advertisement
Page 1 of 2 12 LastLast
Results 1 to 10 of 11

Thread: Accidentally gave wrong insulin @ bedtime.

  1. #1
    Join Date
    Mar 2010
    Location
    Berks County, PA
    Posts
    49

    Default Accidentally gave wrong insulin @ bedtime.

    I accidentally gave my 8 year old, Julia, Humalog instead of Lantus at 9:30 tonight. I realized the mistake when around 11 her Dexcom went off as under 100 two double arrows going down.

    I opened her insulin bag - and on top of the syringes was the Humalog, buried under the syringes - Lantus. We are giving her fast acting carbs to help bring her back up. Her last fingerstick was 74.

    My husband is in the kitchen chatting with Julia while she's eating some pudding.

    Is there anything else we should be doing?

    Any help is greatly appreciated.
    Amy
    mom to
    Julia - 9 Diagnosed T1 3/3/10 (day after her 8th birthday), Diagnosed Celiac 6/10, Diagnosed Hashimotos 11/10
    *and*
    Morgan - 13 Non-D
    Ben - 12 Non-D
    Emily - 10 Non-D
    living on a small farm in Berks County, PA

  2. #2

    Default

    After an hour and a half, a goodly half or so of the Humalog should be used up, so probably she was high when you gave it. Still, she should be eating 1/2 to 2/3rds of the amount of carbs that that size of dose of Humalog covers for her.

    And she'll still need the Lantus. If she typically drops overnight, I suggest skipping it tonight and simply giving a half dose in the morning, followed by a 3/4ths dose tomorrow night, followed by a full dose the next night.

    If she doesn't typically drop overnight, I suggest giving the Lantus as soon as her blood sugar comes up to 100 or so, and then tomorrow night giving it at 10:30 and the next night back to 9:30.

    P.S. Even if you don't typically check blood sugar overnight, tonight would probably be a good night to do one.
    -Jonah
    dx age 17, now 25
    on Lantus for 7 years; on minimed 530 G since 12/7/13

  3. #3
    Join Date
    Aug 2007
    Location
    Hamilton, Canada
    Posts
    9,082

    Default

    Jonah has given excellent advice.

    If you've followed it you should be well on-track.
    ________________________________________
    Wilf

    Proud Dad of Amy (17), diagnosed Aug. 2006 and getting MDI of Apidra, Regular, and Lantus..
    and Sylvie (12); very happy husband of Shirla!

  4. #4
    Join Date
    Nov 2010
    Location
    South Florida
    Posts
    70

    Default

    Just a little idea, our son just turned 9 and we would have him double-check us every time we gave the insulin (because we were so afraid of a mistake) and he actually caught a mistake a few times! It really worked just having that extra set of eyes on it to make sure everything was given correctly.
    Dana,
    Wife to Philip
    Mommy to Caleb 10 yrs old, Dx 8/17/09
    Ping-ing since 7/2010

    Kara 5 yrs old
    Koi 2 yrs old

    "All things work together..." Romans 8:28

  5. #5
    Join Date
    Mar 2008
    Location
    Southern Illinois
    Posts
    90

    Default

    I am ashamed to admit that like many others, I have made that mistake, too. It was scary, and caused all kinds of chaos. I "solved" the mix-up potential by changing to a pen for Joshua's Novolog. The pen is different shaped from the Lantus vial, so it was much, much easier to register mentally which insulin I was giving. Once I changed to using a pen for one insulin, the mix-up was never made again.

    Susan
    Granny and primary caregiver for my grandson, Joshua. Joshua is 10 (DOB 08/2000) and was diagnosed with Type 1 Diabetes in January 2008. Joshua started pumping with an Animas Ping on May 21, 2010. Joshua is homeschooled. Joshua is an Edison trait child.

