Frustrated!

[Kaylee's Mommy]

Before Kaylee went to bed she was 269, a little high, but her night time target is 200.. so she wouldn't have gotton a correction fo rthe 269 (she crashes at 3am almost every morning).. I checked her at midnight, she's 400:eek: now, she threw a huge hissy fit before bed, argued with me for hours (literally) so I assumed that where the 400 came in.. I corrected her, checked her just now at 1am, her meter is screaming HI at me.. this is the flash, and I believe anything over 500 with the Flash just says HI, where the ultrasmart says HI at 600 and above.I check her pump/tubing (last night she was high because there was a 1 inch airbubble at the end of her tubing :rolleyes: but there was no airbubble.. so I ATTEMPED to corred her with a syring.. only problem is, she was laying funny and I didn't get the correct spot with the needle and ended up hitting a vein.. she woke up screaming (normally does NOT wake up when I give an injection) so I figured I had hit a vein.. pulled the needle out and out came blood and I'm sure all the .5u insulin I gave her.. so now what do I do? I ican't give her more incase she actually got some of that.. hopefully she did get some and she'll come down nicely.. she does NOT have ketones (amazingly being that high.. they were only at .3) Besides the fact that she most likely didn't get that insulin can I/did I cause any damage by hitting a vein.. we've hit veins when putting in pump sites but never an injection.. she instantly bruised, of course.. Now I'm freakin out because I'm afraid I did some type of damage to the poor kid.. I HATE THIS DISEASE!!!:mad:

[selketine]

I would probably change out the infusion site and make sure the there are no air bubbles. I've never had that big of an air bubble in his tubing like you had the previous night - so I'd make sure that isn't an issue. I'm guessing though that her set has failed.

Changing out the set would let you give smaller corrections if she needs them the rest of the night depending on how much insulin she got out of the shot that you tried to give her. It would also make sure she is getting her basal.

I am probably in the minority and this might go against what we are told (correct with a shot) but I have always just changed William's set out (and sometimes the reservoir and insulin too) and gave a correction that way - even at night. His nightime corrections are so small that it would have been very difficult to do by syringe unless I had diluted humalog (which I don't keep around anymore and haven't for years).

And the fun part is staying up practically the rest of the night to make sure everything is working and he came down but not too low:rolleyes: I hope you were able to get it all worked out!

[zimbie45]

I agree with carol, Change the site out, that will fix what ever the problme is, then she will also be getting the basals to help prevent those ketones even more, then keep checking and if she is not comming down in a couple hours ( from the shot) then to correct again... Sorry this is happening, i know its tough to deal with speciall at night when problems arise.. Hang in there.

[mom2a]

HI Kim,

I feel like I have been in the same situation lately. Last week Alana was high in the middle of the night, I checked her she was over 300 and then I checked her again and she kept creaping up so I changed her site and that brought her down immediately so i knew her site had failed. I contemplated just like you about doing the injection and waiting until morning to change out her site. Now last night checked her she was 47 she has never been this low in the middle of the night. I feel like she is yo yo.

I know how you feel it is so frustating. Especially when you are sleep deprived. I cannot remember the last night I had a full night sleep and don't expect one in the near future but that is OK I would rather feel tired than sleep.

Hope you have a better day today.

[lisamomtotwins]

(HUGS) sometimes this disease just plain old SUCKS! We have had some problems with the sites lately, the other day it must of hit a vessel or something because when we took it out there was blood spewing every where! Not fun for a 2 year old to see! :( WEll i hope everything worked out ok ....

[Kaylee's Mommy]

She came down with the injection and stayed down, I didn't change her site last night, I did this morning.. the other day when we had the air bubble in her tubing I changed out the tubing (not the site but the insulin and tubing.. )

I have changed out her site at night many times and there is always some sort of problem we incounter, I'm not sure if its that we are tired, or trying to be extra careful but not careful enough but we always run into some sort of trouble/problem.. from the times that I've spoken with the oncall endo they've said to inject and redo the site in the am (if its late enough.. if its 11pm I'd change it out.. but at 2/3am I won't) I just complicated things by hitting a vein last night so wasn't sure if she'd get all that insulin or not.. I'm sure she didn't get it all but she got enough:)

[selketine]

I'm glad it worked out!

We haven't had any problems changing the site at night - he seems to sleep right through it. If I had to give a correction by syringe the least I can draw up is 1/2 a unit and that would be way too much under most circumstances for a correction for him. He is still fairly sensitive to insulin. When he was younger .1 could bring him down a 100 points even!

I think pedi endo's are often not used to dealing with really young kids who are so insulin sensitive and never consider that trying to inject a correction is a last resort for some. I would do it if I had to but I'd probably have to wake him up at some point to get him to eat something...which just seems ridiculous as opposed to changing out the site.

[Kaylee's Mommy]

I'm glad it worked out!

We haven't had any problems changing the site at night - he seems to sleep right through it. If I had to give a correction by syringe the least I can draw up is 1/2 a unit and that would be way too much under most circumstances for a correction for him. He is still fairly sensitive to insulin. When he was younger .1 could bring him down a 100 points even!

I think pedi endo's are often not used to dealing with really young kids who are so insulin sensitive and never consider that trying to inject a correction is a last resort for some. I would do it if I had to but I'd probably have to wake him up at some point to get him to eat something...which just seems ridiculous as opposed to changing out the site.

normally giving a correction through an injection would be difficult (thats one of the reasons why we went to the pump!) because we have to wait until she is over 400 to give a .5 correction.. her pump was reading HI (she could have been 700 for all we know.. when it just says HI it just means she's over 500 but we aren't sure how far over, she could have been 500 or 700.. so we have to assume she 500 and then correct from that point.. ) and being 500 she could get .5U.. if she were 300 giving a correction through the syringe would have been very hard (its quite hard getting .25 in a syringe--which I'm sure you know:cwds: )

[selketine]

Kim - absolutely! Every kid is different even if they are near the same age the correction factor can be very different from one to another.

Probably if we got 500+ on a meter at this point he could take a half unit at night! I've found that he almost never has ketones (using the blood ketone meter) - so a reading of .3 - although normal for most people (and normal according to the instructions with the meter) - means that he is developing a real problem and needs more insulin to get him down.

The only guaranteed equality among all our kids in that situation is that it means a LONG night for the parents!:p