As most of you know, Elise is on diluted insulin for her fast-acting. Her dosage is enough that we can switch to full-strength, but each of the two times we've done it, it has been a disaster.
We currently dilute her insulin to U-20 (which means there is 5 units of diluent to 1 unit of insulin, or 10 units of the diluted stuff = 2 units of full-strength). Right now, Elise takes 11 units of DH at each meal, which in theory means she should get a dose of 2 (well, 2.2) units of full-strength.
Both times we've tried to switch , we have the exact same problem... her numbers seem fine at first, actually on the low side of normal. Then, they go up, and up, and up until they're in the high 400s. The more insulin we give, the higher she goes. Which is totally backwards, right?
Our theory is that the full-strength stuff is just still too strong for her (the first time we did this, we started out with a dose that was below what she should be getting). We think that her liver might be kicking out extra glucose because of the strength of the insulin. This, of course, is our non-medical opinion... call it an instinct. The NP we saw at our endo appointment yesterday thinks it's more likely that she's going low, then rebounding. My gut says no, just because I think we would have caught a low, since we test her so much.
But our NP encouraged us to try again, especially since she wears a CGM and we'll be able to see what happens. So today is the first day... right now she's out with Fred at a local farm festival where they have a petting zoo, pony rides, hay rides, and lots of open space to run around. I'm VERY curious to see what happens!
And if we get weird results again, we have to go ahead to give her a less-diluted dose of insulin (this was the wonderful Meri's idea!), like U-60 instead of U-20. The idea is to ween her off the diluted stuff. The NP wasn't too excited about the idea, but he checked with Dr. T (Elise's endo), who gave us the green light. So at least we have a back-up plan!
So here's hoping that it works! To end this post, I have a picture of the lovely Eileen; who is displaying 6 hours of absolutely bea-u-tiful numbers. The best part? These numbers are after Elise had ice cream for dessert at lunch and pizza for dinner. That's not usual around here, but yesterday was just a pizza and ice cream kind of day!
2 days ago