You knew it was coming if you read yesterday's post. However....we have a culprit...PIZZA!!!! Damn you cheesy goodness!! Oh how I miss the extended bolus with the OmniPod!! Fingers crossed for tonight!
And I don't mean the school ones for the boys. It was time for Mom's D report card (and why is it only Mom's??? That's another post!). Every 3 months, I tell Pat that Cale's A1C will be higher than the last time. And every time, he says, you always say that and if it is, it is only by .1 or .2%.
NOT THIS TIME!!!!
Back in October, Cale's A1C was 6.9%. I was pleased with that number. (Can you guess where I am going???) So after the weigh in (79.8 pounds) and height measurements (4' 11-3/4"...HE'S 9 YEARS OLD!!!!) and some questions for Cale from our lovely nurse, Molly, the time I dread comes......7.7%. :(
Now I know that this isn't terribly horrible. But I don't like it!! I knew that there were the 3 weeks that included Christmas Break and the first week back to school where Cale's BG's S.U.C.K.E.D. no matter what was done. Ok, holiday's and your regular daily schedule are whacked. Both the nurse and our doctor said that is typical. But then the first week back to school was not pretty either. He wasn't sick, he never got sick (Ryan did, maybe it was sympathy illness....sympathy for the brother that annoys and hurts you...I don't think so!) and he started right back into our regular routine without the blink of an eye! No clue....
THEN, the second week back to school, there were lows, lows and more lows!!! However, there were still the occasional "why are you so high?" moments. Although, and here comes a bad Mom moment on my part, the nurse called one afternoon, she rattled off his BG's for the day...2 hours after breakfast he was 61, then at lunch he was 309 and 2 hours after lunch he was 274. WTF!!! Since he still had insulin working and the day was ending within 45 minutes, I said give him water and I will test and see how he is as soon as he gets home. So, he gets home and shows me the little slip of paper that has his BG's and treatments (this is something new we are doing. Normally, since I am at the school A LOT, I just stop in and review the BG's in her log). His 61 was treated (and not rechecked after 15 minutes!) with a juice box, his normal snack (which is upwards of 25 grams because he has PE in the morning) AND a popcicle that someone had brought in as a birthday snack!!! First of all, a popcicle??? It is freaking January in Northern Illinos!!! It is also 9:15 in the morning!!! It is also NOT SUGAR FREE!!!! So let's add up all of these carbs shall we....15 for the juice box, approx. 25 for the snack and (let's use an average) 15 for a popcicle = 55 grams of carbohydrates!!!! CAN YOU SAY OVER TREATMENT!!!!! No freaking wonder he was 309 before lunch!! THEN, I look at the insulin he was given for his correction scale and lunch...it was 1 whole unit less than what it should have been. Total miscalculation on the sliding scale AND I come to find out when I question it the next day....are you ready for this....she never uses the half unit!! At lunch, his ratio is 1:15. So if there is no correction needed and his lunch was 67 grams, he was only being given 4 units of insulin, not 4-1/2. Now a half unit may not sound like a lot....BUT IT IS!!! Why wasn't I looking at her records more carefully? How did I not catch this sooner?? Why did she tell him he could have that much at snack time that day??? Why wasn't he rechecked for that low????
Needless to say, I am now double checking everything that has been done during the day, everyday, very carefully and making extra sure that it is being done correctly.
Back to the appointment. I talk to the doctor and we start tweaking his ratios and decided that at his next appointment, if the A1C isn't lower, we will do a trial CGM for about a week to see his trends (YEAH!). I was so glad that his appointment was coming so soon. I couldn't think anymore of what to do. I would look at his log and the numbers would just start melting together. I was very concerned, because no matter I did, during the night it was either, needs a correction OR I was feeding/giving juice at every check-nothing in between! It was sad that, lately, I would be relieved at the midnight check that his BG was 225. I knew that it would come down by the time he woke up to a great number. But, he shouldn't have to be this high to make it through the night!! If he was 150 at midnight, I would have popped 1 glucose tab in his mouth and crossed my fingers. It was weird!! I was at a loss!!! So, last night, we did the change of ratios and what not and sent him off to bed. 11:30 check...174. Ok, let's see how 2:45 is....144...and then 7:00 (when he would normally be waking up, except on weekends, my 9 year old turns into a teenager and will sleep FOREVER if we let him)...109! I am pleased. I wouldn't mind a little lower at 11:30 which in turn will lower the others somewhat...but I am thrilled with these compared to those of late. Let's hope the same happens tonight. Now that I have said this, come back tomorrow for my "WHYDID I JINX MYSELF?" post!!!! And, keep in mind that tonight it is girl's night out and the last time I had one of those, a fight ensued between Mom and Dad over D care/carelessness. But, we won't get into that one now, will we?? Again, that's a whole other post!
(What is the deal with the background color for the text...I CANNOT make it go away!!!)
Yesterday, I was called in to work for our school secretary. During the day, Cale came down to the office because he "felt low" (he wasn't, but soon would be if he didn't eat soimething). While he was down there, he asked me if his teacher had told me what he said in class. Now, I had spoken with her earlier in the day in regards to his homework, but nothing was said about what he said. Turns out, his name was moved to the "yellow circle" for his little outburst. I made him finish his snack and sent him on his way.
So, right after school, both boys came down to the office to wait for me to finish up my day. I am sitting at the desk, the principal is standing at the counter right next to me and Cale is sitting in one of the chairs in front of us. I take this opportunity to ask him what the circumstances were for what he said in class. This is how it went....
Me: "What was happening in class today that made you say what you said?"
Cale: "Well, we were discussing compound words and someone asked for an example. So without thinking, I said Buttcrack." (Like how he tried to cover his butt by adding the part about not thinking?)
This in turn made the principal laugh hysterically!! How in the world am I supposed to enforce discipline when the head of the school is laughing about what he did?! Needless to say, I told him that he shouldn't ever talk like that in school and to never do it again.
THEN, we finally get home from school and the boys are emptying out their folders and getting ready to do their homework. Ryan calls me over to ask me a question about his math test that was returned to him. Here is how this conversation went....
Ryan: "Mommy, what are these red marks by these problems?"
Me: "Those are check marks. You got those problems wrong. This number sentence for this word problem should be 7-2=5 not 8-2=6."
Ryan: (Immediately sobbing) "But that's not what she read to us!! She said 8!"
Me: "Are you sure that she read it with an 8?" (thinking to myself, if she did she would have noticed that most of the other kids wrote 8 and not 7)
Ryan: (hesitating) "No! But, I don't like to be wrong!!!"
He really, really doesn't like to be wrong!! He will correct his teacher if she makes a mistake (I emailed her on how he "threw her under the bus" about his test and she found it very funny and told me that she knew he wouldn't be happy with that test because he likes to be right. She also said it's a good thing he is pretty smart and that this isn't a normal test score for him - insert pride here!). Also, keep in mind, he is very head strong and one time, when he and Pat were going back and forth on something, he walked out of the room and muttered "I'm right, you're wrong!".
Just wanted to share that little bit of amusement!
I am a mother of two boys, Cale, 11 (my Type 1 - dx 8/6/07 - was using the OmniPod, but because of an allergic reaction, is back on MDI's) and Ryan, 8. I have been married to Pat for 12 years (WOW!!). I am currently a stay-at-home mom, part endocronogist/part nurse, full time pancreas, driver, cook, maid, accountant (not a good one!), activites director, etc....
This blog is here not only to keep our family that live out of town in the "loop" but I also come here when I need to "let it all out" about Diabetes and it's affect on not only my son, but on life in general.