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Worried parent ...please help!
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<blockquote data-quote="himtoo" data-source="post: 1200508" data-attributes="member: 142835"><p>hi there</p><p>I would completely agree with [USER=39639]@azure[/USER] about meal times.</p><p></p><p>if we think about it logically , going to bed before a bolus dose of insulin has finished working is sort of asking for an issue in the night because it is harder to be sure if the background basal rate is correct , or if indeed the bolus dose ( and therefore carb ratio ) are correct.</p><p></p><p>i test my BG as follows</p><p></p><p>first thing upon waking ( usually 6:45 - 7AM )</p><p>before brekkie ( 8:30- 9:30am )</p><p>2 hours post brekkie</p><p>before lunch ( 1pm )</p><p>2 hours post lunch</p><p>before evening meal ( 6:30 - 7pm )</p><p>2 hours post evening meal </p><p>before bed ( 11:00 - 11:30 ) </p><p></p><p>i am in this sort of routine most days -- ok there are exceptions for example -- going out for a meal</p><p>but i try never to go to bed until my bolus dose is finished working</p><p></p><p>at three years diagnosed and with your daughters age, end of honeymoon , hormones , </p><p>( and of course the fact that Diabetes doesn't always behave and play nice ) </p><p>her insulin requirements will be changing</p><p></p><p>what sort of total daily dose ( basal and bolus together ) is she on ?</p><p>knowing this gives a quick idea of basal / bolus ratio </p><p></p><p>I am thinking as well that pretty much constant communication with your daughters DSN would be a good thing right now as she will see things in the patterns ( DSN's are usually experts in reading patterns as they sort of do it for a living )</p></blockquote><p></p>
[QUOTE="himtoo, post: 1200508, member: 142835"] hi there I would completely agree with [USER=39639]@azure[/USER] about meal times. if we think about it logically , going to bed before a bolus dose of insulin has finished working is sort of asking for an issue in the night because it is harder to be sure if the background basal rate is correct , or if indeed the bolus dose ( and therefore carb ratio ) are correct. i test my BG as follows first thing upon waking ( usually 6:45 - 7AM ) before brekkie ( 8:30- 9:30am ) 2 hours post brekkie before lunch ( 1pm ) 2 hours post lunch before evening meal ( 6:30 - 7pm ) 2 hours post evening meal before bed ( 11:00 - 11:30 ) i am in this sort of routine most days -- ok there are exceptions for example -- going out for a meal but i try never to go to bed until my bolus dose is finished working at three years diagnosed and with your daughters age, end of honeymoon , hormones , ( and of course the fact that Diabetes doesn't always behave and play nice ) her insulin requirements will be changing what sort of total daily dose ( basal and bolus together ) is she on ? knowing this gives a quick idea of basal / bolus ratio I am thinking as well that pretty much constant communication with your daughters DSN would be a good thing right now as she will see things in the patterns ( DSN's are usually experts in reading patterns as they sort of do it for a living ) [/QUOTE]
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