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Sigh, dietitian

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Shivles said:
This week's have been
9.9
4.4
3.8
7.7
17.3
4.4
5.4
14.4

She was on 1 unit of levemir at 7pm, went up to 1.5 Tuesday
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On the whole, those don't look bad at all, with just those two obvious exceptions - was she higher than usual before bed on those occasions? So tricky on such low doses! Any increase or decrease in basal will be relatively large. Has a pump been discussed at all? I'm guessing not if they are not being too helpful. Even adults on such low doses go to the top of the list for pumps because they can deliver much tinier amounts, and on an hourly basis.
 
Shivles said:
Don't correct her? Will she not just stay high then?
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In such cases (which I think is what you said you did) I would include a correction dose in with her normal breakfast dose, but I would keep it to mealtimes only and not correct in between meals to avoid 'stacking' doses and, as Owen suggests, losing sight of what the ratios need to be.
 
Yes a pump has been menu one but it's something I would consider a last resort. She's not even been diagnosed 2 months I don't want her attached to something and I'm extremely skeptical of the practicality with a toddler
 
Shivles said:
Don't correct her? Will she not just stay high then?
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Try just giving her half the correction you normally would. That will bring her down a bit, hopefully out of discomfort, but wont send her hypo. (Thats if you can give her that small an amount, I realise she's on very small doses right now.)
Perhaps (never having been on Levemir myself) she needs it twice daily, to keep a more even keel. (It is usually given twice a day, I realise that small children may not need that - but then, no-one's body quite plays by the rules...)
 
Correcting is so hard to get right, better to be patient and delay next meal
 
Northerner said:
In such cases (which I think is what you said you did) I would include a correction dose in with her normal breakfast dose, but I would keep it to mealtimes only and not correct in between meals to avoid 'stacking' doses and, as Owen suggests, losing sight of what the ratios need to be.
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I only correct at meals because I worry about stacking
 
Owen said:
Correcting is so hard to get right, better to be patient and delay next meal
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With respect that's not easy with a toddler! And what if she just kept rising?
 
See these are the kind of things I feel the team should have already told me!
 
Shivles said:
Yes a pump has been menu one but it's something I would consider a last resort. She's not even been diagnosed 2 months I don't want her attached to something and I'm extremely skeptical of the practicality with a toddler
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Can I suggest getting in touch with the people at INPUT? http://www.inputdiabetes.org.uk/ - They are really helpful people and should be able to address your concerns about pumps and such young children 🙂

Oh, and I would just like to say, even though it may not feel like it, you are doing a really good job! Diabetes, especially Type 1, has a huge learning curve and can be a whirlwind of information and confusion, as well as being emotionally charged on all sides. Things will get better! 🙂
 
Shivles said:
I only correct at meals because I worry about stacking
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It is safer to carbohydrate free for that meal than correcting. Don't forget protein will also increase glucose. So perhaps a yogurt some cheese but no insulin. Her levels will fall. Then carbohydrate at the next meal with your bolus to cover.
 
Northerner said:
Can I suggest getting in touch with the people at INPUT? http://www.inputdiabetes.org.uk/ - They are really helpful people and should be able to address your concerns about pumps and such young children 🙂

Oh, and I would just like to say, even though it may not feel like it, you are doing a really good job! Diabetes, especially Type 1, has a huge learning curve and can be a whirlwind of information and confusion, as well as being emotionally charged on all sides. Things will get better! 🙂
Click to expand...
Excellent job, I would be climbing the walls with anxiety.
 
Owen said:
It is safer to carbohydrate free for that meal than correcting. Don't forget protein will also increase glucose. So perhaps a yogurt some cheese but no insulin. Her levels will fall. Then carbohydrate at the next meal with your bolus to cover.
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That makes sense thank you.
 
Dietitian asked me to email her the info I've looked at for low carb and kids which is encouraging. The team are making an appointment for me to meet up with them all together to discuss things
 
Hopefully someone will agree with just one slice of toast and an egg for breakfast, the two slices aren't working for you.
There are a few low carb dietitians in the UK, but they are few and far between, I wouldn't expect too much agreement. I'll find their links for you
Dr Trudi Deakin
http://www.xperthealth.org.uk/
 
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Shivles said:
Dietitian asked me to email her the info I've looked at for low carb and kids which is encouraging. The team are making an appointment for me to meet up with them all together to discuss things
Click to expand...
Sounds good! 🙂 I hope you can all manage to find a good working solution - in particular, one that your LO is happy with! 🙂
 
bilbie said:
Hopefully someone will agree with just one slice of toast and an egg for breakfast, the two slices aren't working for you.
There are a few low carb dietitians in the UK, but they are few and far between, I wouldn't expect too much agreement. I'll find their links for you
Dr Trudi Deakin
http://www.xperthealth.org.uk/
Click to expand...
bilbie said:
Hopefully someone will agree with just one slice of toast and an egg for breakfast, the two slices aren't working for you.
There are a few low carb dietitians in the UK, but they are few and far between, I wouldn't expect too much agreement. I'll find their links for you
Dr Trudi Deakin
http://www.xperthealth.org.uk/
Click to expand...

Just trying her with eggy bread and some plain yogurt for lunch so will see how that goes
 
Wouldn't eat all the eggy bread so now on hypo watch! Anything else want to go wrong?! :confused:
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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