Friday, November 19, 2010

Funny How that Worked

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!

5 comments:

Tracy (The Crazy Pancreas) said...

Glad you figured it and I hope those number cooperate soon!

Way to go going back to the old settings!

Gerry S. said...

I hope it works for you! We are in the same boat. Miranda's always high after b fast after waking with great numbers, she gets a hefty bolus for b fast but still comes in with a low 300 or high 200 by 10am. Then combine her correction with a lunch bolus later at 11am she is now experiencing some lows by the end of school at 1.30. All II can do is keep trying to figure out the pump but somedays I just feel like returrning to shots or even trying the pen. I thought the pump would be better...
Good luck!!

Anonymous said...

That is observant and also funny. I can't really look at the old sheets because they will do me no good. After each long growth spurt, her numbers usually go up a bit, in general, not down. I have figured out the general pattern (i.e. what time of day she will be lowest or highest, what hours she stays somewhat flat). I see a circadian rhythm type of thing with lows around the 2am to 3am and corresponding lows around 2pm and 3 pm almost every day. And a huge increase in the evening hours. If I could figure out the percentage or ratio of how high the new adjustment is going to be I'd be in business. I think the numbers vary but the ratios remain the same.

Reyna said...

I hope it works for you Kelly!!!

Wendy said...

I would just like to take this moment to declare...

THAT I HATE THIS FREAKING CRAP!

We're in the middle of a storm.

ARGH!!!!