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RE: [IPp] Advanced pump techniques

I initially thought it was growing as well, and sometimes, that is definitely
the case.  However, for the past 2 nights, she's had a bowl of cereal with 7
grams of fat per serving for snack.  Usually, when she's growing, I get a spike
 around 2 am that takes twice as much insulin to correct. I'm not sure I'm brave
enough yet to try the temp basal!

Mom to Madeline 9, Austin 7, Emma 4 dx 10/9/02 - pumping Cozmo 9/22/03, Abigail
3, Genevieve & Gracie 1 

-----Original Message-----
From: email @ redacted
[mailto:email @ redacted] On Behalf Of Michael
Sent: Wednesday, October 22, 2003 11:11 AM
To: email @ redacted
Subject: Re: [IPp] Advanced pump techniques

> We've been pumping for about a month now.  We've been using a straight 
> sliding scale, and I'm feeling a bit more confident.  I've 
> successfully adjusted the basals and carb ratios and I've got Emma 
> coming in between 80 and about 160 fairly consistently now.  The only 
> exception is when she eats something with fat for dinner, I'm getting 
> a midnight spike to 220ish.  I'd like to try a square wave or dual 
> wave bolus, and I'm looking for practical advice on how to use them 
> and when to use them.

The spike is more likely hormonal than due to her meal. Kids grow at 
night and this can produce some pretty spectacular bg rises 
immediately after they go to sleep. It's not tied to the clock but 
related to when she actually falls asleep. We solved the problem by 
setting a temp basal rate for a few hour at bed time to cover the 
inintial sleep period since bedtime is so variable as kids get older. But.... I
was dealing with a preteen/teen not a young child.

email @ redacted
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