Monday, November 16, 2009

AJ & iPro charts

I don't know the details about AJ, but I heard that his fever broke last night! Praise God, and please keep praying!

I love the faxed iPro charts that I got at school this morning! One interesting fact - Andrew's highest peaks are always after school lunch! Since I see good readings at 11:15 & 2:15 every day, I didn't expect it. Because of having to return to the nurse after the meal for carb counting, his lunch bolus is often as much as thirty-five minutes past the beginning of the meal! Meanwhile, his BG is soaring really high before falling quickly! It's hard to predict what kids will eat, so Vanderbilt suggests bolusing right after a meal. At home, we can bolus quicker. I will ask the school nurse to bolus for BG & 30g of carbs before lunch. Then after lunch he can accurately count the total carbs he ate and bolus for the remainder. He is a good eater & has NEVER consumed fewer than 30g of school lunch. A friend of ours used this approach with her child. This can't be done very well with shots. Multiple site injections metabolized quicker for Andrew and always drove him low. In the pump, it doesn't seem to make a difference since it all goes in the same site anyway.

Andrew has gone low between 4 & 6 pm the last couple of days. We're not sure if it is because of the increased basal or because he is loving his new Ripstik! We are going to try a decreased basal when he plays the Ripstik & see what happens. Life is full of experiments!

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