Well, it's been almost two months since we started pumping, and things have been much better after a very rocky start.
(That is until, as you all predicted, those lows that we were having turned into heinous highs when the full-extent of Elise's illness showed it's ugly face and that coupled with the craziness of Christmas her numbers have been so coo-coo bananas that I don't even know where to start to fix them).
Holy run-on sentence, Batman.
Anyway, the one issue that is vexing me every three days is those pesky post-pod-change highs. Elise skyrockets into the 300s and doesn't come down for a looooong time; sometimes it can take up to 8 hours.
I don't think it's due to stress. Elise is pretty cool when it comes to changing the pod. I hand her the PDM and she presses the button like it's no big deal.
We also usually do it right before a meal, so I can give her a big-ass bolus. Take today for example:
She was 108 pre-change. We had an issue, and had to discard two pods, so the change took a bit longer than usual, but she was only "disconnected" for 10 minutes.
I bolused her for her dinner, plus another .5 of a unit for good measure. That's a lot of insulin for Elise... a dose like that should drop her by about 125.
She ate, and two hours later was at 340. I corrected and 2 hours after that she was at 359. BLERGH!
I'm hesitant to give her too much insulin because we're without the dex, and I find I am so much more cautious when I don't have a continuous flow of numbers to help guide me. I'm also less aggressive with corrections.
Can anyone tell me what I am doing wrong? Should I bolus her more? Do a change when it's NOT a meal time? Do a temp basal after I change? Does anyone have any tips that have helped them with this? And is this just a pod issue, or do kids who wear Animas or Medtronic also go through this with site changes?
Help me DOC, you're my only hope!
(yeah... I'm a nerd. So?)
1 hour ago