Showing posts with label Apidra. Show all posts
Showing posts with label Apidra. Show all posts

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?


Wednesday, September 15, 2010

These are a few of my favorite things...

(Day 15 of NaBloPoMo)


Well, Diabetes things anyway.

While I do NOT like diabetes, I do like the fact that technology has allowed us to treat this disease so much more efficiently and for lack of a better word, easier than in years past.

I have a friend on FB who posted about her daughter's first glucometer from 12 years ago (not even that long ago) and how she would get results in just 45 seconds! Now we have awesome technology and get those results MUCH faster, in about 5 seconds.

I know things have come a long way since then, just as I know they had from 10 years before that point. So, here are a few of MY favorite Diabetes things.



1) Apidra













When The Superhero was diagnosed he was put on Lantus (long acting insulin) and Novalog (short acting insulin). When we started pumping 7 months later, Lantus was no longer necessary and we just used Novalog in the pump.

A few months ago I started hearing more about this newer insulin, Apidra. I did a little research on it. The reviews I read from other families was that it had a quicker peak and no tail end. It was completely out of the system a little before 3 hours, for most families.

I decided we would give it a try. So, a few months ago I emailed our endo, Dr. D. She told me to go ahead and come get a bottle to try. I went that afternoon and we started a few days later (waiting for next site change). At first I was not sure we would like it.

We made LOTS of adjustments to basal rates and the basal times. After about 3-4 weeks we really started to like it. A few more weeks later and I can tell you that I LOVE it.

When The Superhero goes "high" he comes down faster with this insulin than he did previously. I feel this has greatly contributed to our decrease in A1C (down from 7.8 to 7.4). I also LOVE that their is no tail end. It is nice to know that once it is out of his system, it is OUT of his system. With Novalog we would see a tail end up to 5 hours later. Apidra is definitely GONE before 3 hours.

I have now stockpiled my fridge with Apidra and would not want to go back. This is definitely #3 on my top 3 list of Favorite Diabetes things.



2) Animas Ping (meter remote and pump)















Since the Princess was born only a few short months after The Superhero was dx with Diabetes, we waited to start pumping until I could focus on a new venture. It was about 7 months after he was diagnosed I decided it was time. I had already researched pumps and had made the decision that we wanted the Animas Ping Pump. We chose this pump for a few reasons.

1) SMALL dosing. We had been trying to draw up 1/4 units in syringes for 7 months and sometimes even THAT small of an amount was TOO much for The Superhero. Being able to give doses as small as 0.05 units at a time was a DREAM.

2) SMALL basal increments. We can adjust basal amounts in increments of 0.025, and often do! There was a period of time that for 2-3 hours at night his basal would actually be 0.025 units per hour. This again, was a DREAM.

3) The meter/remote. I am in LOVE with the meter remote. Not only can we check The Superhero's blood sugar, but I can also bolus The Superhero for his blood sugar or his food right from the super awesome remote. When we first started pumping, this was very important, it still is, but even more so early on. We were nervous using a pump with tubing (but the Omnipod was not something we liked well enough, for many reasons), so being able to bolus from the remote was nice because we did not have to draw any attention to the pump itself. The Superhero wore his pump on his back in a pump shirt and forgot it was even there most of the time.

I also LOVE that I can download the info from the pump and it captures every BG reading from the remote and all the bolus and basal info. I think this is going to save me TONS of time logging before Endo appointments. I just used it for our last appointment, I had forgotten about it for a long time. LOVE IT!


Definitely would NOT go back to shots and this makes #2 on my top 3 list of Favorite Diabetes things.



3) Dexcom 7+ CGMS













Dexcom= LOVE.

We started the Dexcom CGMS in January of this year (2010) and fell in LOVE right away. It was love at first site, for sure. The Dexcom gives us a sugar reading every 5 minutes around the clock. We can see which direction The Superhero's BG is going, if he is dropping or rising, and how fast that might be occurring.

Prior to starting Dexcom we were checking The Superhero's fingers anywhere from 10-15 times per day. With his young age, it is hard to tell when his blood sugar might be too high, low, or if he is just acting his age.

So, he got checked, A LOT.

Now, with the Dexie, we check his BG around 6 times per day. We are only required to check 2x per day to calibrate, but I feel more comfortable still checking at meals, before bed, and once in the middle of the night. Other times we just take a glance at Dexie to see where he is at. This has made our life SO much nicer AND the people who watch The Superhero when Rod and I are not around LOVE Dexie too. It is SO nice for them to just look down and know where he is.

Before starting Dexie, I was a little skeptical about having something else attached to The Superhero 24/7, but now that Dexie is here, I don't know how we would go on without him. This is by far, my #1 favorite thing about Diabetes.


So, what are YOUR favorite things?

Tuesday, September 7, 2010

Are YOU ready...

for OUR best A1C EVER?

All of our
HARD work is definitely paying off!

I know it is not supposed to be a report card, BUT it definitely feels like a HUGE accomplishment...


I am SO happy with that number and definitely feel we owe the AWESOME A1C to our switch in insulin from Novalog to Apidra, and of course to OUR hard work being The Superhero's Pancreas.






7.4!



Woo Hoo!

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