Nighttime Waking and Basal Rates

Kelsey Bonilla Health Guide
  • Luckily, Sienna is a phenomenal sleeper. Lately, she's been sleeping 11-12 hours straight through the night! After a couple bouts of teething, we've been enjoying a wonderful string of good night's sleep. Last night, however, we fed Sienna something new with dinner. She had a few pieces of roasted zucchini. Apparently, the zucchini (in addition to several green beans she'd eaten early in the day) upset her stomach. She woke up a couple times and cried like she was actually in pain! Since she's not much of a crier, I knew she really wasn't feeling well.


    When she woke up at 11:00 pm, I had just drifted off to sleep. I woke up quickly and disconnected my pump before dashing into her room. Here's my dilemma with the pump... several of my cozy pajama pants don't have pockets. When I'm wearing them around the house, I'll usually stick my pump in the band of my underwear! This works fine when I'm sitting around and relaxing. When Sienna wakes up and needs some extra rocking and comfort, it's really annoying to have the pump haphazardly set in my waistband. I've had it fall and dangle from the infusion site while I try to cradle Sienna with one arm (without waking her!) and gather up the pump with the other hand.

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    Often, it's just easier to disconnect from the pump altogether. However, I never know how long I'm going to be in Sienna room when she wakes at night. Last night, for example, it took me over an hour to calm her down, give her some baby Tylenol, and rock her back to sleep. After about 40 minutes it occurred to me that I was still disconnected from the pump. Since my blood sugar just before bed was 115 mg/dl, I figured there wasn't any immediate harm in staying disconnected for awhile.


    Once Sienna was sound asleep and back in her crib, I tested my blood. After an hour or so without any basal insulin, my blood sugar was 170 mg/dl. Quite a sharp increase!

    Obviously I need to do some rethinking about my pump use during Sienna's middle-of-the-night waking episodes. I have some running-type shorts with pockets, which worked well during the summer. But, it's too cold for those now. I'm going to have to hunt for some warm pajama pants with pockets, I guess.


    Speaking of Sienna and my insulin pump, I've been meaning to report that she is absolutely fascinated with the pump! She loves to hold it and try to bite the tubing! On several occasions, I've used it to encourage her to try crawling. She's so close, but just won't move her hands! She gets herself into a push-up position, and then doesn't quite get how the knees are supposed to go forward... it's pretty cute. So, I'll pull out my pump and lay it on the floor so it drags away from her as I demonstrate how to crawl. It's gotten her to move a bit, but then she usually falls forward and gets frustrated. Poor kid.

    I keep thinking it would be cool if my insulin pump helps her learn to crawl. In so many ways that little device is responsible for her livelihood. She has no idea that this interesting little gadget is so important to my health and hers. It's just cool, much like our cell phones and the remote control!


Published On: November 04, 2008