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D Day

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Just a v quick reply. As you say, v difficult to match insulin until his eating settles down, at least for a while. The humulin s is a soluble insulin doing a similar job to humalog or novorapid but over about 6 to 8 hours. http://m.netdoctor.co.uk/diabetes/medicines/humulin-s.html

The 4.7 would be better treated with something more rapid than chips and kebab. The fat would slow digestion but you must have caught it in time so well done.

Should add of course 4.7 not a hypo but on way down and low for him.

Rob
 
Well he was 17.9 when he came in from school (3.30) and at that point had 16u Humilin S. He would then have started snacking, crisps, cereal bar, cheese & crackers, I don't exactly know what, but anything he could get his hands on. I have put away the majority of 'spare' lunchbox stuff but left an odd pack of each thing out in case he needed something in a hurry. We would normally then eat our main meal around 5.45-6pm but we were a bit later that evening and he tested at 6.30 just before eating, to find he had dropped to 4.7 despite snacking in those 3 hours.

Dare I confess we then had chip shop? He had donner meat and chips. He didn't test at bedtime, so unfortunately I don't know what happened after dinner, but his friend came over and they went out to the shop across the road and I wouldn't be at all surprised if they had come back with a load of chocolate between them. They just disappear up to his room complete with carrier bags (always with a bottle of Pepsi Max in but no doubt more than that) and that's the last we see of them for the evening.

Anyway, on waking the next morning he was 11.4. He would have had 30u Lantus at bedtime too (and I know he did, I am keeping an eye on levels in pens).

I guess with this erratic eating though, we are never going to know really what exactly is going on. He hasn't been anywhere near the 4's for quite some time though, so at least the doses of Humilin must be getting somewhere near where they need to be. I don't actually understand how the Humilin S works, and there is nothing useful in the leaflet to tell you either.

Unfortunately, he didn't test on coming in from school last night though, nor before his dinner, so I only have this one set of figures. Dinner tonight will be a much healthier affair with plenty of vegetables etc, so it will be interesting to see how his body copes with it. I will keep a watchful eye.

I should have started that last reply by saying he had 2 slices of toast for breakfast that day, and his lunchbox consisted of a round of chicken sandwiches, a bag of crisps, a cereal bar and an apple. He has sugar free drinks all day too. He does tend to eat the vast majority of his lunch at morning break though, just keeping an odd bit back for proper lunchtime. He had 34u Humilin M3 before breakfast, but didn't test, so don't know what he was on waking that day. The 17.9 was what he was when getting in from school following all that.

Hi Tina,
with the insulin he is using, he needs to inject 30 -45 minutes before he starts stuffing his face.
This way it will have a chance to match his food intake. 🙂

I would be inclined to have a quiet word with his mates, so they understand what all this drinking full fat coke and chocolate is doing to your son.
Do it whilst he is at work then he doesn't know what is going on. They need to help him accept his condition.

As to his Lunch being eaten at mid morning break. Simple solution is that you give him enough for a mid morning snack (he will need this due to the insulin he is using). Then give him dinner money for him to buy lunch at school.
This way his meals are controlled.
Hopefuly he wont then feel as if he is starving to death by mid afternoon when he comes home. Can you stick some sugar free jelly in his snack box as well? This will fill him up a bit as well without affecting his blood sugars 🙂
 
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