Karl's been coming home from school with blood-sugar levels higher than we'd like, and we were mystified. What could explain it?
It turned out that, during the period when we were considered changing Karl's carb ratio from 20 to 25, because of occasional morning lows, we'd actually told the school nurse that this was a definite change! So he was getting 3 units of insulin at lunch, when the right dose was 3.5, and that explains his after-school numbers.
Or so we think. A few more days will tell, but we think that's it because his weekend numbers (where we still use 20 carbs per unit) have been better.
So, when in doubt, go back over the basics with everyone involved.
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