Hello, After reading through several threads I have decided to commit to check my son's bg regularly at night (something previous endos have not encouraged). Last night I checked Lucas' bg at 3 am (he went to bed at 11 with a 95) his number was 197. So he climbed 108 points in 4 hours. I would have liked it to be about 120. So Lucas' correction is 1u for 33 carbs. I was going to give him 2 units and that should put him at around 133. which seemed like a good safe number.
But, I froze. I was afraid to do it. I also wondered at that point if he had dropped and rebounded in those few hours or if he maybe needs more night time Lantus. (He gets 12 units L at night usually between 10 and 11 and the same in the am between 7 and 8.)
He woke up at 266. Should have corrected, and he still may have climbed. No doubt getting in a night time checking/correcting routine is absolutely essential at this point.
I guess my questions are:
1. Do you bolus the entire correction factor?
2. How low do you try and keep BG at night?
3. How long after a correction do you recheck?
4. Would you recommend trying for a higher night time BG at first and then work down to a tighter number?
5. Why is this so hard, after 7 years, why does this make me so nervous? (I know, only I can answer that one.)
Thanks for thinking about this with me.
C/I ratio 10/1
Lantus 24 units 12am/12pm