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[IPp] Cutting back on basals
I have a question about cutting back on the basal rate....
My five yr old son has been pumping for about a month now and he has an
upcoming Field Day at school. I have been told by the school nurse and phys.
ed teacher that there will be a lot of running that day and a lot of physical
activity. I am so nervous. I have heard you mention to others that you cut
back on your basal rates by 0.2.....how does that work with a child who is on
0.1 to 0.2 thru out a day? I imagine that I will need to suspend his pump
for Field Day, and check his blood sugars every hour. Now, if his blood
sugar checks out fine...then what? Do I bolus him for the missed basal while
being suspended? Or do I leave it alone and do nothing? I know what to do
if his blood sugars are high, I would just give him a correction...and if he
is low I would give him a snack and not bolus for it.
How do you guys deal with days at the beach or a park...or days where your
kids are really playing hard? My son tends to drop low whenever he is
playing hard and running around a lot. I have been finding myself suspending
his pump a lot lately...at least two times a day to treat lows and give him a
juice box or glucose tabs. I tried today to give him less insulin at meal
time, going from 1/20 to 1/25 units per grams of carbs. I just don't know if
I will panic when we go away for vacation and forget what to do when I
disconnect him for a day at the beach. And how I will handle things for his
Field Day. So many things are going thru my mind everyday...it is like I
cannot think of anything else, but his damn pump and what to do, when to do
it, etc. I mean, I admit that life is easier on the pump, with lows and
highs...but I just wish that I felt confident as to what to do to treat both,
and when and how to make changes to basal rates, without having to constantly
call his endo.
Pump-mommy to Matthew (5) dx 3/99, pumping-Paradigm since 5/1/02
and to Victoria (7), non-D
West Hartford, Conn.
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