So here it goes.
I am not as smart, or savvy as Reyna on the bloggin' front, so if you wanna get all the Do's, Don'ts and Dr. warnings click here, for all that good schtuff.
Now, back in December at our endo appointment I asked about Apidra. I had heard about it from Laura and Lorraine. Both raved about it, and if there's anyone I trust its my Dmamas.
But his A1C was holding steady at 6.9 (since pumping, we used Novalog), so was there really more improvement needed? Well, if you know me you know the answer
So I told the endo we wanted it. Her being the fabulous endo she is grabbed me 4 vials. Enough to last until our next appointment. And we were off!
I see more stability in overnight numbers.
I see NO post prandial spikes for lunch and dinner, and we bolus at start of meal.
I see tiny post prandial spikes for breakfast if any, after much trial and error. Combo bolus, Super bolus, Super basal didn't work for us. A simple 20 min pre bolus was all we needed! Apidra works FAST so if you do pre-bolus, make sure food is ready, and you're not under 100. I found if you are, you may crash fast. Just MY thoughts, I aint no Dr. remember?
I see less lows.
Highs come down faster.
IOB is spot on!
I LOVE APIDRA. I used to always test Justice 2 hours post prandial, and very often an hour after eating just to see what was going on. I was amazing at the 200s that would come from a simple meal, even if he started at 98! But with Apidra he will start the meal at 98, hit 130, maybe 140, and come right back down! More often than not he will STAY at that 98! OR whatever his starting bg is.
So we switched, and have never looked back.
It just so happens we started Dexcom 4 weeks after Apidra, so I was able to capture the proof, to back up my love for this insulin.
|Breakfast and Snack time|
|Overnight. Sleep 140-150 all night|
|Pay no attention to post recess low. That "spike" is waffles!|
|Lost reception when he left room but that was 100-->, while sleeping.|
Well last week we went back to the Endo. I was excited, I knew numbers were WAY better, and I know a a lot of that was because of Apidra (Although Dex allows me to run him tighter and not worry AS much)
The endo came in. Smiled and said "6.5, I hope its not because of constant lows!". Of course J has lows. He is 8, and wild. I cant always plan when he will bounce off the walls, with a temp basal or snack, BUT I knew Apidra had helped us knock those post prandials down, and THAT was HUGE! I feel it made a huge impact on his A1C and general "control".
So here at Misbehaving' we love us some Apidra and I think when you have a CGM to support it:
Its fucking amazing!!
Disclaimer: I am not a nurse. Not a Dr. Not a CDE. I am a mom, a wanna be pancreas, and a blogger. Get it? Also while I say Apidra IS amazing, it AIN'T a CURE!? Get it? Good.