Endo Visit - The essentials

Who: One little girl with Type 1. Code name - Grace


What: Grace's 3 month endo appt. Not much to talk about this time. I feel I really have a good understanding of her basal rates. I know how to find tune them after I see three days or more of out-of-range numbers. I learned a lot when Gary Scheiner and I had a long talk about basal rates - testing, checking, changing and how to adjust them one at a time. So, checking in with Grace's endo feels more confident to me.

How do I prevent the swimming lows that send her plummeting even after I do a -25% temp basal for her length of swim time? Grace seems to go low about an hour after she is done swimming. It's an odd thing I never knew how to address.

Answer: Let her basal come back to what it should be, then about an hour after she is done swimming, do another temp basal -25% for .5 hours.

Where: Endo's office in a gigantor hospital building

To do:

* Eye appt for Grace. It has been two years since her last one. I have no concerns, just checking in to see that nothing is happening so far.

* Blood draw to check for celiac and thyroid issues. Grace hates this once a year blood draw. Me too.

The best news yet:

Cause a picture is worth a thousand words, a thousand 2 am checks, a thousand basal rate changes and adjustments and a thousand realizations that for right now, we have a good handle on it all.