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Thursday, October 28, 2010

Naked Pancreas!

Reyna over at Beta Buddies started this naked meme... I thought since everyone was showing me theirs, I decided to show you mine! I copied Hallie's idea and added one last question. Here are my answers in all their naked glory!


1. What kind on insulin management mode do you use?
MDI, for right now. We also use a CGM. Her name is Eileen.

2. How often do you inject/change pump sites?
Elise gets 3 shots a day, breakfast (a combo shot of two insulins, sometimes three if she's high when she wakes up), dinner, and bedtime.

3. What type (s) of insulin do you use?
We use NPH at breakfast and bedtime, humalog at breakfast and dinner, and diluted humalog to correct highs.

4. What are your basal settings ?
3 units of NPH in the morning, and 2 and a bit units of NPH at night. Yes... that bit is soooo scientific. But if we do 2 units she goes high, and 2 1/2 units makes her go low. So 2 and a bit it is!

5. What are your correction factors ?
1:100

2:200
Remember, she's on diluted insulin for corrections.

6. What are your meal ratios ?
Breakfast - 1:15

Lunch - no shot, she gets between 20-25g of carbs
Dinner - 1:18

Elise also gets 3 uncovered snacks:
10:30 am - 15g
1:45 pm - 5-15g, depending on BG
8:30 pm - 15-20g, depending on BG and level of activity before bedtime

7. What do you do for activity and/or PE?
I monitor like crazy and carry a pocketful o' carbs (that is totally going to be my band's name when I form one). The CGM has been awesome in these circumstances. Activity makes Elise drop like crazy, so I usually just give her more carbs during her snack times to keep her level.

8. How do you manage Pizza, Macaroni and Cheese, or any other "difficult to manage" foods?
We find if we limit the amount of "difficult" foods, it doesn't make her BG go crazy. One piece of pizza doesn't seem to affect her and neither does a scoop of ice cream.

9. How do you prefer to manage your logs/data?
We write everything in a log that Fred designed for us. Seeing all those numbers right in front of me really helps when I need to make changes.

10. What's your A1c?
Dx (Sept '08) - 6.5
Jan. 2009 - 7.7

May 2009 - 8.9
Aug. 2009 - 7.9
Nov. 2009 - 7.0
Mar. 2010 - 7.1
June 2010 - 6.6
Oct. 2010 - 7

Woo! Naked meme... who wants to streak with me?

7 comments:

  1. I like Pocket full of Carbs as a band name..very awesome! Thanks for doing this..I am enjoying reading all of these!

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  2. I seriously cant imagine having to manage NPH....especially for a little one!! I know I tell you that all the time...but really!!

    Elise's A1c's are AMAAAAAZING!! I hope you know you are an awesome pancreas! Your hard work sure does pay off :)

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  3. I am with Kelly - you are amazing! AND especially on NPH!!! ARGH. I think Joe was on it for like a week. Then we switched to the lantus/novolog game.

    So, are those ratios really double? Since it is diluted insulin? Can you explain that part to me better. I haven't had a patient on diluted insulin before. AND, can you get it at a pharmacy? I did hear of people having to go to the Vetrinarian's to get it...b/c they dilute insulin for cats. That would fucking freak the crap right out of me if I had to get Joe's insulin where the other patient's names were Fluffy and Patches.

    Thanks for your nakedness. I love this. I have found it very interesting. AND I am learning a ton.

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  4. Pocket Full of Carbs!! LOVE it!!

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  5. So, you went back to the diluted? The full strength was still too much of a pain. :( BOO!

    You are the NPH Queen. I bow to your awesomeness!

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  6. I love you and your naked pancreas!!

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  7. @ Reyna - Elise's insulin is diluted to U-20 (Meaning it's 5 units diluent to one unit humalog). We actually dilute it at home ourselves. The only pharmacy around that dilutes insulin as about a 30 minute drive each way.

    That is too funny about the vet, I feel the same way you do!

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