[Split from Pediatric Afrezza:bouncedd twice now] This split discusses how to deal with correcting from very high hormone peaks.
I wish we could. The problem is tow-fold: first, his CF varies from a ridiculous 1:6 (even 1:4 sometimes…) to 1:20. i.e. 1U of correction to 6-20 mg/dl. So, when we are shy about correcting, he may stay at 300+ for 3-4 hours or more, even though we stack quickly. But we can’t stack any faster than every 60-90 minutes, because we can’t see the effect then. The other thing is that, when he is that high (peaks are hardly ever lower than 250 these days), it takes a heck of a long time to come down unless you have a sharp downward slope. So, between the two, we hammer these peaks (and still sometimes don’t give enough).
But, in particular when we underestimate the correction and end up stacking, the tail is incredibly long, truly DIA-long (5.5 hours), and he has taken up to 80 carbs to recover (most of the time, it’s more like 25, though, but often it’s a lot higher. We do take carbs early on, around 120 or so, and keep on taking them every 10 minutes, hand testing in between. Still, we often end low for a while.
I do worry about his weight, btw, although he is quite slim now, but the accumulation of carbs can’t be good