It had been well over a year that I had been inquiring of Caleb’s endo about Apidra®. I consistently got two responses: (1) it’s the same as the other fast acting insulins and (2) there’s nothing wrong with Caleb’s management, so don’t mess with it.
I wasn’t convinced about point one, but I did accept point two. Change plus diabetes often equates to hell on earth and I wasn’t too interested in inviting that in. I wasn’t trying to change Caleb’s numbers, so buying into “if it ain’t broke don’t fix it” seemed reasonable.
But the problem is, it is broken.
His pancreas is broken and achieving acceptable blood sugars with a broken pancreas is a lot of work and I’ll take all the help I can get.
My gut told me Apidra® would help Caleb and after talking to a number of users, I firmly dug my heels in and instead of asking for an opinion, I simply asked for a sample.
Our Apidra® journey started a couple of months ago and so far I am enjoying the ride.
My sole reason for wanting Apidra® was to minimize the tail of insulin duration. If I could minimize tail-chasing, I would be more than satisfied.
I cannot point to statistical specifics about how things have changed. I just feel like it’s better. The changes have been subtle. But subtly better.
This is what I can tell you with certainty:
- Caleb’s school nurse thinks it’s fantastic. She, more than me, sees a marked change in Caleb’s numbers.
- I don’t talk to Caleb’s school nurse much anymore. Caleb’s plan dictates that she call me with anything under 70 or over 200. We’ve gone more than two weeks without a call regarding blood sugars. TWO ENTIRE WEEKS! If we previously had gone two days without talking, I considered that a great success.
- Caleb has fewer lows and I don’t find myself tail-chasing quite so much.
But this is what sealed the deal for me. We recently went to NYC to see Wintuk and went out to eat afterward. I totally guessed at his carbs. My guess was 140 in total.
One hundred and forty carbs. All at once.
Caleb’s meals are typically fifty to eighty carbs. One hundred and forty is almost certain to be a very bumpy ride at best. Consistency works with diabetes and doubling a meal bolus usually does not.
This is how it went:
His blood sugar pre-meal was a nifty 105, it did not exceed 158 and there was no tail to chase afterward – he ended at a flat 109. There was no big spike from the enormous amount of carbs he took in and no plummeting low afterward from a huge tail of insulin from a huge bolus.
Caleb has indulged similarly on other occasions and it was never this straight-forward. Perhaps the planets were aligned this night and they will never be again. But my gut tells me that Apidra® is helping with Caleb’s D management.
I will leave you with this little tidbit: