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Re: [IPk] Insulin resistence?



Thanks a million. The changing basals is because I had tweaked them down a
10 days before as I had been running Grace pretty tight and decided to let
up a bit. So, rather than upping them as such I just brought them back to
what had worked before. I find it a bit baffling that changing her basal
from 4am by 0.1unit to morning seemed to change the picture more than her
"sensitivity" would imply.
I get such a buzz still, talking juggling and the concerns being early
teens. So often, before pumping, I used relax in early teens that that was
"okay".
Thankyou again for all the help. Thankfully no signs of cold. I hope Sasha
got into school today, Jackie! we are off until the 10th and getting a five
year old to school is so hands on that I love the hols!
All the best
----- Original Message -----
From: "Melissa P. Ford" <email @ redacted>
To: <email @ redacted>
Sent: 04 January 2005 18:07
Subject: RE: [IPk] Insulin resistence?


> Hi Mir,
>
> Sure, insulin resistance can happen while pumping. Hormones are the most
> likely cause in women and children. You should check with Grace's DSN
before
> making big adjustments to her basals, but my guess is that she's a growing
> girl whose insulin requirents are increasing because of growth hormones.
>
> What Grace ate over Christmas shouldn't have any effect on her insulin
> requirements now unless she gained a few pounds, in which case her insulin
> requirements would go up a bit because of increased body mass. Her
activity
> level could certainly be affecting her bgs, though - has she been less
> active in the past several days because of weather, playmates not being
> available, etc.? Or could she be coming down with a cold or another
> infection? Impending illness raises a lot of folks' bgs for a few days
even
> before symptoms show up.
>
> You may want to set a temporary basal rate for several hours that's just
10%
> more than her usual rate during that part of the day to see if her sugars
> improve with that. If so, then Grace's basals may need to be increased
> 'round the clock. If not, try 20% more than usual on day 2 (&etc. but it's
> unlikely she'll need more than 120% of her current basal in one
adjustment).
> Of course you do check her bg frequently anyway, but as always one should
> check bgs frequently when one has made any basal adjustments. And if Grace
> starts going hypo more often with the increased basals, of course reduce
> them!
>
> Hope that helps,
>
> Melissa
> Type 11+ years; MiniMed pumper 7.5 years; Animas pumper 1 year
>
> ----Original Message Follows----
> From: "Miriam Connor" <email @ redacted>
> Reply-To: email @ redacted
> To: <email @ redacted>
> Subject: [IPk] Insulin resistence?
> Date: Tue, 4 Jan 2005 17:45:05 -0000
>
> Can I ask if insulin resistance applies on the pump? I changed the set
after
> two days of hoping the numbers would improve. Now Grace is still slower to
> come down than usual and I am wondering if running in the early teens 60%
of
> the time for 2 days would up her resistance. Before, a new set always
seemed
> to drop her sugars straight down. there was no sign of a prob with the old
> set on removal? Ketones have been 0.0 throughout. I was presuming to up
the
> basal etc and that we had just hit our first time of unexplained increase.
> Grace had a wonderful Christmas with a normal amount of goodies so I've
been
> wondering if we've upped the resistance. Most of Christmas Grace was in
> range two hours after any food but there were lots more goodies than
usual.
> Thanks
> Mir
> Mum to Grace 5yrs dx 10.03 pumping Oct 6th.
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