On Monday, the craziness from the previous day continued. We did fine through Sunday night, and I don't remember what she woke up, but Jeff dosed her for breakfast. When it was time for lunch on Monday, at about 11:30, I checked her and she was 77. We were having spaghetti with alfredo sauce, so I went ahead and gave her Novolog, because she loves pasta and typically eats a ton of it. Only .5 unit, because it didn't even calculate out that she needed any, but typically she needs a little something, otherwise, she'll just skyrocket. We (no school on Monday- the kids were all home) all sat down together and not even 5 minutes later, she begins to complain about her tummy hurting. Then it spirals down from there.....she began to wobble in her seat and I jump up just in time to catch her from falling. She couldn't get food onto her fork and kept saying, "I can't eat, I can't eat". I grabbed some glucose tabs and a juice box and all the while, David is standing behind her, making sure she doesn't fall again. I test her....23. Not even 10 minutes had passed since the last reading. I was stunned. She recovered fairly quickly, but I kept a close eye on her and about an hour later, had to give her a snack of bread and butter before her nap because she certainly didn't have enough carbs in her to recover from the low AND to cover the insulin I gave her. The rest of the day went pretty smoothly.
This morning, we cut back on her insulin to carb ratio. We went from 1:10 to 1:12 and also cut the Lantus back to 3 units to 2.5 units. I also checked her at 9:30 am and she was at 148. Now...that's a very good number...but there was no way that she was going to make it to lunch. So I gave her a graham cracker (12g) and it helped a little....she was 85 at lunch. Lunch consisted of a hot dog, half a banana and cottage cheese. I didn't give her any insulin with lunch and an hour later she had risen to 149. She stayed right that range straight through her nap , waking up at 155. She had some cheese for a snack and I decided we just needed to what those numbers were going to do. When everyone got home from school, we checked again and she had dropped to 114. So, I gave her 2 sheets of graham crackers (24 g) and when I checked her at 5, she was at 189. We picked Jeff up from work and just before dinner at 6, the meter again read 189. Taco soup and corn chips for dinner, I think she had 19 grams of carbs total and it worked at to 1 unit of insulin. I gave it to her and then left to go lead the women's recovery group. When I got home 3 hours later, Jeff had already checked her again and she was 62. He had given her more graham crackers and marshmallows (gotta love Daddy- he gives the good sweet treats). I just checked her a minutes ago, and she had already dropped to 97. Now, I know that graham crackers don't have enough "stuff" to get her through the night....but I was hoping that it would last a little longer than it did.
So...we've dialed back the insulin some and we are checking her like crazy! Last night, I was spent...wiped out...ready to quit....and then God stepped in. I went to a Concert of Prayer last night- Jeff HIGHLY encouraged me to go--like nearly forced me out the door. I didn't want to, but knew that I needed to! I knew that if I went, that I would be a basket case of emotions and indeed, I was. There were about 12 people there and close to the end, our worship leader asked if anyone had any needs/concerns that needed prayed for. Of course, I didn't volunteer, but after we had prayed for a close friend, our pastor looked right at me and said "I think we need to pray for Jada" and I LOST it. They gathered around, layed their hands on me and prayed with all their might...for her healing, for Jeff and I as we try to manage this, for our other kids and for our recovery ministry. I had a release of emotions that was such a long time coming! I LOVE the people in our church and how they love our family....they truly are our "Alaska" family. When I got home, Jeff sent me to bed for some much needed sleep and took care of Jada through the night. First full nights sleep in a couple of weeks and I desperately needed it.
I don't know what tomorrow will bring, but I do know that God is good- ALL of the time, not matter what happens. His grace has been sufficient for me through this point and will ALWAYS be. I am content with that.
Showing posts with label Novolog. Show all posts
Showing posts with label Novolog. Show all posts
Wednesday, October 21, 2009
Thursday, October 1, 2009
Lantus at Night
We did it- got that Lantus switched over to night. Now- we'll watch those numbers over the next few days and see what happens. As I mentioned in my last post, she ran high all day yesterday and I just assumed that she would run high during the night as well, with things getting straightened out during the day today.
Yeah.
Right.
At her midnight check, she was in the low 60's. She was oh so tired and she refused to eat a slice of bread and butter- all I could get down her was a juice box- 15 grams. What do you do? I knew that she needed something more substantial than juice- but knew that I would be keeping a close eye on her and would be able to catch a crash.
Yeah.
Right.
I checked her 20 minutes later and she was on her way up- 146. I went to bed and set my alarm for two hours later- 2:30 am. She was 160. Good- I can sleep some more. 4:30 a.m. 155. Down a little, but not too much of a change. I thought- she's good. I can sleep til it's time for everyone to wake up.
Yeah.
Right.
Jada had crawled into bed with us at some point after her last check and when she heard Jeff get up- she did, too. About 7:30 am. I lay there and I could hear her meter beep as he took her blood sugar. !!46!! WHAT???
Maybe I should have woken up at 6 or 6:30 to check her again....maybe I should have checked her after I knew she was in bed with us. Who the heck knows....
I'm sure that changing things up did affect her. She wasn't very active yesterday- it's getting colder here and not as comfortable to play outside for extended periods of time.
Any how...after all that.....Jeff forgot to give her the morning dose of Novolog! :) We figured that part out about an hour after she ate and she had only climbed to 224. At lunch, she was down to 180- so we didn't mess up too badly.
Poor girl. I'm amazed at how she thrives in spite of us!
Yeah.
Right.
At her midnight check, she was in the low 60's. She was oh so tired and she refused to eat a slice of bread and butter- all I could get down her was a juice box- 15 grams. What do you do? I knew that she needed something more substantial than juice- but knew that I would be keeping a close eye on her and would be able to catch a crash.
Yeah.
Right.
I checked her 20 minutes later and she was on her way up- 146. I went to bed and set my alarm for two hours later- 2:30 am. She was 160. Good- I can sleep some more. 4:30 a.m. 155. Down a little, but not too much of a change. I thought- she's good. I can sleep til it's time for everyone to wake up.
Yeah.
Right.
Jada had crawled into bed with us at some point after her last check and when she heard Jeff get up- she did, too. About 7:30 am. I lay there and I could hear her meter beep as he took her blood sugar. !!46!! WHAT???
Maybe I should have woken up at 6 or 6:30 to check her again....maybe I should have checked her after I knew she was in bed with us. Who the heck knows....
I'm sure that changing things up did affect her. She wasn't very active yesterday- it's getting colder here and not as comfortable to play outside for extended periods of time.
Any how...after all that.....Jeff forgot to give her the morning dose of Novolog! :) We figured that part out about an hour after she ate and she had only climbed to 224. At lunch, she was down to 180- so we didn't mess up too badly.
Poor girl. I'm amazed at how she thrives in spite of us!
Labels:
FRUSTRATION,
Lantus,
low blood sugar,
Novolog,
Type 1 diabetes
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