So yesterday my son John had crazy, wild, numbers. Any thoughts on these - please reply! His target range is 100-200 and we are trying only 1.0 units of Levemir (down from 1.5 units) this week given 1x daily and his meal ratio is 0.5 unit/20 carbs.
He was OK at breakfast, in the 100s. For whatever reason my husband didn't give him his shot, but when he was tested at daycare at 9:30 he was 326. I had her give him 0.5 unit (which is half of his usual correction bolus). Then when she tested at 11 prior to lunch he was 32. I totally freaked when she emailed me (which she does everyday). When we talked, she said she he was just playing with the other little boy - not complaining of being hungry, not pale, not shaky, not anything. Just playing cars until she said it was time for his lunch check! I'm like he could have been passed out! She is diabetic (T2) so she knows that is not good and was really unnerved by it too.
He ate a normal lunch and had her give NO insulin. (He did come right back up after eating). Well he was 376 at 3, but I still decided to wait on correcting, just to see what his body was doing. At 5:45 he was 165. Thankfully after that his numbers were better 100 at bedtime, which we usually would give him a snack, but I again decided just to wait and see - and sure enough at 10 when we tested again he was 180, and then back down to 130 this morning.
I know I will have to call the clinic - but ugh. A frustrating day. I feel like we are always going between treating for lows and highs. His doses are so small and it seems like even if I only give 8 carbs for a mild low that he will be high when we check next. At least we are starting on a pump soon and maybe that will give us more control over the tiny doses his body needs!