# Re: [IP] non responding highs

``` Cory and Susan,
Get your BS down with shots with a needle- don't worry about the basal rate.
(1) Measure your BS, (2) use the scale 40 units BS/unit of insulin and also
target range of 120. Example: 300( Measured BS ) - 120 = 180 ;next 180/40 =
4.5 units insulin. So give yourself a shot of 4.5 units.  Next measure your BS
1 hr later. Use the example to calculate the number of units of insulin to
give in the next shot.

A very quick and dirty way to set Basal rate. Get your BS to 100 the let the
BS go up at least 3 ( then 4 hrs ) hrs then measure your BS. The BS increase
for example let it be 300BS so the increase was 300BS in 3hrs or 100BS units/
hrs. Now the calculation is 40BS units/unit of insulin. So for 100BS increase
you need 100/40BS/ unit insulin=2.5 unit of insulin/hr which is your basal
rate. To test measure your BS the let BS goes for 3 hr and your BS should not
change.
Take Care
Richard
email @ redacted
If I could be of help, please call anytime-609-497-4584

----- Original Message -----
From: email @ redacted
Sent: Friday, September 28, 2001 7:24 PM
To: email @ redacted
Subject: [IP] non responding highs

Oh what a battle we are engaged in.  Cory's been struggling with
allergies/cold since late August and we've had to slightly increase his
basal.  He's been averaging 120 - 140 which is OK but NOW - he has totally
lost all control.  He got new dental braces  a week ago and he got a HIB
vacination.  Within 3 days he was running high blood sugars.  He is checking
blood sugars every 2 hours and correcting the highs and ketones at that time,
yet all but 2 of his checks in the last 24 hours have been in the 300 - 425
range with moderate to high ketones.  He has a huge sore in his mouth and
lots of inflamation and a small yellow area.  His orthodonist looked at it
and dx'd it as a cold sore - said he may need meds but he would not prescribe
them. He suggested we continue to use the hydrogen peroxide rinse and pad the
area with wax or sugar free gum.  I called the endo and he said - see the ped
--- called the ped and he said see the endo!   Arrrgh!  The ped did call in
an rx for Zovirax for the cold sore.  Who knows if this is a medication that
diabetics can take.
I'm tired, sleepy, frustrated and worried.  Cory is tired of checking b/s and
tired of all the pokes, tired of being woke up, tired of changing infusion
sets and running pump tests, tired of not feeling tired and drained, tired of
having a horribly sore mouth - even too sore to open it wide enough to yell
at me -- tired of drinking water and drinking more and more and more ---
we're just plain tired!
At times like this I feel like throwing the pump in the trash.  We've checked
it so many times and changed the infusion sets until we are tired of the
hassel.  Yet not once have we detected a pump problem. He's taken several
shots and they don't correct him too much either.  We tried a new vial of
insulin -- just in case the old one had gone bad earlier than the 30 days --
nope that didn't help either.
NOW WHAT?  How much can you safely increase insulin?  He's gone from a .7
basal to 1.1 and still running high --- I'm lost -- any suggestions?
I haven't been here in a long time - but I felt like the "experts" (experts
are those who live with this daily) here would be able to answer some of
these questions.
Susan
----------------------------------------------------------
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
send a DONATION http://www.Insulin-Pumpers.org/donate.shtml

```