Puberty Experts: A Question
OK experts, I need some advice.
My daughter BG skyrockets at night. But the rise starts at different times, sometimes it's evident at the 9:00pm check, other times that number is fine, but the number will double and then some by midnight.
In order to combat the rise, the rate increase must be really big and I'm stumped as to when to start the rate increase. I know it should be an hour or two before we see the rise, so I'd like to start it at around 7:00pm to try to prevent the insulin resistance that I see when she gets into the 300's+, but I'm concerned about her falling dangerously low should the rise not begin until 10:00 on a given night.
Complicating things further is until around 9:00, I don't really know whether a higher number is a result of dinner or hormones. By 9:00, her meal insulin should be virtually gone, so I know if she's high then, the rise has begun, but I don't think testing at 7:00 or 8:00 is going to gather any valuable information.
What would you do?
My daughter is somewhat interested in a cgm and I've got the process rolling, but I can tell by her attitude that while she would welcome the information at this point, she is not thrilled with wearing a second device and while I can hope, I must be realistic that 24/7 cgm'ing may not be in her future.
DD diagnosed March, 2013 at age 10, now 13 years old
T:slim (Humalog until 12/31/14, now Novolog) as of August, 2013
Dexcom G4 as of November, 2013