Monday, August 1, 2011

Trying New Things

After the endo appointment last week, Kevin and I are making a few changes. 

Our big diabetic issue with Matthew:  2 hours after dinner his BG is great, but he's high at 4 hours.  Every single night.

The entire medical team has tried everything to fix it...instead, we're going to "go with it."  Here's our plan:
  1. When he's around 100 just 2 hours after dinner, I will not give him a little "boost."  Instead, I will wait to see what happens.  (It has been VERY hard to put him to bed at 100, knowing there is 2 hours of IOB!  But Matthew's system is "unique" at night....)
  2. Matthew's bedtime is 8pm.  We are moving it back to 9pm.  That way he'll catch a drop if it happens.  By the way, this is additional reading time for him.  (Oh and he thinks staying up later is an awesome benefit of having diabetes.)
  3. When he does go high at night, instead of thinking "correction" we will simply give .25 or .50 units of insulin.  (In the past, if he was 200, we'd give most of correction and then we'd be up monitoring active IOB every 2 hours.  By doing a small amount, there is less fear and his BG is coming down.  Plus---without that 8pm "boost" he's not going as high! (Of course, sometimes he'll need a major correction....)
We tried this over the weekend with great success!

And more sleep.

Until he grows again!  : )

SIDENOTE:  I've started a Daily Doctor Mom group on Facebook.  Let me know if you'd like to join. It's a place for prayer and praise!


Our Diabetic Warrior said...

Hi Tracy!
I have the same problem with Andrew. It finally got to the point where I had to stop giving him a snack at bedtime. Same thing as you...100 around bedtime and then he would jump up around midnight.

Diabetes is soooo strange!

Amy said...

Glad you found something that's working! I think every time I get a pattern figured out with DD it changes again.

Denise aka Mom of Bean said...

Love it when a plan comes together...and then shows success that equals sleep! :)
Bean had a similar issue with the drop then spike at increased basal for the first two hours of bedtime seemed to help keep the correction I would do when I went to bed from sending her in the toilet in the wee hours. BUT it seems to be changing now...of course!
Back to the drawing board!! ;)

Unknown said...

You are doing a wonderful job Mama Pancreas!

Amy said...

Along with you being an awschum pancreas, sounds like your endo is a gem of a keeper. Thanks for sharing what is working for your guys!

Jules said...

you just have to work with your individual patterns and routine, honestly the endos can make you feel like you dont fit the mold but everyones D is different, and at different times. Do what works!! good job xx.

Misty said...

It is really interesting to see the different "plans" that people try for these unique situations. I'm happy that you are having success and hope that continues for you!