Wednesday, May 6, 2009

Week 57 - Back to our life's routine


After the last post, we took a vacation in the US.It was a junk food raid. Basically we let "the kid be a kid". Though we were not particularly proud on how we were dealing with compensations, the BG was between 100-130 or so. Then we had a couple of months -we were back home, school started, and so on-, and we tried not to overly change the slow acting doses, and BG average was (February-March 09), between 120 and 160. We had an a1C done by March 20th, and it showed 6.7%. Worst than last time (6.5 %), but considering the vacation and the months of adjustment (back from the long trip in the US), not too bad. In fact, the endo was quite happy with the value. Now, since April, with slow acting at the same dose (11 of NPH for the day, 12 for the night) and the standard Carb corrections (avrg. 10 to 15 units of fast acting per day), the averages for BG are: 10 days avrg., 114.6 - 30 days avrg., 125.5 - 60 days avrg. 136.1. Again, no special diets here. Just food every 3 hours, control, and normal compensation for the carry over of the previous control and for whatever he might eat at the meal. In June we'll get another a1C done, we'll see there how this average reflects on the value. By then I'll do the next post. In short: BG averages rather decent, only one very very bad hypo episode in February (I think we over compensated, then there was a while with no meals) that scared us a lot, BG at 26. Since then, when we need to compensate more than 9-10 units, we split the compensation like 6-7 units now, the rest one hour later. That's working very well. Anyway, after that episode, no hypos episodes at all, he goes low every now and then to 40 (very few times at 35) but this is about the time when his due for food, so no issues there really. For the hyper, the worst peak in the last month was 284 (twice), and some 15 times above 200 (we make 4 measurements a day), which is an improvement since 3 months ago, were we had a few excursion up to 450. Not a lot, but a few. Anyway, I enclose the BG 10 days average measurements for the last 30 or so days. Day 365, is one year after the diagnosis.

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