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.


  • 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.


  • 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.


15 responses to “Sleep Tight

  1. I like knowing we are on the same endo schedule. My takeaway was to stop kidding myself at dinner time and actually bolus appropriately (my interpretation). I like to pretend that drinking 2 glasses of wine and snacking before the actual meal is all “free”.


  2. Sounds like you’re doing great – the doctor just wants to make some of the tasks easier for you/Bubs. (Also doesn’t want liability of sending a kid to bed with BG of 80 and highest basal rate of the day, but in the end, what you/he do with your/his pump is your/his business, not doctor’s).

    Contact-Detach…Infusionastic! Sounds like a marketing campaign by a breakfast cereal company.


  3. A1C of 6!!! You should offer your meal planning and diabetes care services to pregnant T1s! I’d move in with you.


  4. I would love to ride a flat of 80 – 100 all night and wake up around 80, and sleep 8 hours uninterrupted!!! But maybe the endo know something I don’t know, and it’s probably different for kids. But anyway, sounds like you’re doing GREAT!!


  5. lifeont1

    Ok, so as you left FFL (literally got in a cab) I gushed to Karen how
    Sweet and kind you were. Then she told me you wrote this blog. I wish I knew when we chatted! I love your blog!


  6. lifeont1

    Ok. So as you left FFL I told Karen how sweet and kind and funny you were. Then she told me you were behind this blog! I wish you told me when we chatted, your blog is so wonderful.


  7. Sharon Chrisman

    What is this 8 hours you speak of? 8 HOURS? Like…in a row? 🙂
    Low A1Cs here – at 14 no less! Yippeee!
    Hope you’re feeling better Katy.


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