#1077 Crash Course Road Trip

Insulin Dosing

Managing insulin dosing is a complex task, especially when dealing with the unpredictable nature of blood sugar spikes. Jason shares his experience with adjusting insulin doses for his son, who often experiences spikes after meals, particularly when consuming fast food. He notes, "If we had bolus correctly, he wouldn't have gone this high in the first place" 1. Scott Benner suggests that pre-bolusing longer or adjusting the insulin amount could help manage these spikes more effectively 2.

   

Meal Timing

Meal timing plays a crucial role in managing blood sugar levels, especially with the challenges posed by school lunch schedules. Jason discusses how his son's blood sugar often spikes after lunch, despite pre-bolusing 15 minutes before eating 3. Scott advises that adjusting the timing of the pre-bolus or moving some of the correction insulin into the initial bolus could help 4. He emphasizes, "The goal in my mind is that we don't want Skittles in his pocket" to prevent lows during physical activities 5.

   

Activity Impact

Physical activities significantly impact blood sugar levels, requiring careful management and adjustments. Jason notes that his son's blood sugar levels are affected by both adrenaline during sports and the sedentary nature of long car rides 6. He mentions, "I changed our range... and I reduced ours to 70 to 160" to better manage these fluctuations 7. Scott and Jason discuss the importance of allowing children to gain independence in managing their diabetes, with Jason expressing pride in his son's proactive approach 8.