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<blockquote data-quote="azure" data-source="post: 1251014" data-attributes="member: 39639"><p>Sorry - I missed your question about basal. The way that older children and adults check their basal is to do a basal test. This means missing food for a portion of the day. That's probably not appropriate or possible for a young child, so speak to,your team about what you should do to test her basal keeps her level.</p><p></p><p>Edited to,add that once you have her basal as close to right as you can, then you can look at her mealtime insulin. Although an after-meal bolus/not in advance bolus would probably mean a spike, to go up to 15+ suggests she may need a little more fast acting insulin for that meal. When I was first diagnosed, spikes weren't really spoken about so I didn't fuss too much about the timing of my injection and often went up to 10+ but that's still quite a bit below your 15 example, hence my suggestion that you look at boluses after the basal.</p><p></p><p>I promise you your desperation and frustration is normal for a parent. It's a horrible thing to see a child diagnosed with a medical condition like Type 1. But, remember, time will teach you ways of keeping her blood sugars more in range, and she herself will be able to take a greater part in this.</p></blockquote><p></p>
[QUOTE="azure, post: 1251014, member: 39639"] Sorry - I missed your question about basal. The way that older children and adults check their basal is to do a basal test. This means missing food for a portion of the day. That's probably not appropriate or possible for a young child, so speak to,your team about what you should do to test her basal keeps her level. Edited to,add that once you have her basal as close to right as you can, then you can look at her mealtime insulin. Although an after-meal bolus/not in advance bolus would probably mean a spike, to go up to 15+ suggests she may need a little more fast acting insulin for that meal. When I was first diagnosed, spikes weren't really spoken about so I didn't fuss too much about the timing of my injection and often went up to 10+ but that's still quite a bit below your 15 example, hence my suggestion that you look at boluses after the basal. I promise you your desperation and frustration is normal for a parent. It's a horrible thing to see a child diagnosed with a medical condition like Type 1. But, remember, time will teach you ways of keeping her blood sugars more in range, and she herself will be able to take a greater part in this. [/QUOTE]
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