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mid-morning/lunchtime highs
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<blockquote data-quote="Jen&amp;Khaleb" data-source="post: 225464" data-attributes="member: 13077"><p>This is only my guess work but I would think that the Novorapid has done the most after 2-3 hours and your late afternoon hypos maybe because your daughter's body didn't like the 20's at 10am and made some efforts to flush the glucose out and at the same time you have administered more insulin. Do you regularly start the day above 10mmol? If this is often I would be increasing the long acting even just by half a unit (if you have half unit pens). Do you split the long acting or give it all in one dose? This might also explain your low in the afternoon and the lack of morning insulin if you have given one large dose in the morning? </p><p></p><p>Khaleb did actually wake with a bsl of 12mmol this morning even though when I went to bed at 10pm he was 8mmol and at 3am he was still 8mmol. With breakfast he had 2.5 units of NR and 7 units of Lev (will be 7.5 units tonight and tomorrow morning) and at 10am had a bsl back to 8mmol. I only ever correct back to around 8mmol. His pre-lunch was 9mmol but he tends to help himself to the fruit platter at morning tea (daycare) and I am not there to adjust what other food I sent. His post lunch bsl was 6.6mmol but I know exactly what he had for lunch.</p><p></p><p>Carb counting is great but if your basal is out or unpredictable it doesn't help much at all. Little kids are even harder as their activity, growth patterns and hunger levels change so much. I know Khaleb is on slightly higher Levemir dose than just his basal rate would require and this means he would be prone to hypo between meals if it wasn't for morning and afternoon tea and the supper he has before bed. Khaleb and I would not be happy about having 8 injections a day and he would be starving if he didn't have snacks so this works for us.</p><p></p><p>Do you get much support from your clinic or other parents?</p></blockquote><p></p>
[QUOTE="Jen&Khaleb, post: 225464, member: 13077"] This is only my guess work but I would think that the Novorapid has done the most after 2-3 hours and your late afternoon hypos maybe because your daughter's body didn't like the 20's at 10am and made some efforts to flush the glucose out and at the same time you have administered more insulin. Do you regularly start the day above 10mmol? If this is often I would be increasing the long acting even just by half a unit (if you have half unit pens). Do you split the long acting or give it all in one dose? This might also explain your low in the afternoon and the lack of morning insulin if you have given one large dose in the morning? Khaleb did actually wake with a bsl of 12mmol this morning even though when I went to bed at 10pm he was 8mmol and at 3am he was still 8mmol. With breakfast he had 2.5 units of NR and 7 units of Lev (will be 7.5 units tonight and tomorrow morning) and at 10am had a bsl back to 8mmol. I only ever correct back to around 8mmol. His pre-lunch was 9mmol but he tends to help himself to the fruit platter at morning tea (daycare) and I am not there to adjust what other food I sent. His post lunch bsl was 6.6mmol but I know exactly what he had for lunch. Carb counting is great but if your basal is out or unpredictable it doesn't help much at all. Little kids are even harder as their activity, growth patterns and hunger levels change so much. I know Khaleb is on slightly higher Levemir dose than just his basal rate would require and this means he would be prone to hypo between meals if it wasn't for morning and afternoon tea and the supper he has before bed. Khaleb and I would not be happy about having 8 injections a day and he would be starving if he didn't have snacks so this works for us. Do you get much support from your clinic or other parents? [/QUOTE]
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