FEBRUARY 2025 - 3 Years Old child, Type1 Diabetes, Insulin Hypoglycemia, Intermittent, Bloating 1 Month

PATIENT DATA LOG OF FEBRUARY - 2025

01/02/25

Patient Advocate: 01.02.25

7.45am fasting blood sugar 192

7.45am nuts 

8.00am milk

9.45am 5.5u lispro insulin 

9.50am rice with pulses, brinjal, tomato, beans, bitter gourd, cauliflower, carrot, beetroot, spinach, cabbage, papad and salad

PaJR PHR Moderator: 👍

Patient Advocate: 12.00noon grapes

2.00pm blood sugar 64

2.00pm 2.5u lispro insulin 

2.05pm lunch with same previous dish 

7.00pm maggie 

9.00pm 5u lispro insulin 

9.30pm blood sugar 137

9.30pm 0.5u lispro insulin 

9.35pm dinner with as same as lunch dish except papad and include pakoda

02/02/25

Patient Advocate: 2.02.25

7.45am fasting blood sugar 63

7.45am nuts 

8.00am milk 

9.45am 3.5u lispro insulin 

9.50am rice with pulses, brinjal, tomato, beans, bitter gourd, chayote, spinach, brocolli, cauliflower, beetroot and salad 

12.00noon blood sugar 216

1.30pm 3.5u lispro insulin 

1.35pm lunch with same previous dish and fish

PaJR PHR Moderator: 👆 with the hyperglycemic phase ending in Friday, @Participant 20 @Narmeen Shah , the patient appears to have entered a normo to hypoglycemic phase since yesterday!

Participant 20: We should publish this widely.

PaJR PHR Moderator: Share the published link widely

Participant 20: Will need to present this in an easily digestible manner.

Patient Advocate: 6.30pm oats 

7.00pm chocos 1/3 packet 

9.15pm 5u lantus insulin 

9.35pm blood sugar 165

9.35pm 1u lispro insulin 

9.40pm dinner with as same as lunch dish

03/02/25

Patient Advocate: 03.02.25

7.45am fasting blood sugar 53

7.45am milk with 2/3 packet of chocos

8.15am nuts 

9.45am mixed fruits and 1/4 of sandesh (prasad)

1.15pm blood sugar 365

1.15pm 6u lispro insulin 

1.20pm khichudi, brinjal fry one pc, cabbage (ghonto)

PaJR PHR Moderator: Time to reduce lantus to 4U tonight

04/02/25

Patient Advocate: 6.45pm oats 

9.15pm 5u lantus 

9.30pm blood sugar 211

9.30pm 1u lispro insulin 

9.35pm dinner with rice, brinjal, cabbage, geen peas, butter , 1/2 pc pakoda (mashroom) and salad

এটা পরে দেখেছি স্যার

PaJR PHR Moderator: Fasting sugars today?

Patient Advocate: 7.45am fasting blood sugar 228

7.45am nuts 

8.00am milk 

9.45am 5.5u lispro insulin 

9.50am rice with pulses, brinjal, tomato, beans, bitter gourd, chayote, green peas, carrot, cauliflower, cabbage, egg and salad

11.45am orange 

1.30pm blood sugar 130

1.30pm 1u lispro insulin 

1.35pm rice with pulses, brinjal, spinach, carrot, cauliflower, fish and salad 

6.00pm 1/4 of samosha (  except potato)

6.45pm banana 2pcs

9.15pm 5u lantus insulin 

9.45pm blood sugar 397

9.45pm 3.5u lispro insulin 

9.50pm dinner with as same as morning dish

05/02/25

Patient Advocate: 5./02/25

7.45am fasting blood sugar 249

7.45am nuts 

8.00am milk

06/02/25

Patient Advocate: 9.45am 2pcs chocolate biscuit 

10.45am 6u lispro insulin 

10.50am rice with pulses brinjal, tomato, pumpkin, carrot, cauliflower, cabbage, beetroot, beans, chayote, green peas, butter and salad  

