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My wife is struggling..
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<blockquote data-quote="Pneu" data-source="post: 243141" data-attributes="member: 28827"><p>David, </p><p></p><p>I am sorry to hear that your wife is struggling.. we have one youngster and she is quite hard enough work! I can't imagine two!</p><p></p><p>Firstly I am probably repeating what you already know but the cornerstone of managing type 1 diabetes is routine. Test here, inject then, etc.. , etc... clearly with a young family and a hectic life this gets more difficult. </p><p></p><p>So I am not sure what you have tried but here are some ideas... </p><p></p><p>1. You talk about mis-calculation of insulin dose.. if your wife has limited time there are blood glucose meters now that will calculate how much insulin you need.. I believe Accu Chek do one and your wife may find that this is more suitable if she's busy. </p><p></p><p>2. You might try and involve diabetes into your family life... I see no reason why she can't still set the alarms and test with the kids.. perhaps try and make it into a game where they have to go get her tester or be the first to remind mum to test or what have you? I realise this might not always work but perhaps the children will learn to see how important it is that your wife can carry out the testing and will actively help support that process?</p><p></p><p>3. You can get attachments for pens that tell you when you last injected.. I suspect your wife is getting distracted and then thinking did I inject or didn't i... you don;t want to then inject in case you did and end up going hypo so you wait it out an hour or two and see what your sugars do.. getting the attachment to the pen will remove this worry. </p><p></p><p>4. She could look at re-balancing her long and short insulin... bit of a speculative one this.. but if she splits her long acting insulin over two doses morning and night and injects more.. as long as she eats during the day then she shouldn't have issues with hypo's... she will need to inject less short acting insulin.. but if she forgets or is busy then at least she has some insulin in her system working itself away and she can then correct with short.. again she may just be better going to a mixtard but as you say she likes the freedom of MDI</p></blockquote><p></p>
[QUOTE="Pneu, post: 243141, member: 28827"] David, I am sorry to hear that your wife is struggling.. we have one youngster and she is quite hard enough work! I can't imagine two! Firstly I am probably repeating what you already know but the cornerstone of managing type 1 diabetes is routine. Test here, inject then, etc.. , etc... clearly with a young family and a hectic life this gets more difficult. So I am not sure what you have tried but here are some ideas... 1. You talk about mis-calculation of insulin dose.. if your wife has limited time there are blood glucose meters now that will calculate how much insulin you need.. I believe Accu Chek do one and your wife may find that this is more suitable if she's busy. 2. You might try and involve diabetes into your family life... I see no reason why she can't still set the alarms and test with the kids.. perhaps try and make it into a game where they have to go get her tester or be the first to remind mum to test or what have you? I realise this might not always work but perhaps the children will learn to see how important it is that your wife can carry out the testing and will actively help support that process? 3. You can get attachments for pens that tell you when you last injected.. I suspect your wife is getting distracted and then thinking did I inject or didn't i... you don;t want to then inject in case you did and end up going hypo so you wait it out an hour or two and see what your sugars do.. getting the attachment to the pen will remove this worry. 4. She could look at re-balancing her long and short insulin... bit of a speculative one this.. but if she splits her long acting insulin over two doses morning and night and injects more.. as long as she eats during the day then she shouldn't have issues with hypo's... she will need to inject less short acting insulin.. but if she forgets or is busy then at least she has some insulin in her system working itself away and she can then correct with short.. again she may just be better going to a mixtard but as you say she likes the freedom of MDI [/QUOTE]
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