3 lows today - honeymoon?

[Reagan's Mama]

We are stumped. We have heard lots of talk of honeymooning from info that it could last for 2 years because she's so young, to info that it could never happen at all, because she's so young.

We have had very few lows throughout our 2 months, today we had 3. Please keep in mind that we are treating anything under 100 as alow at this point.
1230pm - Before lunch - 85 - ratio is 1:30 - she ate 22g - dosed her .75 unit Humalog (to the best of my ability)
330pm - After lunch - 298

630pm - Before dinner - 70 - raito is 1:45 - she ate 22g - dosed her .5 unit Humalog
830 pm - After dinner - 91
after 15 minutes and smoothie (5.5g) - 90
after 15 minutes and apple juice (3.5g) - 97
gave her 2 oz chocolate milk (7g) and put her to bed.
Chocolate milk typically works for us, we were silly for not doing what we knew tonight. I guess we were just tryng other options. Look where it got us!

I am sure that at 11 or midnight when we check again she will be sky high. I am concerned though that she has had 3 lows today.

Is there a guaranteed way to be sure about honeymooning, any signs?
Why else would she keep going low? Today's activity was not any different.

[Amy C.]

It is hard to know when you give only the readings. Children go low when they have more insulin and activity than is needed for the food the body absorbs, but you didn't say when and how much insulin she had. From what I can see, it sounds like the ratio at dinner is not correct. I wouldn't call this a second honeymoon, but part of the constant insulin adjustments you will be making for as long as she lives with you.

I wouldn't be surprised if she isn't high tonight.

[Momof4gr8kids]

Amy, It could be a honeymoon. It could also just be an oddity. Sometimes when Julia is getting ill we will see lows. Keep an eye on those numbers. You may have to call your endo, and make some adjustments if it keeps up. I hope Regan is well, and glad she didn't have any terrible - grab the glucagon lows.

[Pammers]

When Joey went on the pump, they had me correcting to 90. Needless to say I had alot of lows. I now correct to 120 (and just informed the doctor, didnt ask) and he rarely goes under 100.

Do you make insulin corrections for low blood sugar? Meaning, when she ate dinner and blood sugar was 70, not giving the full .5 bolus for her 22 carbs bot lopping off some for the difference between 70 and her target (although getting less than .5 with injections is probably impossible). I probably would have just held off the insulin altogether and tried to cut back the carbs a little, or gave her the insulin and padded her meal with more carbs to cover the difference.

Maybe getting diluted insulin would help you to get more precise dosing.

[jeep_bluetj]

1. Those lows aren't very low, so no real worries other than what the trending would be past that.

2. 1u/1kg is the seat-of-pants guess that I find for TDD estimation. Significantly under that (like if your 10kg kid is only using 3 units of I a day) is a very good sign of honeymooning. Of course, a wide variance is 'normal' too.

3. Significant amount of excersise would do that too - we've had high-execercise days were we weren't bolusing at all, just running on basals. (Camping trips seem to do this for us..)

4. (Comment on Pammer's post) We 'aim' for 100. Every bolus or correction dose, or correction carbs, we aim each time for 100. But Curtis is much older than your kids. When he was 3 we aimed for 120-130 ish. Now, we'll look at a 91 and say "good #".. Anything over 70 is good for me, as long as a downward trend isn't indicated. I don't think that I would be comfortable in those ranges with a < 5yo little one.


SuspendThread();

My dear and lovely wife was feeling very shaky the other day (No b-fast, too much coffee). So out of curiosity, she checked her BG. It was 55. She's non-D and no history of hypoglycemia. We both thought it was interesting. (And she ate a bagel or something)

ResumeThread(); // Back to the real discussion...

[Momof4gr8kids]

We have had days where the exersize wasn't extreme, but it was just something different.