11.30am lays 1/2 of small packet 

12.00noon pomegranate 

1.45.pm blood sugar 316

1.45pm 5.5u lispro insulin 

1.50pm lunch with same previous dish except butter and include fish 

4.00pm blood suger 

182

7.00pm oata

9.15pm 5u lantus insulin 

9.45pm blood sugar 259

9.50pm dinner with as same as lunch dish

PaJR PHR Moderator: What drove the point of hypoglycemia to a sharp and sustained rise of hyperglycemia inspite of other parameters perhaps remaining constant? Off coupon one of the issues here is that we don't know if those parameters were actually constant

Patient Advocate: 6.02.25

7.45am fasting blood sugar 169

7.45am nuts 

8.00am milk 

9.45am two pcs chocolate biscuit

10.45am 5.5u lispro insulin 

10.50pm rice with pulses, cauliflower, carrot, beans, tomato, chayote, beetroot, carrot, cabbage, egg and salad 

12.00noon grapes 

1.45pm blood sugar 285

1.45pm 5.5u lispro insulin 

1.50pm lunch with same previous dish except egg and include fish 

6.45pm oats 

9.15pm 5u lantus insulin 

9.45pm blood sugar 212

9.45pm 1u lispro insulin 

9.50pm dinner with as same as lunch dish

07/02/25

Patient Advocate: 7.02.25

7.45am fasting blood sugar 205

7.45am nuts 

8.00am milk 

9.30am chocolate biscuit 2pcs 

10.45am 6u lispro insulin 

10.50am rice with pulses, brinjal, tomato, beans, cabbage, carrot, brocolli, beetroot, chayote, bitter gourd, butter and salad

12.15pm  grapes 

1.45pm blood sugar 319

1.45pm 6u lispro insulin 

1.50pm lunch with same previous dish except butter and include egg 

6.45pm oats

স্যার এখন lantus না lispro বাড়ানো যায় ?

PaJR PHR Moderator: Lantus barano ta depend kore fasting sugar er upor

Aajke 205 chilo gotokaler 5 lantus er por tai sabdhane 5.5 kora jete pare 

Lispro ta aager diner two hour post meal sugar er upor dependent kore jodi aager dino motamuti aeki khabar calorie theke thake. Aeki calorie rakha oi jonyei subidhe. Jodi aager diner shei shomoikar sugar value na thake kimba calorie consumption aager diner tulonai khub bhinno hoi tahole shei aandaje lispro ta adjust korar kotha

Participant 20: Possibly this child will need switching to Humalog Mix 75. 3 injections and enough long acting.

 Lantus is far too hypoglycemic for this child?

Or even Humalog Mix 50

Patient Advocate: 9.15pm 5u lantus insulin 

9.45pm blood sugar 103

No lispro at night 

9.45pm dinner with as same as lunch dish

08/02/25

PaJR PHR Moderator: Also influenced by our learning from the other PaJR type 1 diabetes patient

Patient Advocate: 8.02.25

7.45am fasting blood sugar 196

7.45am nuts 

8.00am milk with 1/2 aata roti

9.45am 6u lispro insulin 

9.50am rice with pulses, cauliflower, carrot, beans, tomato, chayote, kidney beans, brocolli, beetroot, egg and salad 

12.00noon mixed fruit 

1.40pm blood sugar 409

1.40pm 6.5u lispro insulin 

1.45pm lunch with same previous dish except egg, chutney ( tomato and jujube except sugar)

PaJR PHR Moderator: Would be nice to see the picture of the food plates

Patient Advocate: 4.05pm blood sugar 212

7.00pm oats

9.15pm 5u lispro insulin 

9.45pm blood sugar 158

9.45pm 1u lispro insulin 

9.50pm dinner with as same as lunch dish

09/02/25

Patient Advocate: 9.02.25

7.45am fasting blood sugar 195

7.45am nuts 

8.00am milk

Nuts

Patient Advocate: 9.45am 6u lispro insulin 

9.50am rice with pulses, brinjal, tomato, beans, kidney beans, brocolli, carrot, beatroot, cauliflower, chayote, pakoda (onion), and salad

PaJR PHR Moderator: 👍

Patient Advocate: 12.00noon blood sugar 243

12.00noon pomegranate 

1.45pm 4.5u lispro insulin 

1.50pm lunch with same previous dish except pakoda and include egg

PaJR PHR Moderator: What is the liquid being used to mix the powdered nuts?

