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Going to the "un" professionals :)

Discussion in 'Parents of Children with Type 1' started by Charmed7, Oct 28, 2010.

  1. Charmed7

    Charmed7 Approved members

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    Need some help here guys if you wouldn't mind being the little voice in my head ha ha.

    A few months back, DS jumped his lantus from 10 to 15 within a few days and held good numbers for about a month, then started dropping low. I dropped his lantus a few times with middle of the night lows every night until I finally said, I'm just going back to 10. Sure enough, 10 worked and after a few weeks I had to go to 11 and he's been holding steady at 11. I chalked it up to one of those weird body phenomenons.

    So...last night at dinner, he was 350+. Of course our first question was "Whaddya eat?" He said nothing. So I corrected and fed him dinner (nothing fancy, just a sandwich and potatoes) and he woke up 370+. <sigh> Ok, so I corrected and gave normal breakfast and at AM snack he was 52. Nurse gave snack + juice + bolus. Then at lunch he was 400.

    So I called the endo, who he's been bouncing between RN's since his left the practice and the lady I talked to talked to me like I was a newbie and told me to log his sugars for 5 days so they can look for patterns. I'm not comfortable with DS's sugars at 350-400 for 5 days, so I'm coming to you all!!

    Would you boost his lantus? Wait one more day?

    With Halloweenie here, and two parties Saturday plus Treats on Sunday...this is not a good time to have to deal with this, but diabetes never cares, it does what it wants to.

    TIA for your thoughts!!
    Love ya guys.
    C7
     
  2. frizzyrazzy

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    I'd wait another day. :)
     
  3. Flutterby

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    could it be his ratios instead of lantus? with the 52, I'd be hesitant to adjust lantus again, maybe tweek his meal ratios?
     
  4. Lee

    Lee Approved members

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    I would wait 1 to 2 more days to make sure that it is a pattern and not illness coming on.
     
  5. Charmed7

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    Ok, another day it is!! Thanks guys. My intuition is pretty spot on and I was just not jiving with this dr and that makes me nervous.

    DS doesn't go high during illness, so I'm not worried about that.

    Thanks!!!
     
  6. Abbysmom

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    Wait 1 more day

    The high at lunch could have been overtreating the 52. Besides I know with my child I can ask what she ate and might not get the whole answer :). I wait for a pattern to emerge and then you want to change only one varable very slowly and see if it helps and then make another very small change.

    I have this same problem with my endo leaving my child high for a week before they have the time to do adjustments for me or because they are looking for a pattern. I started doing my own for this reason but it takes practice.

    You might try finding a copy of Think Like a Pancreas.
     
  7. Ispoli16

    Ispoli16 Approved members

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    I would boost his lantus and change his ratio a little... Or maybe his correction factor? Give it another day and get a better feel for the pattern.
     
  8. wilf

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    What were his numbers between the 350+ at dinner and the 370+ at breakfast?
     
  9. Bigbluefrog

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    I would check the insulin, is it expired? Then I recommend checking his bg after corrections. is it possible his correction factors are off?

    The more data you collect, will help find a pattern or solution.


    We had some crazy highs with growth. I could correct and it was difficult to stay in range.
     

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