I had our quarterly endo appointment yesterday, and while I love my son's endo, I left the appointment very frustrated. They feel that he is having too many lows (he gets down into the 60s a number of times a week). They also feel that my wife and I are doing too much work in that we utilize temp basals a lot on the pump and shouldn't be doing that. I'm willing to listen to everything they say and give anything a shot. He did have an A1C of 7.0, so I feel like we are doing something right.
Anyway...as fate would have it, and to prove their point I suppose, my son drops to 55 at the appointment...great. So I give him a 15 carb juice box. They were very concerned about the low and wanted me to check him about 8 minutes later...he's now 62. They tell me I should give more carbs, so they produce glucose tabs. I would have waited a little longer, but I didn't want to seem difficult, so I give him 2. They also tell me I should suspend insulin delivery on the pump. I told them that I wouldn't suspend insulin delivery at this point, especially being that he has now had over 20 uncovered carbs. They also wanted me to give him a protein bar that I carry around to help stabilize the blood sugar. I got a little frustrated at this point, and told them that if I gave him 20 uncovered carbs, suspended insulin delivery, and gave him an uncovered protein bar, that he would be in the 300s by the time I got home. Their response was - well, that is our recommendation for covering lows, and giving some protein is a good idea. I told them that I understand all of the theory and really appreciate their input, but that real life does not always mirror what theory says. My son was 135 10 minutes later - however, they said that they would be concerned that he would drop again because the juice and the tabs were just a temporary fix. The nurse, or diabetes educator, told me that I should really watch my son in the car on the way home just to be sure he doesn't drop again....I told her I would make sure he is okay.
I got home and was really frustrated. I told my wife maybe we are approaching things the wrong way, I don't know, and maybe we aren't as afraid of lows as we should be. We always treat the lows and move on. They made such a big deal out of it at the office, and that is really unlike what we do.
Am I wrong in how we treat the low?