We are leaving for the beach Saturday morning. My dd is now running high. Seems like no matter how much insulin we gave her yesterday she would not stay below 200. I changed her site twice even though I was reasonably sure that was not the cause because she did not go higher after eating. If I am remembering correctly she did this last year before vacation. Do your kids get highs from anticipation or excitment? If so do you do temp basals or adjust basal rates?
I think that my DD does. I know we once saw a huge drop between the 1/2 hour or so between the conclusion of a play that she was very excited about and getting served in a restaurant. I suspect that that might have been a true "adrenaline" high. But not always. I am now certain that I incorrectly attributed lots of highs early on to excitement -- when in retrospect they were probably due to our (less-informed) management while on MDI. The vast number of variables in play is what makes D so challeging. For our DD, we would not expect excitement to lead to all-day highs -- when it has happened (or when we think it has happened) -- it has been shorter term. Now, I would be less likely to ascribe a high to excitement and would probably do a correction.
It is possible but I have never seen it. I would look at other causes, such as possibly the start of an illness, site problem, etc. If the high bg's are not related to food I would keep gradually increasing the basal until you see a change. Good luck.
Not so much excitement from birthday parties, vacation, etc, but the excitement and adrenaline at swim meets causes huge highs for her. Hana is a competitive swimmer and we have to run huge temp basals during swim meets to counteract the adrenaline highs. The OmniPod only goes as high as +95% for temp basals and that isn't enough. I also have to run an extended bolus at the same time. I've seen her go in to a 30 second race with a BS of 85 and come out 30 seconds later and check and she is 150! But if we don't keep on top of it between races, she will end up in the 300s.
