This week has been a really tough week for diabetes control. On Friday morning around 7:30AM William's blood sugar was very high. When school checked him at 10:00AM for his snack he was good and then when they checked him at 11:30AM for lunch he was very low. It made for a really bad day for William. With everything that is going on in his life, having his blood sugar jumping all over the place was tough on his little body and mind this day.
When he got home His blood sugar continued to be high. Normally his blood sugar control is very good and way below the target for his age group. This is a very unusual event. After a few readings over 300 and correction doses that seemed to do nothing, I decided that it was time to take action. I started on the normal routine. I replaced his site and gave him a correction dose and checked him. His blood sugar just kinda winked at me and stayed strong right where it was. After a few hours of that I tried new insulin and a correction dose but there was that wink again. Blood sugar was continuing to stay right where it was in the upper 200's and low 300's.
Sometimes when his blood sugar is high it means he is getting sick so I checked. I could not find a fever. Sometimes when he is growing his blood sugar is high. He has been eating a lot lately and is complaining about his legs hurting. That must be it. I really hate to make big changes on his pump when there is a sudden change like this. Most of the time these changes have been temporary so making a big change on his pump is only troublesome. I decided to give it one more day to see if things started heading back the other way. I made a few changes to his numbers that I would have made anyway. I sat back and waited. After a day and a half of being high I finally saw his number starting to drop back down. He was near normal for his 2:00AM check but back to 212 for breakfast. He has been hovering around the 180 range for a while. I am still going to refrain from making changes until after his site change tonight to see if thing are still getting better. If not it will be time to make some changes on his pump.
What a crazy world to live in,
Your Loving Dad
When he got home His blood sugar continued to be high. Normally his blood sugar control is very good and way below the target for his age group. This is a very unusual event. After a few readings over 300 and correction doses that seemed to do nothing, I decided that it was time to take action. I started on the normal routine. I replaced his site and gave him a correction dose and checked him. His blood sugar just kinda winked at me and stayed strong right where it was. After a few hours of that I tried new insulin and a correction dose but there was that wink again. Blood sugar was continuing to stay right where it was in the upper 200's and low 300's.
Sometimes when his blood sugar is high it means he is getting sick so I checked. I could not find a fever. Sometimes when he is growing his blood sugar is high. He has been eating a lot lately and is complaining about his legs hurting. That must be it. I really hate to make big changes on his pump when there is a sudden change like this. Most of the time these changes have been temporary so making a big change on his pump is only troublesome. I decided to give it one more day to see if things started heading back the other way. I made a few changes to his numbers that I would have made anyway. I sat back and waited. After a day and a half of being high I finally saw his number starting to drop back down. He was near normal for his 2:00AM check but back to 212 for breakfast. He has been hovering around the 180 range for a while. I am still going to refrain from making changes until after his site change tonight to see if thing are still getting better. If not it will be time to make some changes on his pump.
What a crazy world to live in,
Your Loving Dad
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