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Monday, March 14, 2011

Yo. This is how we roll the low.

Let me set the stage for ya.

I was making waffles for dinner.

Yes.  I said waffles.  Gluten-free pumpkin waffles, to be exact.

Anyway, I was hanging out with my batter, minding my own business and pondering the weekend ahead.

I guess I was tuned out a bit -- scoop, plop, close, wait, repeat.

As I was in the middle of my zone, I suddenly realized that Sugar was standing over the plate of waffles eating them as if she hadn't ever been fed before.


I knew.  

"Let's check your blood sugar."

Sticks out hand while continuing to stand over plate of waffles eating like crazy.


"Have some juice."

No words.  I think she sucked down the entire box in one gulp, and then went back to her waffle.

"Mom. I'm still hungry."  Reaches for a banana. 

"Let's test again."


"I'm not coming up fast enough."  Grabs an apple.


One of the things I've learned from the DOC, is that there are some lows that make my daughter feel as if she could eat an eight course meal in one sitting. 

I remember reading somewhere that, since brain cells don't store glucose, a few die with every low blood sugar.  The hunger instinct that kicks in is the brain sending out flare alerts to refuel the glucose necessary so that it can maintain function.

When she has a low like this, I let her have at it.  To be honest, I don't worry much about over-correcting.  I do, however, get insulin going as soon as her number is over 100.

I was about to deliver insulin for the 15c juice, 25c waffle, 20c banana, and 15c apple...then decided to take a picture of the delivery screen to explain how we manage lows around here. **Now, mind you, this is what works FOR US using the technology we've determined suits our family best.

Anyway, as I was saying, once her blood sugar tops 100, I give insulin by calculating the total carbs (INCLUDING THE INITIAL JUICE) and entering them into the pump...then I manually enter the original low blood sugar {in this case, 44}...and the pump makes all the adjustments necessary:

When I enter in that bottom number, I have the option to evaluate all the variables the pump doesn't know about -- activity level, illness, stress, etc.. -- and, if I choose to do so, I can subtract/add insulin as I see fit.  In this case, I entered the pump's recommended dose.

And then I finished up my waffles.
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  1. That's exactly the same way that we calculate treatment for a low at mealtime (and we use the exact same gadgets by the way)

    Katherine (and Ellery)

  2. It's amazing how hungry they get during a low, I know. Hope Sugar is feeling better after all the yummy eats too :) Thanks for showing the pump, we are MDI'ers and I am trying to learn as much as I can about how the pump works so that was very informative.

  3. Wow Wendy...WAY COOL. We manage a bit differently. But, I am intrigued and willing to give this a try, especially if Joe is having one of the "stuff my face with carbs b/c I feel LOW" lows. Great, informative post.

  4. I've been trying this approach as well...I try and tell myself I really don't need as much as I think I do to bring up a low. Sometimes it just feels better to keep eating though!

  5. I love how you just roll with everything Wendy! Thank you so much for sharing this post!

  6. We do things pretty similarly here...same devices and all! I've often wondered if others do the same or not!
    Btw, I'd love the pumpkin waffle recipe...I'm hungry now and those sound wonderful!

  7. Poor kiddo. J hasnt had any of those lows where he just wants to eat eat eat. We have tried this before a few times, waited till he was around 140 to be safe and it ended badly. Crash crash crash.

    Now we bolus for extras eaten but not initial juice. But also depends on iob, time of day etc.

    Love the informative post and picc. And umm i want waffles!

  8. Lows often mean intense hunger for Jack.

    I love how much I learn about the Ping from you!!! Thanks for sharing so much info!!!!

  9. Looks just like what we do here! I love the Ping and IOB.

  10. What a great post...I learned a lot and wow that is great what all the pump can do! Bless her heart for being so hungry.

  11. Love this! I'm a little late on the uptake, but I loved reading this. Those lows, now that they don't make me panic, almost make me giggle. ;)

  12. Sigh......I miss Jessi's Ping. Terribly. I wish she wouldn't have chosen MDI's last April. She was SO tired of site changes and being attached to something. We still have it, boxed up, maybe one day again....sigh, I miss you Ping!


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Life For A Child Button 2
While I'm happy to share our experiences with what works, and what doesn't work, for the management of Type 1 Diabetes and Celiac Disease in our house, please do not mistake anything you read here for medical advice. Decisions regarding your/your child's health care should be made only with the assistance of your medical care team. Use any information from this blog at your own risk.