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What kind of increased need for insulin do you see when sickness hits?

Discussion in 'Parents of Children with Type 1' started by missmakaliasmomma, Oct 12, 2013.

  1. missmakaliasmomma

    missmakaliasmomma Approved members

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    My daughter had a fever for a few days the beginning of last week. The days leading up to that she was having higher than normal BGs which I know is normal the few days leading up to the sickness. So, I thought she needed increased basal just because she hasn't had a change in lantus in a longgg time. We started seeing an increase in BGs between breakfast and lunch.

    Anyway

    The fever started Monday, that's when I picked her up from school. She went back Friday. I'm still seeing an increased need for insulin though. She doesn't get sick a lot so it's truly hard to remember how it would've been last time she was sick. So, we doubled her basal and bolus for most of the time she had the fever and that seemed to work pretty well. Best "sick days" we've had.

    Since I'm still seeing a need for the increase (although not as much of an increase now since she's had a couple lows) It would seem very odd if this coincided with an actual normal need for an increase in both insulins
     
  2. MomofSweetOne

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    I think this is going to be a YDMV item. I believe most endos say 120%, but we've seen over and over that most times, my daughter's sickness basal for fever is 165% of her profile. Ironically, I've noticed that the puberty hormone surges seem to calm during most illnesses (not all), and sick days are often easier for us than regular. Less activity, less eating,....
     
  3. mocha

    mocha Approved members

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    I have found for me that my insulin needs are 130% to 150%, depending on if there's goop going down the back of my throat (snot has carbs!) or if it's just a general crud sick. I think it's definitely a YDMV, though.
     
  4. missmakaliasmomma

    missmakaliasmomma Approved members

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    lol "snot has carbs!" that made me laugh. I definitely didn't know that. Found out this morning the increased need stopped. I had to give her juice about 4 times from bedtime til when she woke up. I knew then she was completely over it. And a correction today brought her low. So hopefully we're in the clear for a couple of months
     
  5. 4MyBoys

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    It really depends for Gregory. He has had croup with a fever and required 200% more insulin, but sometimes he has nutrient absorption issues with illness and needs a lot less. One thing is for sure, any time his immune system is stimulated his blood sugar becomes a roller coaster ride.
     
  6. kim5798

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    ok. "snot has carbs!" that made me laugh too!

    but you know, whatever it takes

    good luck in recovery!
     
  7. missmakaliasmomma

    missmakaliasmomma Approved members

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    The only thing that seems to stimulate her immune system is a fever. She doesn't get sick a lot, like once a year, but it's always accompanied by a fever and a bad cough. It's her M.O. lol. This time though her fever didn't get nearly as bad as it normally does, I definitely thought that was odd.
     

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