Insulin family that is.
Let me start by introducing the long-standing members. From left to right we have; Pink Lady, Greenie, Mr. Blue, and Agent Orange.
Pink Lady. Our basal. NPH. Our behind the scenes gal.
Greenie. Humalog. The breakfast bolus. He handles the heavy lifting for us.
Mr. Blue. Diluted Humalog. U-20. Diluted to 1/5 the strength of full strength. Mr. Fix-it. He handles our screw-ups and is used for the smallest of jobs.
Agent Orange. Also diluted Humalog. U-50. Diluted to 1/2 the strength of full strength. Our NEW dinnertime bolus.
Why 4 insulins? Because we've been experimenting, and the U-50 is our solution. Remember all my posts about Elise's crashing dinnertime BG? It seemed no matter what we would do, we couldn't fix it. We'd give her shot up to an hour afterwards and she would still come crashing down. So Fred and I decided to try something.
A few nights ago, we decided to give her NO insulin at dinner. She was 94, ate 36g of carbs. She stayed steady for awhile, but about 1 hour after eating, she starting rising rapidly. So we chickened out and gave her 1/2 a unit of full strength. About 45 minutes later, she was 50. FAIL.
So the next night, we stuck to our guns. No insulin at dinner. She was 110 going in, ate 35g of carbs. Held steady at 180 for over 2 hours. We were elated. Except by three hours later, she was 357. FAIL.
When Elise was on U-20 for her bolus, she would get 12 units at dinnertime. That is just too huge of a shot. So we decided to make U-50. Here's how it went down on night #1:
She was 92 at dinner. We gave her 2 units of U-50 (theoretically the same amount of insulin as her full strength dose). She ate 36g of carbs and two hours later she was 213. One hour after that she was 133. YEAH!
She was 129 going into dinner. She had 2 units of U-50 (given BEFORE her meal... something we haven't be able to do with full strength). She had 33g of carbs and was at 124 three hours later. Can I get a HOLLA?
64 going into dinner (oopsie). She had 45g of carbs, and the 2 units of U-50. Three hours later, she was 134. I'm sensing a pattern. Again, no spike and no crash.
As an added bonus, her nighttime numbers have been so much steadier than they have been in a long time. It's so weird to me that she can received the SAME amount of insulin, and just because it's diluted, we don't get a crash.
Her 24 graph... Nice (well except for the low we had waiting for that 2-hour start-up)!
I am so relieved that we seem to have a handle on this dinnertime stuff. Those horrible crashes had been going on for MONTHS. We had wanted to try diluting her insulin like this for awhile, but it seemed so unorthodox, we were afraid to try it.
Let's hear it for thinking outside the box!
***Please Note*** This is in NO WAY medical advice. It's not. I'm not a doctor. Just a crappy stand-in for my daughter's pancreas . Just because this worked for us doesn't mean it will work for everyone. You should discuss changes to your child's treatment with their doctor.
13 hours ago