  6. #6
    Join Date
    Mar 2010
    Location
    Berks County, PA
    Posts
    49

    Default

    Thanks so much for the replies & support.
    It was a long night, but Julia ate 142 carbs in a pretty short amount of time. Juice, glucose tabs, swedish fish, gf bread.. Her normal meal intake is around 60-70 carbs, so she thought this was quite comical.

    We checked her non stop overnight. This morning - she's absolutely fine. We have considered using the pen, I suppose it's time to rethink that.

    I will absolutely have Julia check the insulin - seems like a good habit to start.

    I am so thankful to have this place, where I really feel like I belong.
    Amy
    mom to
    Julia - 9 Diagnosed T1 3/3/10 (day after her 8th birthday), Diagnosed Celiac 6/10, Diagnosed Hashimotos 11/10
    *and*
    Morgan - 13 Non-D
    Ben - 12 Non-D
    Emily - 10 Non-D
    living on a small farm in Berks County, PA

  7. #7
    Join Date
    Nov 2009
    Location
    Western Washington
    Posts
    279

    Default

    Back when I was on shots I did that a time or two. No fun. Even with different shapes of bottles, keeping them separate I still would sometimes grab the wrong bottle so what I did that helped me was to keep a rubber band around the Lantus bottle or pen. There's something about the tactile feel of it that would get me off of autopilot to double check myself.
    Diana
    Adult with Type 2 diabetes, Animas Ping and Dexcom Gen 4

  8. #8
    Join Date
    Sep 2007
    Location
    Ontario
    Posts
    224

    Default

    Glad it all worked out! And glad your daughter was a good sport! This site is very good at times like that for peace of mind.

    Since we have four types of insulin to choose from for DD, I have developed a routine that takes into account the types of errors I tend to make - which I learned the hard way!

    1) I start by writing down the types and amount of insulin I intend to give in our book.
    2) Then I take out the relevant cartridge or cartridges and draw it up.
    3) Re-check the number of units written in the book, and then look at the syringe again to make sure I have drawn the right amount,
    4) Check the insulin cartridge and make sure it really is the correct type of insulin, before putting it back in the pouch.
    5) Then I pass it to DD who gives it the once over to make sure it seems reasonable.
    6) Then I write down the time.

    So, mistakes are mainly made now when we are in a rush, or half asleep, or interrupted or doing something unusual. But I usually catch them now, since if at any point am not quite sure of what I have done, I just start over again. I just remind myself that I am error prone - not great for self-esteem- but it is realistic and keeps DD safer.
    Ashti

    Mom to a 16 year old who was diagnosed in the Summer of 2006 when she was 10.

    MDI: Apidra, Morning Lantus, and the occasional Regular(Toronto) for parties or for slow food that packs a punch.

  9. #9
    Join Date
    Oct 2006
    Location
    Moncton, NB, Canada
    Posts
    1,835

    Default

    I never gave Emma the wrong insulin at bedtime, although I have capped the wrong pen and realized that the colour was wrong while I was dialing it. But I have done other 'dumb' things. Like, Emma's on a split dose and the dose is bigger at night, so caffeine deprived me, gave her the nightime amount in the morning. That's almost 10 units of Levemir (it's like Lantus) more than usual. Her BGs were actually perfect all day long with alot of 'uncovered' carbs.

    Glad she's up and running and good to go!
    ------------------------
    Tim - Emma'sDad

    Emma is 10 years old. DXed Aug'05.
    Levemir, NovoRapid, One Touch Ultra-Smart, Freestyle Insulinx?

    Zoe born Aug 2007. Non-D

  10. #10
    Join Date
    Feb 2007
    Location
    Dayton, OH
    Posts
    1,405

    Default

    Zach did this with 28 units of Novolog instead of Lantus a year, year and a half ago. Not fun.

    Glad it turned out okay for you guys.

    We now use the rubber band around the Lantus bottle trick too.
    Brian
    Dad to Tyler (21)
    Dad to Zachary (17) - dx'd at 10, MDI, Novolog and Lantus

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •