Sleep Tight

photo 1

After each appointment, he rushes downstairs and out of the building to hop over this railing and jump off of this wall.

It endo day. Bigfoot notes for future self.

Confusions:

  • Endo adjusted Bubs’s basal/bolus rates by reading his Dexcom data graph, and considering those many colorful dots in relation to the basal and bolus rates we have programmed into the Ping
  • But-but-but sometimes eats breakfast at…10:30 in the summer. On the Ping, the bolus ratio at that time is 1:18; however, we bolus at 1:10 for breakfast regardless of the hour. So the bolus rates listed in the pump are not really part of the happenings on the Dexcom line graph. I didn’t even know a 1:18 was in there. That must have been something leftover from school/recess.
  • This made me realize we’ve been doing things in a way that makes sense to us, but complicates things for the graph analyst:
    • We never use the bolus calculator to dose. Using up/down arrows to enter numbers is so tiresome, and I always have done the math in my head to sort of double-check that the dose makes sense anyway (i.e. that I haven’t entered a typo. An arrow-o), and then add a bonus 0.2u or so if there will be a great deal of sitting still
    • We’ve been (PROUD SKILL ALERT) using the Dexcom to predict lows/highs and employ a temp basal, so even the basal rates listed in the Ping are not that meaningful, since they’re so often tweaked/turned off/jacked up depending on the moment.

Last time endo work graph-number magic and Bigfoot think make no sense, endo exactly right. So. Even though make no sense, Bigfoot try this way. Because medicine-science-experience-faith.

The secret to the 8HBP.

The current key to a solid, few days-long run of 8HBP.

Except:

  • She thinks he is “too tight” at night. He has been riding a flat path of 80-100ish at night, and she would like this to be higher.
  • I hate to give this up.
  • We have been sleeping so well.
  • So well, as in: eight hours, both parents.

Not want follow endo night basal program. Never give up 8HBP. Hang on as long as can. But BG sort of droopy toward morning (100-ish at bedtime /80-ish at wake-up typical). Maybe that problem.

More things:

  • 5′ 0.3″ and 82 lbs. Grew without gaining weight, so BMI is down. (Down 0.9 lbs.) Pffffft. I thought the gluten free diet had already solved the weight problem. Small meals more frequently? Heartier snacks? Large hot fudge sundae?
  • A1c = 6.
  • Officially noted in patient chart: Contact-Detach infusion sets huge improvement, dermatologically and maybe infusionastically too.

Okay. See in October! Thank you.

Bigfoot say other thing

Bigfoot sure this not right placement Pinterest button

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