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Re: [IPp] I know I screwed up, but help me figure this out



don't forget the unused insulin rule. www.diabetesnet.com
----- Original Message -----
From: "Robin Moler" <email @ redacted>
To: <email @ redacted>
Sent: Monday, October 13, 2003 7:47 PM
Subject: Re: [IPp] I know I screwed up, but help me figure this out


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> our endo says not to correct for 3 hours after a bolus, because it takes
> humalog that long to get out of their system
> ----- Original Message -----
> From: "Donna Barck" <email @ redacted>
> To: <email @ redacted>
> Sent: Monday, October 13, 2003 8:14 AM
> Subject: [IPp] I know I screwed up, but help me figure this out
>
>
> > Insulin Pumpers is made possible by your tax deductible contributions.
> > Your donation of $10, $25, or more... just $1 or $2 per month is
> > needed so that Insulin Pumpers can continue to serve you and the rest
> > of the diabetes community. Please visit:
> >
> >     http://www.insulin-pumpers.org/donate.shtml
> >
> > Your annual contribution will eliminate this header from your IP mail
> >
> > Last night, we checked Meghan at 10:00 p.m.   She was 370.  Gave her a
> > bolus.  Went back and checked = hour later, and she was 401.  Checked
> > the pump and it was delivering insulin.  Okay, we figured bad site.
> > Changed the site, gave her a bolus.   Checked her = hour later and she
> > was down to 122, uh-oh dropping too fast, made her drink a juice.
> > Checked her 15 minutes later, 28!!!.   Shot some cake gel in her cheek
> > right away instead of trying to wake her up.   Then she woke up and came
> > out in the living room to eat some PB crackers and drink a little milk.
> > Kept her up until she was 78 and peak of insulin had passed.  It is now
> > 1:30 a.m.  Got up at 3:00 to check her again and she was 342.   Gave her
> > a bolus.  Figured I must have over treated the low.  Checked her in =
> > hour, she reads 367.  Arrgh.  This is when it hits me that maybe we are
> > checking too soon and it finally dawned on me that her low earlier was
> > probably due to too many boluses.  So I patiently wait another 20
> > minutes and she is down to 322.  Go back to bed for an hour and a = and
> > get up at 6:00.   She is 266.  Give her a bolus, and go back to bed.
> > We get up at 7:00 and she is 188.  I washed her hands after every check
> > to make sure it wasnt food.
> >
> > Okay, if you have made it through my story, HOW LONG do we need to wait
> > to check if she is going down after a bolus???  I am petrified of DKA,
> > since I know it is a much greater risk on the pump.  She is on Novolog.
> > I never paid attention to this on injections, because I KNEW she got her
> > shot.   And of course, my internet was not working last night, so I
> > couldnt come and ask for help.  So any input would help.
> >
> >  <mailto:email @ redacted> Donna
> > Mom to Meghan, 7 (dx 9/28/02, Animas 10/08/03)
> > Nicholas, 10 (science fanatic and GameCube addict)
> > Married to Don for over 11 great years
> > Living in Melbourne, FL
> > www.dbarck.com
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> > HELP@insulin-pumpers.org
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