Naked Pancreas Challenge

I’ve seen this meme on a few of the D-mama blogs out there, so thought I’d post our answers.

First and foremost – what type of diabetes are we talking about?
The Boy was diagnosed with Type 1 diabetes on March 10 of this year.

1. What kind of insulin management mode do you use?
Currently we are on MDI, but hope to pump soon – very soon!

2. How often do you inject/change pump sites?
N/A till pumping.

3. What type (s) of insulin do you use?
Lantus 1x daily (at bedtime), Humalog in his pen.

4. What are your basal settings ?
Lantus – 7.5 units at bedtime.

5. What are your correction factors ?

6. What are your meal ratios ?

7. What do you do for activity and/or PE?
On PE days, we drop ½ unit from whatever his breakfast demands. So, a breakfast that would require 1.5 units of insulin would only take 1 unit. For soccer, we were finding that dropping an entire unit was best – from his excitement/emotions? If we only dropped ½ unit, he’d still go low by halftime every game. Stoopid diabetes. Soccer is over for now, but we may try to hook up with an indoor team for the Winter, if we don’t swim. Swimming is a whole other beast. We were still on NPH/Regular this summer for swim team, and we handled that like this: AM practice each weekday. Up at 6:45, brush teeth, check blood sugar, cram a protein bar down on the way to the pool. After swimming, check again – oh, what’s that you say? Swimming ate up the entire 35 carbs that you ate before practice and your blood sugar is EXACTLY THE SAME AS WHEN YOU JUMPED IN THE POOL? FABU-U-LOUS! Let’s go home and eat breakfast! Blood sugars were good all summer, and our A1C was 6.4 when we saw our endo in August.

8. How do you manage Pizza, Macaroni and Cheese, or any other “difficult to manage” foods?
Since The Boy is lactose intolerant as well (stoopid breastfeeding benefits – they are apparently all lies!), we don’t do much of this, but since he IS still a kid (and a kid who’d rather sit on the pot for 20 minutes than pass up a slice), we’re getting pretty good results with calculating for the meal as usual (1 unit for every 40 grams of carbs), then giving half the dose in humalog through his pen, and half by an injection of Regular insulin. This means two shots for one meal. Stoopid diabetes. He still wants the pizza.
**BTW, we found out how horrible a box of Jolly-Ranchers Gummies can be last night. 260-ish and holding ALL NIGHT LONG, even with a correction unit before bedtime. Oy! (stoopid diabetes)

9. How do you prefer to manage your logs/data?
Prefer? I just do what the CDE tells me to. LOL. Seriously, we were given a log sheet when The Boy was first diagnosed – to keep track of blood sugars, insulin given, carbs eaten, etc. We took the logs to our first follow-up with the endo, and she looked at us as though we’d sprouted 3 heads. But she agreed to move The Boy to MDI on the spot, and I’d like to think it’s because of the logs.

Then, when we were about to go to basal/bolus (MDI), we were asked to keep a detailed log of everything he ate for two weeks. We (I) kept detailed logs. His dad – not so much. I fussed, he made an attempt to piece the logs back together for his time with The Boy. We went in with two solid weeks of carb counting records. The folks at Children’s didn’t even ask for them when we showed up for the class. Ugh. Now, we (I) keep a paper log that tells what time each meal was, how many carbs were consumed, how much insulin was given, and if the amount given was increased or decreased from what the ratio said it should be. His dad keeps the same info, but on a handy-dandy computer spreadsheet. We also write down each food and carb count for the food for what his lunch and snacks are so the school nurse can help him calculate and dose for lunch.

I read on someone else’s Naked Pancreas meme that they write all the meals down, plus any notes, etc, on a spiral notebook that’s kept in her purse. Excellent idea, and I’ll be picking up a few of these for my own use tomorrow at Tar-jhe’.


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