Changes needed after seeing graphs
O.K. It has been an interesting couple of weeks. Our Medtronic Rep came out to do our first home sensor change. Tommy inserted the sensor into the fatty spot on his back above his hip. That was a huge accomplishment for him. He does not like to move away from his stomach. We decided to put a piece of IV 3000 UNDER the transmitter because Tommy's skin really reacted to the tape from the transmitter. It got really red and bumpy. I tried hard not to ask Tommy to see his numbers when I was simply curious. I behaved. We both made more of an attempt to enter the insulin events and the food events into the Guardian, but there is still room for improvement. And we figured out how to keep it on for longer, so we elimated some of the breaks in the lines of the graphs.
I have been careful not to jump to any conclusions about whether I like the Guardian or not because I have been warned that it takes time to adjust, just like with the pump. We also don't know how often he is going to wear it. However, I just analyzed Tommy's second three day period and I learned a ton about how Tommy's body really works, (for now.) I love this thing. (Tommy has not fallen in love with it yet. I'll keep you posted.)
After carefully studying his graphs, I now know that he is not getting enough insulin around 10:00 pm because he starts to go high at 12:00 am every day. My husband and I typically test Tommy at 1:30 a.m. and 4:45 a.m. Our pokes were missing the highest part of the peak at around 2:30 am. So, when Tommy does not have the Guardian on, we might change the time of our nighttime checks. I bumped up Tommy's basals from 10:00 pm - 2:30 a.m.
We also have to do a better job of giving the insulin a few minutes BEFORE meals with Tommy. The graphs showed a few peaks past 300 after breakfast and supper which I never caught because he finger sticks usually 2 1/2 hours after eating.
After seeing the data, I have set up a weekend pattern with his basal insulins. It is pretty apparent that his needs change when he sleeps in and moves around more during the day.
One of our future strategies with the Guardian might be to wear it one weekend a month and one weekday shift per month. That way I can make some monthly adjustments. I'm not sure yet how often Tommy will wear it. (If it were up to me, it would be 24/7.)