Eden has been back playing her beloved basketball for one week now after her broken thumb..
Last night she attended a girls only clinic (she plays on a boys team) and was one of the older more experienced girls there.
Coach knows her well and put her through her paces – sometimes making her do many more reps than the other girls. Fine by me – sometimes she needs to be pushed and I am always happy when the coaches recognize that and don’t let her coast.
Something else happened too – he asked her to lead some of the ball handling exercises. And by that I mean stand in the center of a large circle of girls, demonstrate and call out the exercises.
NOT really big deal..
Except for the fact that Eden does NOT like to be the center of attention – all eyes were on her…
What does that mean?
She was nervous – Nerves drive blood sugar numbers UP.
- First blood sugar check – slightly elevated – she got a small correction of insulin
- Second check – even more elevated – not unusual due to adrenaline.
I decided not to give any additional insulin because I was worried she might drop too low with 1 hour left to go
After : 1.5 hours of drills and ball handling and 1 hour of scrimmage play.
that is by far the HIGHEST
she has EVER been after basketball…
nerves and adrenaline
were a not her friend last night…
For those of you who are unaware – a blood sugar range within 80-180 is acceptable.
Eden’s ideal target blood sugar is 110-120 – anything outside of these parameters and we need to adjust her insulin dosages.
She was almost FIVE TIMES higher than she should have been…
Even more difficult –
- Knowing that she NEEDS insulin immediately to bring the blood sugar level down.
- But ALSO knowing that once her body settles down so will her blood sugar levels.
- Being basically bed time – knowing what to do so she doesn’t bottom out and crash in the middle of the night.
By some MIRACLE –
I managed to get the balancing act right last night.
After giving her HALF the insulin usually required to bring her down from such a high blood sugar – I actually also reduced her basal (background insulin infused 24hrs a day via her pump) for most of the overnight hours.
Seems like an oxymoron to GIVE her insulin but also TAKE AWAY insulin but it worked..
A few over night finger prick checks and insulin tweaks later
This is what we saw this morning..