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Message: <blockquote data-quote="jharding" data-source="post: 1279899" data-attributes="member: 325103">Our school have been good. They demanded that they follow the care plan that the paediatric DSN issues, which is a NICE guideline one I believe, but we've tweaked that and they have accepted our amendments. If you have the AccuChek monitor, the target range can be set differently at different times of the day. This is helpful. You may want to run his bloods a little higher during the day; whereas the target range might be 4.5 to 7.0 normally, what this does is two things:If the bloods are below 4.5 it deducts a small amount of insulin from any insulin it would give for a meal; if the bloods are above 7.0 it suggests a correction. It uses the insulin sensitivity value for these calculations.So, if between 8am and 4pm you set the target range to be 5.5 to 6.5, for example. If his bloods are 5.0 then it would automatically deduct some insulin from the lunchtime bolus to bring him up.You didn't mention if you are on pen or pump; if you are on insulin pen, is it the Novopen Echo that allows 0.5U increments? (or equivalent). Lastly, is there a correlation between weather and hypos or days and hypos. I.e. is the good weather making a very active playtime or do the hypos always occur on days with PE/Dance/etc. If so, that might be worth exploring ...Good luck.</blockquote>

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