You know it is time for a change when your wee one's Triceps(the muscle on the backside of your upper arm - which I suspect most readers already know) start to look like a bodybuilders. Okay I am exaggerating ever so slightly, but she has been developing some "Bumps from Her Pump" or if you prefer a more technical term she has some early Lipohypertrophy going on.
What the heck is Lipohypertrophy. It's a fancy way of saying enlarged fatty tissue. The issue with this is; if it's ignored it turns into permanent scar tissue.
The only way to get rid of the swelling or enlargement is to completely avoid using the site. Which is easier said then done, especially in a child where fat real-estate is minimal.
But this is what we needed to do. So off with Mr Wizard, again. On to MDI. Only this time I have done something a bit different. And I do believe I am onto something. And yes I've taken the DOC commenter's advise to heart and I am waiting 3 days to analyse the trends. Thank-you all for the comments! It is really awesome having so much experience to draw on. Mucho helpful!
Back to Rowan.
We have ended up with a Regime of three different insulins:
AM- NPH 7.5 and Novorapid 2
Lunch - Nothing - Which she is pleased with
Dinner - Novorapid - 2.5
Bed - 0.5 of Levemir.
The first week or so was a lot of testing, but last night she went to bed at 6.8 mmol (124) at 3 AM, god it suck to be up at that aweful hour, she was 6.5 mmol (117) and, drum roll please.........
She was 6.9 mmol. Now as all parents and fellow PWD can attest, it's these successes that make you feel good. Like, I have figured out how to keep her sugars well and also heal up her tiny "Bumpy" arms.
This comment from Rowan also makes it worth while
As she was sitting up on the kitchen counter chatting up a storm watching me prepare breakfast this morning she said "Dad, I'm happy my pumps not on cause when I lean over, it sometimes pinches, and you know, its kinda heavy"
I also note some decreased swelling in her Tri's.
What a cutey.
If you're curious about her day readings, they are improved as well. Only draw back is we have to abide by the insulin's schedule. Snack-times, meal times, etc. But it's worth it.