Does she enjoy the nuts in this way?

What nuts are these?

Patient Advocate: No powder, it is whole nuts . Patient does not chwe the whole nuts so its make pest in mixture.

PaJR PHR Moderator: You mean the liquid in the paste is coming out from the nuts themselves?

What nuts are these?

Does she enjoy eating the nuts in this paste form or thinks it to be more of a medicine?

Patient Advocate: Cashew, piasta, wallnut, almond and chickpea

7.00pm oats 

9.15pm 5u lantus insulin 

9.45pm blood sugar 145

9.45pm 1u lispro insulin 

9.50pm  dinner with as same as lunch dish

10/02/25

Patient Advocate: 10.02.25

7.45am fasting blood sugar 174

7.45am milk 

9.45am chocolate biscuit 2pcs 

10.45am 5.5u lispro insulin 

10.50am rice with pulses, brinjal, tomato, beans, bitter gourd, pumpkin, carrot, cauliflower, beetroot, egg and salad 

12.00noob pomegranate 

1.30pm blood sugar 205

1.30pm 4.5u lispro insulin 

1.35pm lunch with same previous dish except egg

6.45pm oats 

9.15pm 5u lispro insulin 

9.45pm blood sugar 67

No lispro at night 

9.50pm dinner with as same as lunch dish

11/02/25

Patient Advocate: 11.02.25

7.45am fasting blood sugar 243

7.45am nuts 

8.00am milk 

9.45am chocolate biscuit 2pcs 

10.45am 6.5u lispro insulin 

10.50am rice with pulses, brinjal, tomato, beans, bitter gourd, chayote, carrot, beetroot, brocolli, egg 1/2 and salad

PaJR PHR Moderator: You mean no lantus at night?

Why the sudden jump in her lispro from 1U day before yesterday to 5U yesterday? Or was it 5U lispro or lantus taken at 9:15PM?

Patient Advocate: No lispro, lantus was   given 5u

PaJR PHR Moderator: Alright

Patient Advocate: 12.00noon pomegranate 

1.45pm blood sugar 157

1.45pm 3.5u lispro insulin 

1.50pm lunch with same previous dish

4.10pm blood sugar after lunch 112

12/02/25

Patient Advocate: 7.00pm oats 

9.15pm 5u lantus insulin 

9.45pm blood sugar 144

9.45pm 0.5u lispro insulin 

9.50pm dinner with as same as lunch dish 

10.20pm 7-8 drops of iron syrup

Patient Advocate: 12.02.25

7.45am fasting blood sugar 220

7.45am nuts 

8.00am milk

9.45am chocolate biscuit 2pcs 

10.45am 6.5u lispro insulin

10.50am rice with pulses, brinjal, spinach, carrot, cauliflower, beans , kidney beans, brocolli, beetroot, egg and salad 

12.15pm orange 

12.50pm blood sugar 291

1.30pm 5.5u lispro insulin 

1.35pm lunch with same previous dish except egg and include fish

Participant: Hi. I'm going to bhopal in March. I remember we were discussing about a pt in bhopal who would have helped with personalised medical approach.

Is this the same Pt?

