So it's not exactly what I was hoping for, but she did go down from 9.4 to 9.0. I have to be honest it was yet another slap in the face!! I'm glad she's going down, I just wish she went down a little more!! I'm trying not to beat myself up too much over this, we're going in the right direction, we've only now really learned the skills necessary to keep her under tight control!! I remind myself often that we could of spent her whole life with her old Dr. and we would probably never ever see great numbers like we will see in the near future!! I wish I hadn't spent the past almost 2 years following this guy, but there's nothing I can do about it now except be thankful that I am no longer with him!
We went to our third class and learned so much more, we now have 2, 3 and 4 hour BS (blood sugar) goals and different carb to insulin ratio's for breakfast, lunch and dinner! Breakfast she is 11 carbs for 1 unit of insulin, lunch is 22 carbs for every unit, and dinner is 18 carbs for every unit!! For her BS's her 2 hour goal (2 hours after insulin is given) is 200, 3 hour is 180 and 4 hour is 150, her correction is 1 unit for every 120 over. So if 4 hours after insulin was given and her BS was 195, she would be 45 over her target..you would divide the 45 into the 120 which = 0.37, and lets say it's lunch time and she's having 39 carbs for lunch..you then take her lunch ration which is 1 to 22, divide 39 by 22 = 1.77. Then you add the two together..0.37+1.77=2.14, so she would get 2 units of insulin. It's a lot of math, and I now always have a calculator with me!! So at every meal you will see Tim and I talking about the math, trying to count the carbs, weighing her food and discussing if we are right or wrong!! When she has a really high number it puts us both in a very somber mood, it's hard to have a great dinner when your stressing over what kind of error you've made!
Tim would kill me for posting about this, but it's life we all make mistakes!! The other night she was high before bed, so Tim had given her a correction dose. He miscalculated it and over dosed her by a unit. We didn't realize this until I tested her BS at 11:00 and she was63, Tim quickly ran downstairs to get her a snack. He felt soo awful, but these things are very easy to do when your just learning all this! She of course was fine, Tim on the other hand was pretty shaken up!
We're still learning and looking forward to the June 11th pump class, we will probably be ordering our pump that day. In some ways we're not 100% ready for it, we would love to master these skills before we move on, but since we are about 1 year into bad A1C's it's really the right move to make!!
Keep Olivia in your thoughts and prayers as we move on with this next journey, I know it will be a hard one!!
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