My daughter is a newly diagnosed T1d. At discharge they told us everytime we see her go below 130 overnight (check 2 times a night) bring her up with 15g carbs. She is now completely off the basal, (she went below 100 almost every night with basal), so we took it out slowly from 6 to 0. She has always hovered around 80-100 overnight without any basal. So should we shoot for 150 - 180 at bed time?
Secondly, I find it is very very hard to perfectly time the insulin and get the exact carbs to prevent both a spike and a low - she is very sensitive to insulin. We can only give her 0.5 to 1 units per meal - and with 1 we have to watch her closely beccause she goes dangerously low right as the 1 unit is running out. But with 0.5 she goes high (around 250) and stays there for an hour before coming back down - with approx 30 carbs. What is the high she should be hitting on the CGM? With 1 unit she wont rise above 180, but WILL fall below 70 if adequate carb boost is not given at 3 hour mark of humalog.
Secondly, I find it is very very hard to perfectly time the insulin and get the exact carbs to prevent both a spike and a low - she is very sensitive to insulin. We can only give her 0.5 to 1 units per meal - and with 1 we have to watch her closely beccause she goes dangerously low right as the 1 unit is running out. But with 0.5 she goes high (around 250) and stays there for an hour before coming back down - with approx 30 carbs. What is the high she should be hitting on the CGM? With 1 unit she wont rise above 180, but WILL fall below 70 if adequate carb boost is not given at 3 hour mark of humalog.
