I'm here to report my first impressions of Apidra.
Granted, looking back a few days, I really should NOT have switched to Apidra so soon after starting the pump. I didn't take the time to think about the fact that Apidra may behave differently than Novolog, and therefore, may affect our basal rates...which weren't set in stone and we were still tweaking.
That said...I think I like it.
I'm no expert on insulin, and there is still SO much that I don't know, but I feel like Adam's numbers are more even...the majority of the time, his Dex didn't register above 260 (which right now is our "high" setting) the last few days.
The times we are having a problem with are breakfast and dinner...seems like these are typical times for issues. His post-breakfast BG continues to spike to over 300 (even though it is less with Apidra) so my next step is to try lowering his I:C ratios for breakfast from 1:25 to 1:20. I have been getting good at pre-bolusing at least 5-10 minutes for meals with him (I find it very hard to hold him off any longer in the morning).
Overnight, his numbers have been great with Apidra and throughout the middle of the day. This afternoon, he spiked to 465, but he was grazing like crazy and I suspect he nabbed something without me knowing. But, I bolused him for dinner at 5pm, and just right now at 7:30, he was sitting pretty at 135....so I'm liking the "short tail" on the Apidra. I feel like he settles down into a steady patter quicker than with Novolog.
In other news, we had our first site get pulled out! Of course it was last night, about 5 minutes before I was going to leave for our neighborhood Bunko night. Jason and Adam were wrestling....and, well...it got pulled. But it was all good, because I was going to change his site in the morning anyway. :)
Thanks for posting your impression Stephanie. I am gonna do the push on our Endo in a week. I asked at Joe's last appt and was disappointed when he said that he wasn't comfortable with pumping it. I now have a whole bunch of DOCers that are doing it and liking what they are seeing. I am gonna go for it.
ReplyDeleteWish me luck! AND...how was Bunko?
Yes, I am happy to hear your impressions too. I have been curious about it, keep us posted.
ReplyDeleteReyna...Bunko was great! I've lived in my neighborhood for 11 years....and we've been getting together once a month to play Bunko for that long. I got to have a few glasses of wine, had Jason text me a few BG numbers (can't escape D ever!) and I was happily in bed by 11pm. :)
ReplyDeleteWaiting to finish off our vial of Novolog so we can try out Apidra. I would LOVE to see these spikes level out a bit.
ReplyDeleteAs for basals, you will always be tweaking...this age is so hard cuz they grow so quickly. We have never really had a successful basal test cuz it never fails that we have to correct a high or treat a low. But we do the best we can, and I think we are pretty close.
Anyhow, glad all is going well....Love hearing how Apidra is going.
Guess I need to just go for it on the Apidra! My Endo was fine with it and I forgot last week at our appointment to ask for it! Thanks for the reminder!
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