome

[sam1nat2]

I am at a loss. Sam has been high the past few days. Even after a set change today he was still high. He was hovering in the 300's all day. When he called around 2 this afternoon, I had him do a correction and then go on pattern A (our increased basal---.2 higher than std)
He was 390 at 2, comes home at 3:30, he's 63

I put him back on standard, he treats the low and has a snack.
Dinner comes around and he is again at 300. We corrected and prebolused dinner. I told him if things weren't significantly better, we would do a set change before bed. Again, I have him go on pattern A. 90 min after dinner---100.

Seems like std basal is too little and pattern A is too much. We are talking .45 vs .55, so nothing too major.

Ideas???
I do believe we are dealing with major growth---we realized looking at end of year school stuff he has put on 20 lbs this year. Still only place for set is in the butt, so no fat here.

[rachabetic]

i'm not quite sure whats going on with him, especially since I have been having constant highs as well, and only different basils help me. But since .55 is too much and .45 is too little, I would try to do a temp basal of .50. Good luck, those stubborn highs are extremely frstrating!!!

[sam1nat2]

Thanks Rachel.

[Mary Lou]

I think Rachel has the right idea.

Whenever we adjust basals, it is usually by 0.05 per hour, not .1 per hour.

We just went through this with Brian, who is also 9, and had to increase every single basal (which we had never done before) by 0.05 U/H.

Good luck in geting those highs down!! It doesn't really matter the cause, if there's a high pattern, your boy needs more insulin :rolleyes:

[Nancy in VA]

I have found that once we start yo-yoing, its tough to get out of the cycle of low-high-low-high. It takes a while to get it back in control, but I have found that treating low AND lowering basal is a double-whammy and will cause a high. Maybe be a little more conservative on treatment of lows and highs trying to lessen the high-low gap