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Re: [IP] RE: pulling my hair out/nurses



The UL dose is once every 24 hours.  They claim it is a 24
hour insulin.
I tried splitting the dose between am and pm and still had lows, so
I went back to 1 shot at 6:30 pm with the supper H and I decreased the
amount of UL
given.  He only has a bedtime snack if he is in the lower end of his range.
dr never
advised to give one.  Said if he did get one to dose but we have been unable
to pin down his insulin to carb ratio
so when I have dosed a bedtime snack he bottoms out during the night.
We are scheduled to start the pump soon, so maybe these issues will resolve
themselves on 1 type
insulin instead of two.  Also we have only been seeing this dr since June
26.
seems like I am dammed if I dose and dammed if I don't.  Never win.
Thanks for your input,
Sharon H
Nebraska
Mom to Sean 6 dx 1/99 (soon to be pumping)
----- Original Message -----
From: Barbara Bradley <email @ redacted>
To: <email @ redacted>
Sent: Thursday, August 09, 2001 9:35 PM
Subject: [IP] RE: pulling my hair out/nurses


> Hello, Sharon,
> You may be correct that the UltraLente is causing some
> problems. Have you tried to check BG if he doesn't eat and
> doesn't have Humalog from a meal competing with the UL?
> "Stop the Rollercoaster" by John Walsh give helpful
> guidelines for fine tuning insulin and doing basal testing
> when on long-acting insulin.
>
> Are the UL doses given close to 12 hours apart? Does your
> son have a bedtime snack? Is the carb ratio for bedtime
> snack lower than the ones for the meals? Do you have a
> different insulin to carb ratio for before exercise? If
> there is exercise earlier in the day, is there a plan to
> have less Humalog at the following meal?
>
> It seems that you have a repeating pattern of AM lows? Which
> insulin is suspect? UL or the previous H dose?
>
> Just a few thoughts.  Keep pestering the office.  Is there
> an MD on call for your MD?
> Keep good records, they will be useful.  Good luck to you.
>
> Barbara A. Bradley, MS, RN, CDE
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