PaJR PHR Moderator: No will tag you there

Patient Advocate: 6.30pm banana 

9.15pm 5u lantus insulin 

9.45pm blood sugar 146

9.45pm 1u lispro insulin 

9.50pm dinner with as same as lunch dish

13/02/25

Patient Advocate: 13.02.25

7.45am fasting blood sugar 191

7.45am nuts 

8.00am milk 

9.45am 6u lispro insulin 

9.50am rice with pulses, cauliflower, tomato, brocolli, spinach, carrot, chayote, beetroot, beans,  egg and salad

12.00noon normal sandesh 

1.00pm egg (omlette)

1.30pm blood sugar 98

1.30pm 2.5u lispro insulin 

1.35pm lunch with same previous dish except egg and include fish

[11:33 pm, 13/02/2025] Patient Advocate: 7.00pm oats 

9.15pm 5u lantus insulin 

9.30pm blood sugar 300

9.30pm 3.5u lispro insulin 

9.35pm dinner with as same as lunch dish

14/02/25

Patient Advocate: 14.02.25

7.45am fasting blood sugar 75

7.45am milk, aata roti and banana 

9.45am 4.5u lispro insulin 

9.50am rice with pulses brinjal tomato beans beetroot, carrot, cauliflower, spinach brocolli egg and salad 

12.00noon orange

15/02/25

Patient Advocate: 15.02.25

7.45am fasting blood sugar 220

7.45am milk 

9.45am 5.5u lispro insulin 

9.50am rice with pulses, brinjal, tomato, beans, chayote, cauliflower, carrot, beetroot, brocolli, spinach, egg and salad 

12.00noon orange 

1.45pm blood sugar 245

1.45pm 4.5u lispro insulin 

1.50pm lunch with same previous dish except egg

PaJR PHR Moderator: 👆 Yesterday's lantus?

Patient Advocate: 9.20pm 5u lantus insulin

6.30pm banana 

9.15pm 5u lantus insulin 

9.45pm blood sugar 231

9.45pm 2u lispro insulin 

9.50pm dinner with as same as lunch dish and papad

16/02/25

PaJR PHR Moderator: Yesterday's total lispro was:

5.5U+4.5U+2U?

Patient Advocate: Yes

17/02/25

Patient Advocate: 16.2.25

7.45am fasting blood sugar 123

7.45am milk

9.45am 4.5u lispro insulin 

9.50am rice with pulses, cauliflower, carrot, spinach, cabbage, beetroot, beans, egg and salad 

12.00noon orange 

1.45pm blood sugar 237

1.45pm 4.5u lispro insulin 

1.50pm lunch with same previous dish except egg 

4.00pm blood sugar 72

6.30pm banana 

9.15pm 5u lantus insulin 

9.45pm mutton one pc, chips 3-4pcs,

10.30pm blood sugar 229

10.30pm 2u lispro insulin 

10.35pm dinner with as same as lunch dish and include egg

PaJR PHR Moderator: Pre lunch insulin and food same except egg and yet the difference is between 237 and 72 but we also need to take into account that the post meal time after which these were tested is different

Patient Advocate: There was pre dinner mutton and  chips in marriage reception party

18/02/25

Patient Advocate: 17.02.25

7.45am fasting blood sugar 238

7.45am milk 

9.45am 5.5u lispro insulin 

9.50am rice with pulses, cauliflower, carrot, tomato, beans, chayote, beetroot, brocolli, egg and salad।

12.00noon orange 

1.30pm blood sugar 60

1.35pm 2.5u lispro insulin 

1.40pm lunch with same previous dish except egg and include paneer 

6.30pm banana 

9.15pm 5u lantus 

9.45pm blood sugar 185

9.45pm 2.5u lispro insulin 

9.50pm dinner with as same as lunch dish

19/02/25

Patient Advocate: 18.02.25

7.45am fasting blood sugar 124

7.45am milk 

9.45am 4.5u lispro insulin 

9.50am rice with pulses, cauliflower, carrot spinach, cabbage, beetroot brocolli egg and salad 

12.00noon orange 

1.30pm blood sugar 272

1.30pm 5u lispro insulin 

1.50pm lunch with same previous dish except egg 

6.30pm oats 

9.15pm 5u lantus insulin 

9.45pm  blood suger 197

9.50pm 1.5u lispro insulin 

9.55pm dinner with as same as lunch dish and include egg

Patient Advocate: 19.02.25

7.45am fasting blood sugar 171

7.45am milk

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