After 4 days of Maddison having consistent 300's after breakfast, I decided to pull out the old log books instead of racking my brain making basal changes. Actually, I sat for about an hour looking over her numbers unsure of how drastic a change was needed. 300's for 4 days is a pretty clear sign that something is changing in that little body!
I first noticed Maddison had a .7 correction after breakfast which brought her to a perfect number before lunch. Sometimes a little change goes a long way, especially when your ISF is around 210. So, I knew Maddison's basals and ratio needed to provide a .7 increase overall for the morning, but where? Starting at what time? Basal? Ratio? Or both? Sooo....I was feeling a little sneaky and clever. I pulled out the old log books and reset Maddison's pump to what her needs were in May, BEFORE her insulin needs dropped significantly in the morning.
What did I see? When I compared the old basal rates to her current rates (that are leaving her in the 300's now after breakfast) I calculated that the insulin dosing THEN was exactly .7 HIGHER than what her pump is set at now. So all I did was change all her basals back to the old ones! No crazy brain work involved!
The end result? 175 after breakfast. Much better than 300! Funny how it worked! I worried all day while she was at school that the change I made was too drastic. All I had to do was flip back to her OLD insulin needs? From MAY? I thought everytime Diabetes changed I had to spend endless hours racking my brain deciding where to change and how much to change! I guess not! Of course, this was just a one day result. Tomorrow....a weekened.....SHIT. Weekends are never the same as weekdays! I'll likely have to wait until next school week to tell if this change is the right change. I think our pump will now have a "growth spurt" pattern!! Take THAT Diabetes!
Moving my blog again
4 years ago