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Interesting approach to night-time highs if you have a pumper

Discussion in 'Parents of Children with Type 1' started by cm4kelly, Jul 29, 2014.

  1. cm4kelly

    cm4kelly Approved members

    Apr 28, 2011
  2. Lori_Gaines

    Lori_Gaines Approved members

    Jul 10, 2013
    That really makes total sense. Our CWD is on a CGM though, so that takes away the worry for us when we do have to correct a high at night. CGM = best thing ever for diabetes! :D
  3. DavidN

    DavidN Approved members

    Sep 7, 2012
    I checked it out and understand the concept but don't really "get it". If a parent is inclined to check at 3am, I don't see how this alleviates that. it seems the upshot of this strategy is just to run them a bit higher than usual? What if they go too high? What if insulin needs change and a low occurs? There are no certainties in D management, which is why many parents night check. Not sure how this changes that.
  4. Mommy For Life

    Mommy For Life Approved members

    Aug 29, 2011
  5. Michelle'sMom

    Michelle'sMom Approved members

    Aug 21, 2009
    Dr. Ponder rarely has med staff do night checks at camp. The "sleep bolus" works very well for keeping overnight lows away. You have to remember these kids are on a camp schedule that keeps them constantly physically active. They're also on a fixed carb meal plan the entire time. My dd attended TLC for 4 years. I can't say how this worked on her during camp because she usually spent the week battling lows. I can't remember seeing a single correction on her camp logs. It works quite well for us at home, & has since we learned about it shortly after she started pumping.

    You're giving the same amount of correction, but extending it out instead of giving it all at once. Unless she's had a really high fat meal (rarely happens), & as long as pump settings (DIA & ISF) are relatively accurate, she comes down slowly & by morning will reach her target BG. No massive 3am drop. No missed sleep.
  6. mamattorney

    mamattorney Approved members

    Apr 9, 2013
    I read about that this time last year on his facebook page. It is an interesting concept and I could see it working, but I almost think that your child has to be at her absolute highest for it to work really well without checking again that night. If you are correcting a 230, but whatever it is that is making her high would without intervention, reach 340, you may end up high all night.
  7. hawkeyegirl

    hawkeyegirl Approved members

    Nov 15, 2007

    (message too short)
  8. susanlindstrom16

    susanlindstrom16 Approved members

    Nov 29, 2012
    Thanks for sharing. When my daughter is high at night it seems like I have a hard time getting her down until 3-4am, and then she tends to go low during the early morning hours. I wonder if extending the bolus might help that. I'm sure I'd still set my alarm for 3am though.
  9. Mish

    Mish Approved members

    Aug 20, 2009
    This would be my worry. Since you're extending that bolus, I'd be worried that the ultimate low at 5 or 6 am would just be exacerbated.

    I also agree with mamattorney; my son would have to be at his highest for this to really do anything. For us, most of those night highs are not easy highs to bring down and require far more insulin than would normally be necessary. Trying to extend a bolus would not be giving enough insulin up front, where it's needed.

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