As I mentioned in yesterday’s post, LOWS have not been a major issue with us until pumping (aside from the stomach bug which landed us in the ER out of sheer panic when more experienced moms probably would have rode out the storm). But last night was our first time of actual “battling lows” and I want a little d-momma input. I did make minor basal changes yesterday, BUT they were pulling back on nighttime insulin wanting him to wake up a little higher in the mornings. And I’m trying to follow Meri and her sound, and even my endo recommended, three-day rule. I remembered her rule at 3am last night when I was sitting on the floor in tears from frustration and total exhaustion and went digging for the blog post again this morning.
But what I am looking for, D-mommas, D-dads, Adult T1ers is just a little hands-on-what-do-you-do to treat stubborn lows in the night. I have had a few minor 67ish lows in the night that a little juice would fix and seemingly would get him up into that safe range and sustain him all night long (after the sugar spike, of course). But last night, in my “green-ness”, we entered into new territory. I don’t have his PDM in front of me to give you exact numbers and times on all the checks, but here’s the gist of our night.
- 8p – 124. Two hours after dinner (which was steak and potatoes on the grill, nothing complex or complicated like pasta or chinese), had an 11g carb snack that had a little peanut butter in it and headed to bed.
- 9:30 – 68. (And I checked him at 9:30 instead of 10:00 because I wanted to go to bed early – HA!) So, I gave him a 16g carb Capri Sun because I couldn’t get him awake enough to do anything else).
- 9:45 – 57. Wwwhhaaaaaaaaaatttt (said like a Minion from Despicable Me) ?!?!? Still couldn’t get him awake, which was truthfully making me a bit nervous (made him sit up but his eyes were closed the whole time), so he had another juice. Also set temp basal for 75% for .5 hr. Very little experience with temp basal rates too, really. Endo suggested we do this with lows this past Friday.
- 10:00 – 90. I went to bed with him on the love seat in my bedroom and set the clock
- 11:30 – 190-something. I actually left this one alone figuring there was a spike and it would come down after the sugar “ran out”
- 1ish – 230-something, maybe 240. I figured this was getting a little too close to having to check for ketones, so I gave a correction, but only half of what was suggested.
- 3a – 84. Really. That kind of drop in 90 minutes?
- 4a – 64. Stick a fork in me, I’m done. He sleeps so hard, and the only thing we can get him to do in his sleep is drink. He won’t chew sleeping. So another juice. Hating this decision, but again, we are GREEN.
- 4:20 – 78. Jason got up and did this 4a check (but I was awake lying in bed). He gets up at 4:45a to go to the gym before work and said he’d check him then.
- 4:45 – 106.
- 6:15ish – 115ish (numbers are beginning to run together but he was barely over 100 still) When we normally get up for school, Ryan asked to sleep a little longer and I let him.
- 7:30 – 89 breakfast.
Now, I’m sure I may not have done all the right things here and there are some better suggestions on how to treat this. I’ve even thought that maybe I checked too much and didn’t allow his body enough to regulate itself. But from you more experienced momma’s, what would you have done differently? Be gentle. I’m exhausted. I know not everyone does the same things and not everything works for everyone. But if I could gather some suggestions here, I would appreciate. Meri says not to change anything for three days. This was our first day. I have two more nights to potentially battle out.
Btw, nurse just called at 9:38a and he is 71!!!!!!