Man are we having issues with Elise's bed time insulin. She's on NPH, and it seems if we give her 2.5 units, she wakes up in the mid to upper 200s. If we give her 3 units, she wakes up in the 50s and 60s.
Really? Can 1/2 a unit make that big of a difference? Really??? I just don't get it.
When we do her middle of the night check (when we give her 3), she's usually about 190-220 range.
I really want to figure this out.
A question for all you NPH'ers or ex-NPH'ers: When did you give the bed time snack, and the bedtime insulin? Around the same time? A little bit apart? How far apart? Which did you give first?
Okay, that's 5 questions, but I'm trying to figure out if we need to alter her schedule. As of now we give the snack first (15g), and the insulin about 30 minutes later.
Sorry about the disjointedness of this post... I'm really tired, but wanted to put my questions out there in case anyone had some wisdom to share.
Good night... (I hope!)
10 months ago
We have never used NPH, but I can tell you that when Maddison was on Lantus she was only taking 1/2unit per night. (she was 6) One unit was WAY too much, and the half a unit had her hitting high 200-300's at night, then dropping into range by morning. So YEP! That .5 makes a big difference doesn't it!!??
ReplyDeleteI know this is like torture for you right now, I hope it all simmers down soon!
I got your answer! Just give her a HEAVY 2 1/2 units! (That was UCSF's code for more than 2.5, less than 3!) Nevermind it makes you crosseyed and it is really physically IMPOSSIBLE! But, the doctors told us to try anyway...and we handed them a needle once and said you try, and it took two of them to do it and we said..."really scientific"...
ReplyDeleteBut really...
It was SO long ago- I can't really remember. I think we gave J his NPH shot at 10:00 to keep him from morning lows. He actually slept through it! I'll try to find my old records and see what we did.
Sleep well dear family!
We only used NPH that one time- so I don't have any real experience with it. But- with novolog- if Jada gets half a unit too much it will really make her go low. I'm amazed that HALF of a unit can make such a difference- but it sure can!
ReplyDeleteI think I've already made it to crazy-- I'll be glad to have you on board!
Half a unit goes a llllooonnnggg way!!!!!!!
ReplyDeleteI want to say Addy got her evening NPH at bedtime with her snack...geez...kind of makes me sad that I have to think this hard to remember....
Hmmmm...I think I have some old logs around here somewhere.
yes as a former npher I remember I took my snack at bedtime and then I took my half unit and yes a half unit can make that much of a difference . insulin is a tricky little bugger and it never gives you a break and you will figure it out . Listen you are a great mother and you will figure it out .
ReplyDeleteSorry it took me so long to get back to you on this one but we would give Cara her NPH at dinner time with her Novorapid so around 5:30ish and her bedtime snack was at 7:30ish. We just made the switch to lantus because her BG #'s were just toooo high and it has made a huge difference. More shots from 2 to 4 but her BG #'s are much better and more controllable.
ReplyDelete