Thursday, August 2, 2007

One of those days

I just don't always understand this disease. For the past few days, we have had to treat an overnight low. We typically give juice but we've been adding in some peanuts for protein - protein helps keep the blood sugar higher once you get it up.

Do you know how difficult it is to get a 2 year old to eat peanuts and drink juice at 10pm or midnight. Well, that's not tough - but then getting her back to sleep is.

But we had another low at dinner. I had checked her 3 hours after her snack today and she was normal. 45 minutes later when our pizza arrived, she was down at 57. That's 3 hours and 45 minutes after dosing and it should have all but been out of her system by then.

Its so difficult to manage when her body keeps doing this.

Next week we start the 2-3 month process of putting her on a pump. One of the great things that we look forward to getting from the pump is the ability to adjust her "baseline" dose throughout the day - higher for times she runs high and less for times of day that she runs low - the key will be just figuring out those exact times.

The other thing I'm going to discuss with the nurse is a Continuous Glucose Monitoring System. That won't completely eliminate the need for finger sticks, but it will greatly reduce them AND it will send alarms when she gets too HIGH or too low. This will be valuable while on the pump because if there is a problem with the pump and its not administering insulin, she's go up quickly so the pump will tell us. And if she has some of the unexplained lows, especially in the night time, it will tell us that too.

But gosh, for the first time with all three of our kids, we might actually have to get a baby monitor to put in her room for night. We have always just counted on hearing the kids fuss if they really need us at night but I think we'll need the monitor to hear the alarms!

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