The morning thus far:

7:00 AM: First BG of the morning was sky high (328). Checked for ketones, those too were sky high (4.5). Looked at pump site, found cannula full of blood (must've been a restless night). Brand new site, less than 12 hours old, clearly was toast. Pasted a blop of lido/prilo cream on the next available site location, dosed Eric with a whopping 7.5 units of insulin to account for high BG, high ketones, and anticipated 65-g breakfast, and called before-school provider to tell her we wouldn't be coming.

7:20 AM: Fed Eric breakfast. Noted slightly flushed face, repeated sniffling and coughing, glassy eyes. Began considering keeping child home.

7:35 AM: Eric coughed to the point of vomiting up his entire breakfast on the front hall floor, but as I was in the bathroom at the time, I was unaware of this until Eric's father walked into hallway and noted presence of vomit (which I graciously allowed him to clean up). Allowed myself 5 minutes in which to eat my own breakfast and 5 minutes in which to consider my various options (aka, try not to panic). I mean... 7.5 units of insulin, and no CHO to offset. [Insert expletive here.]

7:45 AM: Cautiously plied Eric with two glasses of orange juice, roughly equivalent in carbohydrate count to the breakfast he'd just lost. It stayed down. Called school to inform them he wouldn't be there today.

8:00 AM: Took Eric upstairs, changed site, tested BG and ketones. BG unchanged. Ketones, thankfully, had dropped considerably.

9:10 AM: We're now in "wait-and-watch" mode. Which means he's in the office chair playing on the iPad, and I'm on my computer attempting to work. Just another day in the life...

10:30 AM: Checked BG — 360. I guess some of breakfast DID get into his system, after all... correction, and asked Eric if he was hungry. "Nope," he said, not taking his eyes off Lego StarWars 3[TM].

11:55 AM: Time to recheck BG and give lunch. Will update shortly.

12:30 PM: BG is now 262. Eric had a hotdog for lunch, and I think it went down OK. Fingers crossed...

3:30 PM: BG check yields a 118 — back in range! But flushed cheeks inspire a temperature check... 99.7. Not high enough to be a fever, but... I am going to switch him back to his lower sick day basal anyway. On a hunch. Does Eric want a snack? No, Eric doesn't. Evidence right there that the boy isn't well, as if I needed more.

5:30 PM: I offer dinner. Eric asks for chicken nuggets, and I make them. He is already digging in when I test the BG and it comes up 51. Yikes! The cumulative effects of fever and a craptastic load of insulin have manifested (good thing I turned down that basal 2 hours ago...) So he gets 8 ounces of lemonade with his nuggets de poulet. Square wave bolus, lest we have recycling of said nuggets later on. Eric asks for "dessert" in the form of 4 pieces of Easter candy (3 Hershey's kisses plus 1 mini Hershey bar) and, mindful of the pre-dinner low, I agree, thinking a few extra g of CHO isn't going to be a bad thing, all things considered.

7:30 PM: Time to start winding down. The usual routine: pajamas, a chapter of whichever Harry Potter book is in progress [on deck for tonight: Ch 27 of The Half-Blood Prince], pre-sleep BG check. Tonight, because Eric is still flushed and coughing, I send him to the bathroom for 5 minutes in a hot shower to help loosen up the phlegm. When he returns, decked out in his bathrobe (for once, not running nude through the upstairs, which again shows how unwell he feels), I test him... 315?! WTF...? Oh. Right. Candy. Which I failed to bolus for, and which is coming on top of both a square bolus and a reduced basal. Correction is made. We read through not one but two chapters of Harry Potter and then it's lights out.

3:30 AM: Technically, it's not the same day, but as it's still within the original 24-hour period from the time I started this, it counts. So. I awaken out of a sound sleep for no apparent reason, which often happens, and my mind returns to the events of bedtime, which also often happens. No success in convincing myself to roll over and go back to sleep, so I'm up & at 'em for a monster check. Switching on the "check light" next to Eric's bed, I can see he's out cold — he has a truly awesome case of bed head in the making from going to sleep with wet hair. Yet when I sit on the bed, he responds by lifting his hand and offering me his index finger. A quick poke, and the meter shows me 75. Lower than I like at this hour of the night, so I get a juice box and stick the straw in his mouth, and as usual, he sucks it dry in about 30 seconds without even opening his eyes. Once it's finished, he rolls over and I tuck him back in and he's snoring again before I even turn off the light.

Views: 87

Tags: T1, children, illness, ketones, parenting

Comment by shoshana27 on May 1, 2014 at 7:39am


Comment by Elizabeth on May 1, 2014 at 8:50am

Yeah. Just think, your mother didn't have glucose meter, ketone meter, pre-mixed insulin, disposable syringes... a Buzzy4Shots... alcohol wipes...

There's a lot to be said for living in the present day.

But on the other hand, a mother in the generation before your mother's would not have had ANY way to keep alive a child with T1D, so most likely your mother was just as thankful that she could keep you alive at all as I am for all the tools I've got.


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