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Thread: Daughter going on weeklong student exchange - would like input on MDI

  1. #1

    Default Daughter going on weeklong student exchange - would like input on MDI

    My DD 15 is going on a student exchange three provinces away. She is on MDI - Levemir, Novorapid and Apidra. We've been at this about 3 years now and doing well. However, she has never been away from me for that length of time and their schedule of activities is VERY busy and active. She has a CGM and we will have the G5 by the time she goes away, so I will be following her. I will be in contact with her throughout.
    What I am most worried about is with the increased activity, will it just be her rapid insulin that may need decreasing, or do you think we may need to adjust basal doses as well?
    Any input is appreciated.

  2. #2

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    Quote Originally Posted by Sprocket View Post
    My DD 15 is going on a student exchange three provinces away. She is on MDI - Levemir, Novorapid and Apidra. We've been at this about 3 years now and doing well. However, she has never been away from me for that length of time and their schedule of activities is VERY busy and active. She has a CGM and we will have the G5 by the time she goes away, so I will be following her. I will be in contact with her throughout.
    What I am most worried about is with the increased activity, will it just be her rapid insulin that may need decreasing, or do you think we may need to adjust basal doses as well?
    Any input is appreciated.
    I have to adjust all my insulins with increased activity, but especially the basal.

  3. #3
    Join Date
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    Hamilton, Canada
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    Quote Originally Posted by Ali View Post
    I have to adjust all my insulins with increased activity, but especially the basal.
    This has been our observation as well.
    ________________________________________
    Wilf

    Proud Dad of Amy (19), diagnosed Aug. 2006 and getting MDI of Apidra, Regular and Lantus..
    and Sylvie (15); very happy husband of Shirla!

  4. #4
    Join Date
    Jul 2011
    Location
    no longer in CT; now back in Ontario!
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    I agree that basal needs to be adjusted, too. Basal rates are definitely what I have to pay attention to the most when our routines change.
    Caroline

    K, 2008, dx 2010-12-02 - transitioning from MM Revel to MM Veo with Dexcom G4
    E, 2010
    W, 2013

  5. #5

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    Okay, thank you everyone. I am thinking what might be wise is to be very busy and active the week prior to her leaving, and see if we can adjust levemir before she goes.

  6. #6

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    The first year my kid went to (non-D) camp, I had the same idea of increasing exercise the week before. It didn't even come close to comparable.

    I think the next year, we decreased basal by 20% and increased carb ratios by 2, set target to 150 rather than 100 for the week, and then reevaluated on a daily basis. It would be better to have her run high for a day or two than sleep through lows. (I had to call my kid 17 times before getting her to wake once for a Share alarm when she was half a country away....not fun!) We also did an unbolused 10g or something of nut bars at night to combat lows from the muscles replenishing their stores during sleep.

    She needs to know that ketone testing is crucial when high for more than a couple hours or if she feels nauseous. It's so easy to forget to test, but so crucial. My kid was at camp one year with another that didn't bring strips. She was in the hospital in DKA by mid-week.
    8/2010 - 9/2011 MDI, Lantus & Humalog
    9/2011- Medtronic Revel 723 & CGM
    11/2012 - Dexcom G4
    2013 - Cut-The-Cord for water times after multiple Aquapac failures
    10/2015 - T-slim

    "Life is not waiting for the storms to pass, but learning to DANCE in the rain."

  7. #7

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    Quote Originally Posted by MomofSweetOne View Post
    The first year my kid went to (non-D) camp, I had the same idea of increasing exercise the week before. It didn't even come close to comparable.

    I think the next year, we decreased basal by 20% and increased carb ratios by 2, set target to 150 rather than 100 for the week, and then reevaluated on a daily basis. It would be better to have her run high for a day or two than sleep through lows. (I had to call my kid 17 times before getting her to wake once for a Share alarm when she was half a country away....not fun!) We also did an unbolused 10g or something of nut bars at night to combat lows from the muscles replenishing their stores during sleep.

    She needs to know that ketone testing is crucial when high for more than a couple hours or if she feels nauseous. It's so easy to forget to test, but so crucial. My kid was at camp one year with another that didn't bring strips. She was in the hospital in DKA by mid-week.
    Great advice.

  8. #8

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    Yes, thank you for the advice. We got a great bit of news this week - the exchange student is also a Type 1 girl!!! I am so pleased. I feel so much better about it all.

  9. #9
    Join Date
    Jul 2011
    Location
    no longer in CT; now back in Ontario!
    Posts
    882

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    Wow! That's amazing! What are the chances?!
    Caroline

    K, 2008, dx 2010-12-02 - transitioning from MM Revel to MM Veo with Dexcom G4
    E, 2010
    W, 2013

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