Do you bolus for stress related highs?

[Lizzy731]

My DD is an anxious shy kid and stress plays a major roll in her frequent high bg's. How would I handle this with a pump? Is it effective in lowering bg's quickly without having to eat anything and w/o creating hypoglycemia?

TIA!

[Boo]

I would think it would be easier to deal with this issue with a pump. If she tests high, it is very easy to correct (without needing a shot or snack). Also, if you notice patterns...like she always goes high in certain types of situations, then you can be proactive and possibly avoid the high altogether by using a temporary basal increase just before and during the activity. You'd have to kind of work it out using the old trial and error method though!

[lynn]

We've only been pumping for a little more than a month. Nathan is four and I could never give him a shot for a correction alone because it would always send him low. We have had a few occasions where he was high because of stress and a bolus correction has worked beautifully! I love the precision of the pump!

[sam1nat2]

I was told don't correct for stress high. My ds always goes high after his ball games (he's a bit competitive). I made the mistake of correcting for the high in addition to the snack after a game, he was in the 40's down from 400's within the hour.

I do think the pump can help you. Here's what went down tonight. He came back from baseball practice and had an emotional meltdown, complete with lots of tears. He was 311. I gave him a cookie for a bedtime snack and bolused for just the cookie and upped his basal to 140% for 1 hour. He got just the dose for the cookie which was .1, he also got an extra .2 over the hour for the extra basal. i just checked him and he is sitting pretty at 175. In this situation, we would have had a bad low if we corrected for his high.

Of course, all kids are different.

[Tamara Gamble]

I think it depends on the situation. For soccer with the adrenalin rush I don't correct or he will drop. When Ty has exams at school and is stressed I do correct, he doesn't come down unless I do. The pump helps with all of lifes little altercations but you will need to learn what works best for your child. It's all about trial and error. If her correction factor is set right technically she should not go low with a true high. Bearing in mind that there is a 10-20 % margin for error with all bg readings. Hence the questionable hypo. If someone is running consistantly high due to stress you do need to correct. You will be the only one who figures out what works for Bethany. Unfortuanately, this may mean some lows until you figure out what works. You can do partial corrections. You just need to figure it out.

Tami