Tomorrow is Elise's quarterly endo appointment, and I have no idea what to expect, report card-wise. We've had some great numbers over the last three months, but we've had some ugly highs in the past three or so weeks. Lately, Elise has been swinging all over the place.
Over the past two weeks, we've had to decrease her bedtime insulin twice. Now she's getting a whole unit less than before. And it looks like we need to decrease it again. She can go from the mid 300s at bedtime (8:30), to 88 by 1:00 am, after getting only 2.5 units of NPH* and her uncovered snack of 15g. Shouldn't her insulin needs be increasing because she's growing? Bah, I just don't get it.
Thankfully, we can run all this by her endo tomorrow. Fred and I feel pretty confident in handling any changes by ourselves, but it is nice to have the doctor's advice too.
And hopefully, tomorrow's A1C will reflect all the hard work we've put into Elise's care over the last few months.
*It just occurred to me that I write about Elise being on NPH, but not everybody knows what it is: NPH is an intermediate-acting insulin with a slower onset of action and a longer duration of activity. Sometimes I refer to it as N. In Elise, it usually peaks at around 3 hours, has a second, smaller peak at about 7 hours, and is usually out of her system by 9 hours. Most people hate it, but it works for us. It also means less shots for Elise. If I do use a term you're unfamiliar with, I wrote a post awhile ago called "What Does it all mean, Anyway?" You can find explanations there.
9 hours ago