That's how I feel. Dazed and confused and wondering just what the hell is going on. We are still battling terrible lows post-meal.
On Saturday, Elise came back from her weekly breakfast with Fred complaining that she didn't feel well. She was 45. We gave her 18g and she only came up to 80. And 30 minutes later she was 55 and feeling awful. It took 2 cups (as in 500 mL) of orange juice to get her to 100 and finally feeling better. She ate a 25g lunch for which she received no insulin. Two hours later she was 132.
It was scary. I've gotten to the point where I am afraid to bolus her. I've adjusted her I:C ratio twice, and cut the suggested bolus in half. We still end up in the 70s.
To give you an idea how much her insulin needs have changed, here's what they used to be:
12a to 9:30 - 1:15
9:30 to 12a - 1:30
According to my math, this is what her new I:C ratios should be:
12a to 9:30 - 1:40
9:30 to 12a - 1:90
How can that be?
I don't know what the what is going on here. She doesn't appear to be getting sick. If she doesn't eat, she stays pretty stable, so I'm pretty sure her basals are okay. I feel out of my league here. Over my head.
And worst of all, I feel like I'm failing Elise. These past 5 days have really taken their toll on her. I need to figure it out. These ratios are far below what they were when she was on MDI.
School is looming on Tuesday, and unless I can figure this out, there is no way I'm letting her out of my sight.
1 week ago