I HATE adjusting basals. Like, really, totally, majorly hate. I'd rather do some hard-core toilet scrubbing than sit down with the PDM and adjust those basals.
Because it seems to me that even though I wait the requisite three days, see a definite pattern, then change the basal; she will then just go ahead and swing the opposite way. ALWAYS.
Case in point: Overnight... she was going high, high, high a few hours after midnight. Like into the 400s high. We are pretty much dealing with "fasting" BGs, because she hasn't eaten in about 6 or 7 hours. So, I change the basal an hour or two before the highs show up, and BOOM.... hello 50s!
I only change the basal by .05 (smallest change available on the pod), and start off with a small time period, so there is no way it is dropping her that much.
What I'm guessing is that the growth spurt finally ended, and she's back to her normal insulin needs. So these days, instead of messing with my basals, I just run a temp basal for the equivalent of raising/lowering her basal by .05. I'll do it for about 3 days, and if it works, THEN I change the basal. This method has been saving my sanity for a few months now.
I love finding an "easy" fix.
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| I read this the other day and it made me laugh. Sometimes life with T1 can be just like this |
This is in no way medical advice. Nope... not even close. If you are so far gone that you are taking advice from some weirdo in your computer, then may I suggest you have far bigger problems than messed up basals? This is all just anecdotal. I think you need to talk to your doctor.
That is all
The poster could definitely say "parenting a child with diabetes is easy. Easy like riding a bike on fire...." Oye, lately we've been dealing with the same predicament. However, these "growth" spurts aren't producing much more than a sleep deprivate growth! I think part of it for us is his body is a kick-booty fighter of illnesses and that makes his BG go wonkers, then voila it's done fighting and back to normal. I am looking forward to school being out already, too so that we can really smack down on the lows he has during the daytime hours as they keep happening regardless of how little insulin he gets. It gets easier someday, right?!
ReplyDeleteI love that image of being on fire in hell, cos yeah.
ReplyDeletealso:
https://www.youtube.com/watch?v=Dbcp__YIU40:
I say whatever works keep doing it until of course it doesn't work anymore! That's always the way here it seems. We have definitely been in our own fire lately...love the quote...so true! xoxo
ReplyDeleteLOVE that poster!! Because yes. So much yes.
ReplyDeleteAnd I agree, try basals on a pattern or temp first! It's sooo hard to be magical and predict the future, haha! Hugs!
HA! I was just thinking this the other day when I FINALLY sat down to make basal changes, then BOOM! I was too late just like you said. Trying to get a grip on the weeks in a teenage menstrual cycle is a pain, just like when they are little! YUCK!!! Im with you, I realized that DUH! I should just set temp basals!! It only took me 9 years to realize that might be a good idea sometimes.
ReplyDeleteYes, I remember. Our Type 1 D is 18 now, basals still can change but it is so much easier. With males they are still growing at 18 so not sure when they get to experience a bit more normalcy. Just letting you know that when they are grown, hopefully, it will get easier for your D as it has for mine. Your D won't even have to monitor D at 18 as much because I'm sure the AP will be on the market by then. But I always wondered why endos would have to watch for a "pattern" when sugars change for SURE every two days when preteen and teen. Thank God your D is on the pump because you can't manage this on Lantus. Temp basals are the only way you are going to get through the childhood years safely. P.S. Not sure if this is the same for everybody, but I used to stay up all night and the growth hormones would be most active 8:30pm ish to 2:30 to 3 am, then our D would very abruptly drop back to her normal pattern. Except in the teen years when usually this would be the pattern; otherwise high all night. Just saying I think there is also a pattern to the way each child will have growth hormone active, the hours in which GH is most active, and there may be an hour when it's as if a switch were turned and GH abruptly ceases. Which can be dangerous when dosing.
ReplyDeleteLove the pic... Where did you find it??? I wish I could find a bigger version of it... It would make a great poster for the motivational poster meme...
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