Son taken wrong insulin

[FindingNemo]

My 9 yr old has just taken 5 units of act rapid, instead of his levemir. His bm was 8.5, which is average for bedtime and at this level still needs a bedtime snack. His sensitivity ration is 1u:3mmol, which means 5 units should bring his bm down by 15mmol, which is obviously disasterous.

For dinner we had a 'picnic', as had roast at lunch today. So he had chiken, salad, ryvita and some bread with a small mousse pudding.

Since the insulin mistake he has had some fruit juice, a PBJ toasty, some yohurt with banana and biscuits and 1/2 glass lucozade. We are going to test him hourly through the night, unless there is a big drop, when we will test more regularly.

We have stock of glucogel and glucagon so are ready for emergency, anything else we should do?

 

[Beav]

Looks like its your son's lucky night. Feast time! Jokes a side can't he just have sandwich or something carb based to compensate for the injection?

-Hope all works out

 

[FindingNemo]

For a sandwich, he would normally only require 1.5u on his cho ratios. He has gone to bed with a very round tummy and we will just check on him a lot tonight. First time I have ever seen him struggle to eat.

 

[Fallenstar]

I have done this myself a couple of times, I can deal with it with myself worry wise but understand how it must be a nightmare for you , as it would freak me out if it was one of mine, so my sympathies are heart felt for you.

Try not to worry too much as it sounds like you have everything covered ,so I'm sure he will be fine in a few hours time, depending on which insulin he is on it does have a "window of active time" so you could maybe keep him up a bit later than usual to keep checking but if this is not possible...as I know it's school tomorrow ,do as you suggest ,test him into the early hours.
Having said that his correction dose ratio is the same as mine and if I had eaten what you have listed I would be well covered and not go low at all, so I'm sure your son, hopefully will be fine on what he has eaten.
If you check every hour and it is trending down ,give him a small snack , if it goes up I would not correct, just write tonight off and start tomorrow as another day.

hopefully he will be fine, I'm sure he will. Let us know how you go on.

 

[Beav]

For a sandwich, he would normally only require 1.5u on his cho ratios. He has gone to bed with a very round tummy and we will just check on him a lot tonight. First time I have ever seen him struggle to eat.

Ahhh I see. Just get him to drink lucazade? (Theres so much sugar in that he should soon make up 15Ui on slin?) I sometimes get hypos where I feel very sick and I put the dextrose tablets in water. It makes it easier to get them down and you feel so sick you don't want to chew.
As Fallenstar says right tonight off if it goes high as it is better to have one night of a high reading as long as its not crazy high (Dangerous) this is safer to have a reading of 10-12 than 4.0 or below.

 

[Fallenstar]

Finding Nemo

How did things go last night? Hope he's OK.

 

[Jen&Khaleb]

I did this to my son a while ago. It was after a really busy day when my furniture arrived after moving house. I was exhausted and had to keep checking Khaleb until the Novorapid wore off. I used glucose syrup in fruit puree and put tablespoons of sugar in his bottle of milk. His blood sugar went as high as 20 before crashing down to 5 at the 2 hour mark, me giving him more sugar and then he had a great night. I've got a much better system now and stickers of rocket ships on the NR pen so I don't mix them up.

Hope your night sorted itself and you got the right amount of carbs in. In hindsight I think I should have prepared the Glucagon in advance. Lets us know!

 

[FindingNemo]

We did over do it on the carbs. His initial bm after eating was 16, but then dropped to 11, then went back up to 16 again. I'm not sure what the next couple were because my husband dealt with it, but he was high this morning so he had light breakfast with correction dose and had a lazy morning in bed, which he really needed. Had told school he wasn't coming in, but by midday his bm was steady at 8 and he wanted lunch and to go back to school, so a major blip, but sorted out, thankfully. Thank you to those who advised.

 

[FindingNemo]

It's obviously rocked the boat a bit as 2 hours after lunch (tomato soup, 2 slices bread, yoghurt), his bm shot back up again to 17. He didn't correct but did substitute is snack for water. Still high on return home, so corrected and had an hour out playing and last bm 4.3. Will still be testing very regularly this evening to keep an eye on things.