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Thread: The pump and checking in the night...

  1. #1

    Default The pump and checking in the night...

    Okay, another question (yes, I am full of them) -

    I read alot of posts that talk about night time checking. Well, I did 2:00a.m. checking for the first week after we got home. I was met with a kid that was throwing a temper tantrum (pretty much my kid only does the temper tantrum thing when he is awakened in the middle of the night and at that point he is more of a monster than a child). I consulted with the hospital and they told me that they felt that the middle of the night checking was not necessary whatsoever and to discontinue.


    We have awakened with great numbers and nothing has happened in the night that I know of. For three weeks I slept on the floor in his room to convince myself that it is okay.

    Now, many or most of the posts that I read about checking do mention checking in the middle of the night. Is this something that goes with the territory of the pump or what? I have a friend who checks her son at 1:00a.m. and 3:00 a.m. every single night. If I had to do anything like that my child would never get any sleep and I would be in really poor shape.

    Can you please educate me about why it is you are doing checks in the middle of the night and how often these checks result in some corrective action? Additionally, is this because of the pump or what?????

  2. #2

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    Its not just a "pump thing" Many parents of kids on MDI check at night also. From what I've heard, most kids do not wake up on their own from a low. IMHO theres too much risk of an undetected low during the night, not to test. Also, numbers can and will fluctuate during the night (growth hormones etc) and all night is about 1/3 of your day, meaning 1/3 of your A1c. So if you're getting crappy numbers during the night, its really going to affect your A1c negatively.

    With the pump, there is danger of ketones if there is a pump failure. Checking regularly will prevent this happening, as any problem will be caught early. Going through the whole night without checking is unadvisable as theres always the chance that they will get a whole night without insulin from a bad site. The risk is low, but its there.

    That said, some parents don't feel they need to test as their kids are relatively stable during the night. Of course its just another YDMV, you have to find out whats best for your child, not everyone elses
    23 y/o, Dx 12/02 Type 1
    Pumping purple MM Veo
    BSN, RN

  3. #3
    Join Date
    Jan 2007
    Location
    Arlington, WA
    Posts
    447

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    I have checked Ethan every night @ midnight since DX. The first 9 months he was on injections and the last year and a half he has been a pumper. I check for my sanity however it is also nice to be able to correct a high or chase a low.
    Mom to Ethan 7 years old
    DX 11/06 pumping 522 since Oct 07 CGMS 6/18/09, DX Celiac 5/10 and Reidar 8 years old . Wife to wonderful husband Tom for 10 years.

  4. #4
    Join Date
    Jun 2008
    Location
    Southeastern Indiana
    Posts
    2,534

    Default

    Hmm, our endo doesn't require middle of the night checks very often. We are just starting the pump and we are doing 12am and 3am checks for the first two weeks. They do ask that I check in the middle of the night for several days whenever we make a basal change...that is the same for mdi. My daughter sleeps through these checks 90% of the time and when she does wake up she says she doesn't remember doing so. I also check in the middle of the night when she had a very active day...to make sure we don't see delayed lows.
    Mom to 4 kiddos:

    Cory 19..going to be a soph at IU!
    Kristen 17 nonD
    Hannah 15 nonD
    Molly 13, D dx'd May 13, 2008 Graves disease
    MM 722 pump Novolog
    MIO infusion sets
    current a1c 7.6 (8.0,9.2,8.4,9.0 ,8.2.8.4,8.2,8.1,7.9 previous)
    in the middle of puberty he**!

  5. #5

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    We have checked every night since he was diagnosed over 2 years ago. I check him at midnight and if depending on the number, etc. I may get up again at 2 or 3am or have my DH check him when he gets up at 430am.
    ~Marci~
    Mom to Charlie, 8 years old, diagnosed January 2007
    and Alyssa and little Jax

  6. #6
    Join Date
    Feb 2008
    Location
    Minnesota
    Posts
    1,918

    Default

    Quote Originally Posted by momof2here View Post
    Okay, another question (yes, I am full of them) -

    I read alot of posts that talk about night time checking. Well, I did 2:00a.m. checking for the first week after we got home. I was met with a kid that was throwing a temper tantrum (pretty much my kid only does the temper tantrum thing when he is awakened in the middle of the night and at that point he is more of a monster than a child). I consulted with the hospital and they told me that they felt that the middle of the night checking was not necessary whatsoever and to discontinue.


    We have awakened with great numbers and nothing has happened in the night that I know of. For three weeks I slept on the floor in his room to convince myself that it is okay.

    Now, many or most of the posts that I read about checking do mention checking in the middle of the night. Is this something that goes with the territory of the pump or what? I have a friend who checks her son at 1:00a.m. and 3:00 a.m. every single night. If I had to do anything like that my child would never get any sleep and I would be in really poor shape.

    Can you please educate me about why it is you are doing checks in the middle of the night and how often these checks result in some corrective action? Additionally, is this because of the pump or what?????

