This is Grace's 'handle' on a game app she plays. Insulin Addict.
I laughed, cause she is.
And oh, this addict uses A LOT of insulin throughout her day. She's up to about 50 units per day. She's maxed out the 150 units that I use to fill her OmniPod pod, so now I up it to about 175 units for three days.
It is what it is.
It's puberty, that is.
12 going on the preteen years.
Growth spurts, hormones, growth spurts, hormones and did I mention, the GROWTH spurts?!
Like, growing 2 inches this past year and on track to bust another inch in the next six months.
All that growing requires a lot of insulin. Both in basal and in bolus amounts.
Carb ratios that have gone from a breakfast of 1:15 to currently 1:8. Lunches are now 1:10 and dinners have just been reduced to 1:12.
It's the basal rates that make me shake as I enter them. I repeat the phrase 'She needs what she needs, these are only numbers' again and again in my head, but secretly, there is a little voice that whispers, My God, woman, that's a HECK of a lot of insulin per hour.'
I try not to listen to that little voice.
I enter new basal rates. Large ones for such a little girl.
And I know it's what she needs. And it's just a number.
Here's our current basal rates:
12a - 3a 1.35 U/hr
3a - 6a .85 U/hr
6a - 6p .90 U/hr
6p - 8p 1.00 U/hr
8p - 10p 1.05 U/hr
10p - 12a 1.20 U/hr
Does 12a - 3a freak you out? Well it does me.
And I still think it could be tweaked to 1.40 U/hr or even, GASP, 1.45 U/hr.