Just another typical saturday. Sleep in until around 7-7:30 and get up for test, breakfast, and go run errands. Tori's morning number rang in at 272, which seems to be fairly common for her in the morning, and the Humalog dose was calculated at .75 units. Our syringes are marked in .5 unit increments so we can get fairly close by hitting in the middle of two marks. The NPH dose for morning is 5 units, and has been for several weeks now.
We ate a full breakfast, got dressed, and hit the road. We had to round up all the loose ends for Toby's birthday party later in the day, and were looking forward to all the excitement coming later in the day. Little did we know that excitement was going to come earlier than anticipated...
12:00 noon, I was getting ready to test Tori, and she was beginning to get a touch whiny (which really isn't unusual for her sometimes). She had just mentioned a few minutes ago while playing with Toby that her legs couldn't hold her up any more, and continued playing, so all seemed normal... until I looked down at the meter and read 28!!! Kristina quickly gave her a glucose tablet, and grabbed a juice box. We took turns holding her while she drank the juice, and kept her from falling asleep, while her eyes rolled and drooped, and she wanted to lay down. I could tell by the tone of Kristina's voice that she was a little bit scared, and I already knew I was on edge. At the moment I didn't care that she was upset with me for keeping her awake, there was no way I was letting her fall asleep. Fifteen minutes, and another test later she was back up to 104.
She has never been this low before, and she had shown absolutely no signs of being low, except maybe in hindsight we could take the comment about the legs as serious. I don't know how low she needs to go to go into a diabetic seizure, but I damn sure don't want to find out!
Fast forward to snack time, where she rang in low again with a 64. This time, given her lunch number I had decided to reduce the dinner insulin, so when it called for 1.74 I opted to go down to 1.5 to avoid any further lows. No dice...
I wondered after the fact whether or not I had given her the shot in an area that had not been thickened by insulin yet. For those of you that aren't aware, insulin injected or infused with a pump causes a condition called lipohypertrophy which causes the insulin to be absorbed more slowly than areas that haven't yet been thickened.
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3 comments:
When my 3 year old goes low, his biggest complaint is that his legs are weak.
This is the first time Tori ever commented about her legs. She doesn't seem to have any symptoms where she complains. I wish she did complain like your 3yo!
Yes, she's showing signs, possibly because we were first instructed to do the injections only in the upper thigh, and backs of the arms. We did arms in the morning, and thighs in the evening, switching between left and right sides of the body every day.
Now we do arms, stomach, upper thigh, outer thigh, and upper buttocks, but some hardened spots are already in place on the arms and thighs...
As far as NPH is concerned, we were offered the opportunity to go with Lantus and four shots a day, but daycare absolutely will not do shots, and we can neither one be guaranteed to be able to go do the shot at lunchtime, so we're stuck for now.
We are working towards pump therapy, and had hoped to start the ball rolling on our last visit to Riley's in Indy. The kicker was that her A1C went up from the previous visit, so the doctor wants us to get her under better control, and ironically, it's because of the difficulty in controlling her that we need to get on the pump...
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