Hi all, Hoping you can shed some light on a perplexing situation. Hank's numbers have been pretty decent up until the last few days, and now they've gotten all wonky. In talking with the CDE, she thinks he is getting 'extra food' either from his babysitter or a friend at the babysitter's. Would you agree, based on these numbers? If yes, how do we reinforce the importance of this without seeming punitife? If no, what other culprits could be at play? The only other thing the CDE really suggested was a possibility of a growth spurt coming on, thus the high numbers in the middle of the night. His regimen is 2.5 units of Lantus in the a.m., Novolog at meals: 1:30 for breakfast, 0.5:40 for lunch, and 1:45 for dinner. Typical snacks are 15 grams, unless high. Open to any and all suggestions! 2/7 Breakfast - 143, 1 unit AM snack - 371 (no carbs given) Lunch - 151, 0.5 units PM snack - 89 Dinner - 300, 1.5 units Bedtime snack - 249 11:45p - 405, 0.5 unit correction 2:30a - 361 2/8 Breakfast - 98, 1 unit AM Snack - 236 Lunch - 324 PM snack - 182 Dinner - 500!!!! 2.5 units Bedtime snack - 187 1a - 295 4a - 142, 2 oz juice given (he drops like a rock early morning) 2/9 Breakfast - 163, 1 unit AM snack - 266 Lunch - 351, 1.5 units PM snack - 71 Dinner - 155, 1 unit Bedtime snack - 177 11:45p - 405 1a - 339 (no correction, believed to be coming down) 2/10 Breakfast - 288, 1.5 units AM snack - 164 Lunch 166, 0.5 units PM snack - 403 (no carbs given) Dinner - 216, 1.5 units Bedtime snack - 144 12a - 373 3a - 300
Your CDE may be correct but you also should consider that part of it may be a basal issue, meaning he needs more Lantus overnight. I say this mainly because he is so high in the midnight to early morning hours.
