Thursday, July 1, 2010

A Bad Case of the Nerves

Okay - I'm in a quandry. Today was Grace's first swim meet. And just like last year, her nervousness makes her blood sugar spike. Like, ALL MORNING!

She woke fine, at 113, but went up from there: 200, 283, 28o, 290. I'm correcting, but it seems like all the extra adrenaline from the morning prevents the insulin from working. Then, predictably, she crashed at 65 this afternoon.

I'm not sure what to do. Do I bolus aggressively for breakfast assuming the high will come? But what if it doesn't, and I'm left force-feeding her on race day? Should I raise her basal rate when I see her numbers trending up? All you experienced D-moms out there... I need your help! How do I combat the nervous spike?


  1. Oh dear, you have me on this one Pam. Honest I don't know. I have thoughts about you creating a 'swim basal' program in the pump though, to account for these spikes, so you can just go to that basal program on swim meet days. I would tend to raise her basal rates as soon as I see a 200 looming, maybe a temp basal rate for 2 to 3 hours, at like +30 or +40% of her current basal rate? I do that when Grace runs high and it really works like a charm for her to bring her down.
    I know others will have thoughts, I will be interested in what they have to say about it.

  2. I would make sure it happens again on the next meet day...if it does, maybe up her basals a small percentage, maybe 20%? It's worth a shot. It seems as though you are checking her frequently enough that you will catch a low if it rears its ugly head. Good luck!

  3. Okay honestly I am at a loss here as well . I do think you check her enough as well to see if a low is on its way . Good luck dear I know this whole d thing is hard .