Thursday, October 28, 2010

Here it is, a NAKED pancreas MEME

Reyna over at Beta Buddies started a NAKED MEME and The Superhero and I are going to strip it all off and share with you! I copied Joanne and Hallie's idea and added one last question.

1. What kind on insulin management mode do you use?
We use Apidra in an Animas Ping insulin pump. We also have a Dexcom CGMS, aka Dexie.

2. How often do you inject/change pump sites?
We change pump sites every 3 days, or 4-5 if I forget/am being lazy. We change Dexie sites every 7 days.

3. What type (s) of insulin do you use?
We use Apidra.


4. What are your basal settings ?
12am: 0.050 units
2am: 0.125 units

6:30am: 0.325 units

10am: 0.300 units

12pm: 0.350 units

2pm: 0.325 units

4pm: 0.300 units

6pm: 0.175 units

And on school days at 8:00am (school starts at 8:15) I do a temp basal decrease of –40% for 1 ½ hours.


5. What are your correction factors ?
1:500 at night

1:300 during the day


6. What are your meal ratios ?
Breakfast - 1:30
All other times – 1:65


7. What do you do for activity and/or PE?
Monitor like a crazy person. The Superhero tends to DROP with lots of activity. LOTS of extra carbs are brought EVERY where we go.


8. How do you manage Pizza, Macaroni and Cheese, or any other "difficult to manage" foods?
This varies based on how much he eats of the item. Typically, we can do a combo bolus where we give part of the insulin up from and spread the rest out over several hours.

Peanut Butter and Jelly sandwiches get an 80/20 split for 2 hours, and double the entire sandwich in carbs (usually a total then of 112 carbs)

Pizza usually gets somewhere around a 50/50 or so split over at least 6-8 hours. And we watch CLOSELY. (tacos seem to fit this category too)

9. How do you prefer to manage your logs/data?
I used to write everything down in an awesome chart I made. Then we got Dexie and I stopped. Now I just download the pump before endo appts and make changes as needed based on what I see on Dexie.

I will start logging again any time I think I need to make serious changes to evaluate before changing everything.


10. What's your A1c?
7/08 -10.11 (at diagnosis)

9/08 -8.6

12/08 -8.7

3/09 -8.4 (just started pumping)

6/09 -8.1

9/09 -7.8

12/09 -8.2

3/10 -7.8 (2 months after starting with our Dexcom)

6/10 -7.9

9/10 - 7.4 (Our BEST ever, and 2 months after switching to Apidra)

12/10 - ?


Alright, who else is going to strip it all and blog a naked meme?


5 comments:

Misty said...

So interesting reading everyone's settings. Woo Hoo on the 7.4 A1C!!

Laura said...

WOW! I have loved reading these!
Thanks for getting Naked!!! :)
Love the Apidra!!

Wendy said...

I about croaked when I saw that 1:65 lunch ratio the other day....I haven't seen doses like that for so long....like, say.....4 years!

Kelly said...

Ahhhhh...such tiny doses! Im SO happy our kids are blessed with pump technology!

Reyna said...

Yeah...I am with Misty...WOOT on that 7.4 girl. That is some serious pancreatic work there.

I cannot believe what you have to do for a PB and J. They don't affect Joe at all. He eats them everyday at school. I find it amazing how different all of these children are.

Thanks for strippin' down and getting nekid!

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