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[IPk] Having a bad day or two


Although I would never dream of giving up the pump, Danielle's blood sugars 
have been too high today (and a few highs dotted about over the last few days 
as well).  She was 3.8 when she got up this morning, had 2 slices of toast 
and marmite, bolused 2.5 units after the first slice and was 17 mmols an hour 
later.  She was 12.8 before her lunch and she ate a penguin before games 
lesson at 3 pm.  Games is vigorous and it makes her go as low as 1.9 so we 
are trying the snack without a bolus to see if it helps.  Guess what?  Games 
was cancelled so she came home with a blood sugar of 16.  A correction was 
done and then she had her meal and bolus.  She remained at 16, so another 
correction was done.  I have just tested her blood (10.45 pm) and she is 
14.8.  I have corrected with a bolus of 0.5 units because I fear doing more 
than that because of the insulin that might still be working.  I was led to 
believe that the insulin that she is on has done its job by 3/4 hour but have 
been told by other people that it can last up to 4 hours. (she is on 
Novorapid).  Does anyone know of a chart or the studies to show how long this 
insulin hangs around and when it peaks and is it different on the pump when 
you are not using any other insulins that might get in the way and slow it 
down?  I mean, if you are on just a quick-acting insulin, does it act faster 
than if you mix a quick-acting with a slow-acting?

The school gave me a day off today and said that they would test her blood at 
lunch time and ring me if she was over 10.  I went shopping for xmas crackers 
and wrapping paper and a few bits of groceries that I had run out of.  I 
can't do this normally because I have to go to school each lunch time and it 
doesn't give me the time in between to go shopping.  I am thankful for them 
giving me today off, but they also need to let me know when games or PE is 
cancelled so that I can tell them not to let Danielle eat the snack!

I am frustrated tonight because we see the consultant on Weds next week and I 
was hoping for good results.  I suppose it is expected to get ups and downs 
in the first weeks, but our first week was the best week ever and the 
consultant is going to be looking at the most recent.

Mum to Danielle, dx Aug 2001, now 8 and on pump trial but loving it
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