My son has been sick with mono and since his #s have been off. I thought we had them (better) under control and then he also got the flu. Since, his #'s have been high (250 2 hours post meal) and then drop/plumets down to 70/80's within 3-4 hours after the meal. We are correcting with anywhere from 25-40 carbs to keep him around 100. Do we have too much Lantus?? HELP!
Actually you don't. He is feeling funny at 80 because he is used to being higher. He needs to get used to being at a number like 80 because it's a perfect number. You actually correct (with carbs) at 90? That's totally unnecessary - you don't want to take insulin you don't need or not enable the process of getting used to normal numbers. My guess is it's you that doesn't feel safe at 80. It takes awhile until you get a bit more relaxed. If you use glucose tablets which are the quickest method to raise a low, he should be fine in 15 minutes to 1/2 hour. If you are using food it takes longer.Relax, mom, you and Kyle are doing great!
We didn't correct at 90 before he was sick because he didn't plumet. We have been correcting since he's had mono because we have been giving so much more insulin at meals (we think the mono has made him a bit insulin resistant - and the fact that he is so tired and not moving around as much). We see the endo. tomorrow morning (finally) & hope she can offer some good advice.
Oh, I see; I didn't realize this is an attempt to deal with the unusual situation. What is he starting at before the meals? If he starts at 90 and ends up back at 90 3-4 hours later the insulin is doing its job, just doing it slowly. I agree with the others who said to bolus a bit sooner so the insulin hits quicker to deal with the carbs and then the tail doesn't hang around to lower him too much. If you increase the I:C by a point or so and take it a bit earlier you may catch the spike without going too low later. As an adult I rarely get sick but it does sound like being sick messes with your D management and I think you're doing the best you can to ride it out.
Mono is no fun under ordinary circumstances; I had it when I was 19 and I still remember feeling pretty ok but then as soon as I tried to do anything I was wiped out. Mine lasted most of a summer. But of course I didn't have D to complicate things. Hang in there!
Mono often hits the liver. So anything the liver normally does such as pouring glucose into the blood stream can be affected. It should straighten out in a few weeks. Not that that's any help to you while you go through this.
He was diagnosed with mono at Thanksgiving, so we've been dealing with this for 6 weeks now. We seem to have his breakfast and lunch #'s a lot more under control and his dinner #'s are a little better (not much). It's just the over night drops. I heard that mono can last up to 10 weeks! YIKES!
Even with Kyle being sick for over a month his A1c was 6.6. YAY!