Weakness...

[chasemylove]

My son has a 341 BG and no ketones but is very weak, I am watching him carefully and giving him plenty of water. It has been just 3 hours since his last humalog shot, and he gets 1 unit lantus at 7pm (now 9:40). He is really WEAK, when this occurs should more humalog (as in correction) be given? It's bedtime and I don't want him to drop low.

[Zoelula]

Good, I'm glad his blood sugar is coming down. I'm wondering a couple things. Do you use an Insulin:carb ratio to determine his Humalog doses? And do you see an endo rather than just a PCP. I am rather surprised by your doctor giving you a wake up target of 150. That is very high. Most of the adult Type 1's I know want their wakeup under 120 and preferably under 100. I know children are a little different but any sustained time spent over 140 is when complications can develop. If you want, e-mail me and I will give you the name of a website with a lot more experienced diabetics including parents so you can get some support. Most of us learn we end up managing our own doses and learn as much or more from each other than from our doctors.
Zoe

[chasemylove]

His doctor just switched his Lantus dose from 5 units in the morning to 4 units in the morning and 1 around dinner time. He had no ketones at all, I ended up giving him plenty of water and a correction, I had him stay up for 45 minutes after correction and tested him again he was at 299 and ended up waking up at 157 (his target is 150). September will mark 2 years since his diagnoses, and we seem still to be adjusting and figuring out his doses, it's really frustrating! His A1C at his last appt was 9.4! We are desperately trying to lower that and get a handle on good dosage.

[Zoelula]

I tend to be very cautious about corrections at bedtime, though it seems this was posted several hours ago. I don't understand 1 unit of Lantus; is that his entire Lantus dose? That is absurdly low!

At any rate, his numbers are extremely high and even though you are checking for ketones, I would be quite concerned if you have been trying and can't get them down. I would contact his doctor immediately.