Most of us in the D-World don't really get detailed about how we manage D on a daily basis. But,
Reyna at Beta Buddies has issued the “Naked Pancreas Challenge”, and I’m stepping up. Here's the naked truth about how I manage T-Bear's D on a daily basis.
1. What kind of insulin management mode do you use? T-Bear does Multiple Daily Injections of fast-acting, combined with a daily basal insulin.
2. How often do you inject/change pump sites? He does 4 – 6 injections per day depending on how often he eats.
3. What type (s) of insulin do you use? Humalog and Lantus.
4. What are your basal settings ? 17 u Lantus at 7:00 pm.
5. What are your correction factors ? Full correction (with meals) is (BG-100)/40. Half correction (without meals and at bedtime snack) is (BG-100)/80. Bedtime correction with no snack is 1/4 normal correction with meals.
6. What are your meal ratios ? At the moment, all meals are 1:10 except bedtime snack which is 1:30. Gonna have to change that soon. Again.
7. What do you do for activity and/or PE? Being homeschoolers, our PE is playing outside, Park Day, or the WiiFit when the weather is not cooperating. Because T-Bear’s activity levels are pretty consistent from day to day, it’s pretty much incorporated into our current D-routine.
8. How do you manage Pizza, Macaroni and Cheese, or any other "difficult to manage" foods? Per instructions during our last endo appt, we give a normal bolus before the meal. Two hours after eating, retest and give ½ correction as needed.
9. How do you prefer to manage your logs/data? Write it out manually as we go. Transfer to a computer file and e-mail to the endo when we need to report or get adjustments. I find it really helps to have the times of each test and bolus listed, especially when trying to determine trends.
So, that's it. Pretty simple, eh? Not. It's all guess-work, guts, and input from the pros to keep T-Bear's A1c in line.
But, tomorrow is another day....and all these numbers will change...