Today was T-Bear's quarterly checkup with Dr. A, our pediatric endocrinologist. Everything looks a-okay. Weight and height are in the 80% percentile. Eyes, ears, throat and feet all look good. And his A1c was 7.6. Not bad at all, considering he's been consistently a bit high the past several weeks. So, we're tweeking his calculations a bit. Upping Lantus from 17 to 19 (which should fix his AM highs), and adjusting his correction factor from 40 to 35 (which should bring his highs down to normal range a bit better). Carb/insulin ratios are staying at 1:8.
So, confession time. I'm a Low Wimp. I hate lows. I hate even the idea of lows. They scare the poop out of me, and I want to avoid them just about at all costs, because a severe low could kill him. Even moderate lows are very unhappy making. So, rather than adjust his Lantus to bring his "mild highs" more in line, I tend to leave it where it is and give corrections as needed.
Because, really, every time we increase his Lantus, it makes me nervous. More chance of lows. Have to be certain we're testing EXACTLY two hours after the last dose/meal. Nighttime BG checks for a few nights. And often, more tweeking of the other factors.
So, I was relieved T-Bear's A1c was 7.6, because that's a pretty good number (it indicates average BG of 150-180 over the past three months or so).
But, I need to get over being a Low Wimp. Because the highs, even the mild ones, are not good for T-Bear. They do the quiet, hidden damage. The stuff he'll have to deal with for the rest of his life.
Putting on my Big Girl Panties and bumping up the Lantus tonight. And setting my alarm clock for about 3:00 am.
Mountain Man Hat...Jr.
Pretty little packages
