Aaron, my husband had a thought. If Hannah has one high number where she's either been mis-dosed, or for whatever reason she just has too much sugar in her blood, and we just continue on with the current insulin ratios we are using, what is ever going to actually get rid of that excess sugar. I mean, when we were in the hospital, and they'd come in during the night, they would give her extra insulin just because she had a high reading. No food, just insulin because she had a high number. Granted, she still had ketones in her urine, but I think the idea was still the same.
So, anyway, we decided to use the sliding scale we had been given and give her an extra dosage of insulin based on whatever her BG number was just prior to eating her meal.
If her blood sugar was 151-200 (and so on down the scale in increments, we were to give her an extra 0.5 units of her fast acting Humalog before she ate her dinner.
Sure enough, come next mealtime, she was high again. So we decided to use the sliding scale. That time, we had to give her an extra 1.5 units of Humalog. Seemed like a lot. But, it did the trick. Her next readings were great. In fact, her readings since then, (dinner time on Friday) all of her numbers have been great. We even had Easter dinner with a huge number of carbs to account for.
It's just a theory, but hey, in this world of Type One Diabetes, we are called upon to be mathematicians, investigators, therapists, counselors, and yes, even theorists.
