Background: My 8 year old daughter was admitted to the hospital on 6/16 with DKA, her BG levels in the ER were 492. By the time we were transferred to a hospital with a pediatric endo they had gotten down to 293. Her A1C came back at 11.4 at that time. They sent us home on 6/18 with her BG levels going between 130 and 199. That night I posted on here about how scared I was with everything that we now had to face for and with her. All of your responses helped to soothe this mama’s fears. During the first week home I called her endo several times after hours with questions and concerns. Let me tell you, I am absolutely thrilled with this man!! He called me back and calmly answered each question and put each fear to rest. The best thing that he did, in my opinion, was to tell me “You have all of the knowledge and tools. You know your daughter. If she goes high and you over correct you know how to bring her back up from a low. Every case is different and you are going to be the one who will know what is best to do to help her. I am here as a tool and an advisor for you. But you have got this!” Boy did that change my thinking!!!
When we left we had a prescription for 1 unit of Humalog for every 15g of carbs she ate plus the sliding scale set at 1 unit for every 75 over 150. Her Lantus was set at 10 units every night. We have made the adjustments down to 1/2 unit of Humalog every 45g of carbs and the sliding scale set to 1/2 unit for every 100 over 200. And 3 to 4 units of Lantus every night depending on her numbers.
She got sick week before last and her numbers were on a fast moving roller coaster. Her dad and I made dosing decisions on the fly as meals that would normally send her levels up 20-30 points briefly were now sending her up in the high 200s.
Fast forward to yesterday: she had her 2nd office visit with him. Her A1C came in at 6.9!!! According to the Clarity reports she has been in range 94% of the time!! Hearing that, and getting validation that what we are doing is working has had me walking on a cloud. I know that she is in the honeymoon phase and things will be ever changing but I feel like we can handle the changes.
Sorry for the long post, I just really wanted to share the news with people who would understand what I am talking about. And one day I will understand what you mean when you talk about basal and bolus dosing! lol