tag:blogger.com,1999:blog-127384516793565787.post2925040035985590081..comments2023-10-28T17:19:55.389-04:00Comments on A Sweet Grace: Insulin sensitivityUnknownnoreply@blogger.comBlogger10125tag:blogger.com,1999:blog-127384516793565787.post-7036561288702136292011-02-03T10:47:00.923-05:002011-02-03T10:47:00.923-05:00John Walsh's charts are great but the correcti...John Walsh's charts are great but the correction factors are WAY off for a lot of children. Maybe even some adults. Calculation I have found that works for me is to use Walsh's correction factor but not use the TDD but the total daily basal. Which can be anywhere from 40 to 60 percent of TDD. So if she has a TDD of 50 and a total daily basal of 25, I use Walsh's calculations but plug in 25 (total basal) as the fake TDD. However, for years, her correction factor was higher. I would rely on endo to trouble-shoot the ISF. Then increase or decrease by ten. And I still go up and down by ten and have endo look it over. When trending high, she needs lower correx factor; when trending low, she needs higher. But it is fairly stable within that range.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-127384516793565787.post-27206924783862704772011-02-03T08:06:13.573-05:002011-02-03T08:06:13.573-05:00Caleb actually needs about twice the insulin at ni...Caleb actually needs about twice the insulin at night for a correction. Twice. And I can't allow myself to be haunted by what he's "supposed' to be. It's nice to have a gauge as a starting point, but the books don't always have the answers (unfortunately).Lorraine of "This is Caleb..."https://www.blogger.com/profile/09315834486942916744noreply@blogger.comtag:blogger.com,1999:blog-127384516793565787.post-35270645728514209742011-02-02T20:50:31.236-05:002011-02-02T20:50:31.236-05:00J and G are going through the same thing. Js is 1:...J and G are going through the same thing. Js is 1:80 but at night any correction crashes him. Ive started with basals and dinner ic for now...<br /><br />Anyway youre simply fantastic how you figure it all out!Alexis Nicolehttps://www.blogger.com/profile/06671634676455946839noreply@blogger.comtag:blogger.com,1999:blog-127384516793565787.post-37960674971021080522011-02-02T19:15:46.466-05:002011-02-02T19:15:46.466-05:00We aren't even there yet...I'm confused ju...We aren't even there yet...I'm confused just reading this post. One month into Parker's diagnosis, they keep us on a tight leash and only give us tiny bits of information at a time....I'm sure because it would blow our minds. He is honeymooning so bad right now that he doesn't get the long acting insulin or meal dose at all anymore in the morning. Poor guy thinks he has permanently switched to two shots a day instead of four and doesn't realize this honeymoon phase is temporary. Did your daughter go through a long honeymoon phase?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-127384516793565787.post-29925901046913920722011-02-02T16:26:54.810-05:002011-02-02T16:26:54.810-05:00Hey there! found you on Hallie's page!! : ) ...Hey there! found you on Hallie's page!! : ) just my tiny two cents...we have more than 2 ratios per day. My daughter's mornings (6-9am is the highest ratio, followed by 9-midnight). She's 8, so maybe her ratios are similar? Her correction ratios are:<br />12am-6am 1:165<br />6am-9am 1:110<br />9am-9pm 1:230<br />9pm-12am 1:118<br />We are far from perfect (haha!!), but I don't get too scared to correct at night anymore. I have noticed if she even loses two pounds from a virus or swimming in the summer, I have to drop her basal by at least 10%! Can you drop her basal by % on your pump? It lets you control smaller numbers than dropping by .05/hour. : ). I've never had anything but Medtronic, so I'm unfamiliar with other pumps. : (Hollyhttps://www.blogger.com/profile/13864147601205439993noreply@blogger.comtag:blogger.com,1999:blog-127384516793565787.post-33312240240905359822011-02-02T15:58:59.079-05:002011-02-02T15:58:59.079-05:00I heart your wicked pancreatic, insulin dose, corr...I heart your wicked pancreatic, insulin dose, correction calculating, carb ratio tweaking, chart studing self!!! Penny you are a ROCK STAR at this stuff. And, yeah, unfortunately this people's, our children's, blood sugars decide to fluctuate against all scientific data and research. THE NERVE!<br /><br />Great post. VERY interesting, as always.Anonymoushttps://www.blogger.com/profile/00895126112651188056noreply@blogger.comtag:blogger.com,1999:blog-127384516793565787.post-81029232577798884322011-02-02T13:53:06.605-05:002011-02-02T13:53:06.605-05:00I'm betting Elise wouldn't even be on that...I'm betting Elise wouldn't even be on that chart! Her correction differs depending on which way the wind is blowing. Right now we can only use diluted to correct Elise, and 1 unit brings her down about 100, which if it were full strength would be 1:500.<br /><br />We can't even correct at night unless she's at 400 or else she'll bottom out.<br /><br />Sigh.Joannehttps://www.blogger.com/profile/15030783893373288244noreply@blogger.comtag:blogger.com,1999:blog-127384516793565787.post-4308440627937022222011-02-02T11:30:39.842-05:002011-02-02T11:30:39.842-05:00Oh that is right...she isn't a sheet of paper!...Oh that is right...she isn't a sheet of paper! She is a human being! Keep up the good work!Merihttps://www.blogger.com/profile/09752883120541646427noreply@blogger.comtag:blogger.com,1999:blog-127384516793565787.post-70227482276804419262011-02-02T11:00:34.736-05:002011-02-02T11:00:34.736-05:00Our endo has this thing... it secretly drives me n...Our endo has this thing... it secretly drives me nuts but I often find myself thinking it.<br /><br />Whenever I am in his office and complaining that the numbers aren't computing or just dont make sense... he will look at me over his little glasses and say, "Well, ya know - Diabetes likes to play with you like that."<br /><br />And thats it - that's all he has to say. LOL<br /><br />But it's SO TRUE!!!!!Donnahttps://www.blogger.com/profile/07096733957672343933noreply@blogger.comtag:blogger.com,1999:blog-127384516793565787.post-6470362156942388532011-02-02T11:00:13.352-05:002011-02-02T11:00:13.352-05:00I SO feel your pain on this. We struggle with ISF...I SO feel your pain on this. We struggle with ISF all the time. Sweets isn't even on that chart... And any correction AT ALL overnight starts her dropping and she doesn't stop. Her current ISF at night 1:500. Yes. 500. And she still often goes low. WTHeck? Until this week....when it's not enough. *sigh* If only it was a = b = c! Good luck, my friend!Hallie Addingtonhttps://www.blogger.com/profile/11331775099035220917noreply@blogger.com