    It has nothing to do with the pump. We check every night, sometimes twice if necessary, even when we were on MDI. We have caught lows AND highs. We check simply because we want to and we feel more comfortable doing it. I still check even though we are on the CGMS. Our endo also told us night checking was only necessary during the first week. I never listened. I don't feel D goes away at night and I would never let my SD go 8-10 hours without checking during the day so I check. My SD sleeps right through it and never wakes up.
    Stepmom to 14 year old girl and bio Mom to 12 year old boy.
    Stepdaughter diagnosed 02/11/2008
    Pumping with MM 723 Revel with Quicksets since 10/17/2008
    Started the MM CGMS on 02/12/2009
    Married 22 years - husband type 2 diabetic

    Sandy



    "God doesn't give to us what we can handle,
    God helps us handle what we are given"


  7. #7

    Default

    We sometimes check in the middle of the night if our midnight BG test is not good. We also check extra during the night of there's an illness.

    Just a thought for you though. Is the poker at the lowest setting? Maybe try a "more gentle" poker?
    Mom to 2 boys (8 & 10), oldest dx in Oct. '06
    Pump MM522 w/ Sure-Ts infusion sets since July '10
    Previously pump Deltec Cozmo w/ Contact-Detach sets

    "He attacked everything in life with a mix of extraordinary genius and naive incompetence, and it was often difficult to tell which was which." ~ Douglas Adams

  8. #8
    Join Date
    Dec 2007
    Location
    Southeast
    Posts
    6,950

    Default

    Quote Originally Posted by momof2here View Post
    Okay, another question (yes, I am full of them) -

    I read alot of posts that talk about night time checking. Well, I did 2:00a.m. checking for the first week after we got home. I was met with a kid that was throwing a temper tantrum (pretty much my kid only does the temper tantrum thing when he is awakened in the middle of the night and at that point he is more of a monster than a child). I consulted with the hospital and they told me that they felt that the middle of the night checking was not necessary whatsoever and to discontinue.


    We have awakened with great numbers and nothing has happened in the night that I know of. For three weeks I slept on the floor in his room to convince myself that it is okay.

    Now, many or most of the posts that I read about checking do mention checking in the middle of the night. Is this something that goes with the territory of the pump or what? I have a friend who checks her son at 1:00a.m. and 3:00 a.m. every single night. If I had to do anything like that my child would never get any sleep and I would be in really poor shape.

    Can you please educate me about why it is you are doing checks in the middle of the night and how often these checks result in some corrective action? Additionally, is this because of the pump or what?????

    For 9 years I have checked my kids blood sugar in the middle of the night. I check one time at night ,sometimes , it might be 2am or 1am or 12am. Just depends if I am checking basals for a certain time. I know the basals are pretty set right now and if I check at 12am after there is no insulin on board then I feel pretty good. If they had a high fat or protein meal then it might cause them to spike up later at 2am. Usually, I would do the one check and be done unless I saw a low and would treat and make sure they came up. My kids never wake on these checks. I don't turn on a light. I just use a small flashlight. I can slowly take a finger , wipe it off with an alcohol wipe and check (I use Multi CLix, some people say they hurt less) and they don't wake up.

    My kids were on shots for one year and the rest pump. Doesn't make a difference on checking. Actually, I feel I can check less because of the horrible insulin they used caused spikes and valleys(Ultralente).
    You should not have to check at 1am and 3am unless they are checking basals. Once should be enough.
    Last edited by ecs1516; 04-22-2009 at 07:44 AM.
    DS1, 17 yrs old, diag 3/2000 at 3 years old, pumping 2001,Minimed 508 2001, Cozmo 2004 & 2008, Animas Ping 5/09, Novolog ,Apidra(1/11),Back to Novolog 6/11, Insets 6mm, Navigator 8/08-5/09, Dexcom 5/09, Dexcom G4 12/12
    DS2 , 14 yrs old, diag 9/2000 at 10 months old, pumping 2001,Minimed 508 2001,Cozmo 2004 & 2008, Animas Ping 5/09, Revel 12/10, Back to Animas Ping 12/10, Novolog ,Insets 6mm, Navigator 9/08-5/09, Dexcom 5/09,Navigator 11/09,Guardian 9/10 Enlites 11/13,Minimed 730g 1/14

  9. #9

    Default

    We check because so many things affect her overnight. One night, she'll be steady and the next night, go into the 300s. She used to be steady for about 6 months, and we stopped checking at night, but when she started getting wonky, we had to go back to checking in the night

    Recently we were using the CGMS to tell us if we needed to check at night. If she was staying flat in range, we didn't check, but if it gave us a low/high alarm, we did. Can't do that right now with a broken CGMS, so we're back to checking. 3 nights ago she stayed flat, so 2 nights ago we didn't check after a 120 at the end of IOB and she woke up in the 300s, so we're checking again
    ~Nancy
    Mother to:
    Samantha - 17
    Michael - 14
    Emma - 9 (2/16/05 dx 3/07, dx Celiac 1/10) - Pumping with a Pink Animas Ping! as of 9/07, with t:slim as of 8/14!

    CGMSing as of 3/26/09 with Navigator, 9/14/12 with Dex 7, 12/5/12 with dex G4

  10. #10

    Default

    I check when I feel I need to, like on karate days, or if I've bolused right before bed. But generally I try to get some sleep. On a "normal" night, I'll check at 11:30 before I go to bed, and if she's fine, I leave her. I get up at 5:15 anyway.

    Over time, he'll probably stop waking up. My daughter doesn't feel a thing now, but the first couple of weeks she was waking up out of fear I think. I do rouse her a bit if I have to correct at night because she'll feel that and get upset if I sneak up on her.

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