Wednesday, February 15, 2012

A little excited... Understatement

To say that I am a little excited about Clifford starting on the pump is a HUGE understatement. Included in our pump package yesterday was a bunch of what I referred to as "homework". This all was to be reviewed and practiced, etc before we start our pump training. At first I would say I was a bit overwhelmed at the thought of all this work. However I am happy to report The basic of insulin pump therapy, and a step by step guide to the pump as well as the owners manual to the pump was all reviewed and completed yesterday. In fact I finished up the practice portion of bolusing, setting basals, suspending, etc at around midnight. The CD that you see included went over all that plus some added extra's of learning how to fill the reservoir, the cannula and the tubing, as well as inserting the infusion set. All that was completed today. After all my studying and practicing I'm fully ready to get started in our pump journey!

How nice it would have been to have the pump in action last night when a correction was needed at midnight. He was 325, and had to be given a correction via syringe, would have been much easier and nice to press the button to bolus rather then to stick him on the bum with a needle. However he didn't flinch, still higher this morning but definitely better than 325.

This morning was a wee bit interesting for us at our house in the fact that Cliffords C:I ratio was changed for breakfast to 1:18. Now this morning he was 235 which meant he needed to be corrected and for that was 1.2 units. Now with what he wanted for breakfast the total units to be given was 6 units. I was a bit concerned with this large amount at one time. He hasn't really had over 5 units since diagnosis, but he is a growing boy and we're trying to combat the highs we've been seeing at school.

I called the nurse and he was 75 at lunch time. A little under target, but definitely not high. Now hopefully we got the highs at lunch under control, and now I'm looking onward to snack. I'm still noticing highs overall except a handful of times at snack time. I'm thinking it's time to make a change to his I:C ratio at lunch as well. I'm going to wait it out another day to see if the trend continues then give a call to his educator to discuss changing his I:C ratio from 1:40 at lunch to 1:30 to try to ward off some highs.


Tuesday, February 14, 2012

It's official the pump has arrived!



So Clifford's new insulin pump arrived today. I normally would say his new shiny blue pancreas arrived, but those in the house (not naming names) say it's a pump. I guess they are partially correct in that it's not an exact replica of the human pancreas. Because think about it. The pancreas measures the amount of glucose in the bloodstream so it can give out the exact amount of insulin needed to maintain glucose levels. While the pump will provide Clifford with his insulin we will still have to monitor his blood glucose levels. So technically speaking the pump and ourselves are his new "pancreas".... Yeah I'm silly but whatever! Today was a very exciting day knowing that it would be delivered today. At one point ice was melting off the roof and it made a loud sound, I jumped up and said UPS was here, but nope just ice.

In addition to the pump we also got some Glucose
Quick Sticks to try in treating lows. I will admit openly now that I did "test" them out first.. I was curious about the taste and if Clifford would like them. I am happy to report they were quite yummy, but I only tried a little bit, really wasn't in need of fast acting carbs at the time! So now onward to pumping we go. Included with the pump were the pump supplies needed for a month worth of pumping, and a boat load of homework for myself. Tons to read up on and practice, and take some quizzes to make sure we are ready to fill in the gap and help become a better pancreas along with the pump for Clifford, there I said it PANCREAS!!!

Monday, February 13, 2012

Almost 2 years in....

Well here it is almost 2 years into Clifford's diagnosis of Diabetes and we are finally making some headway. I received word on Thursday that his pump was being shipped out that day! Took only 2 days after being told it was approved that it was shipped. It was all very exciting in choosing the color, his infusion sets, the tubing length, etc, etc. I got off the phone with goosebumps. I think though I am the most excited of everyone about the pump coming including Clifford. No idea when we'll actually start pumping. We are supposed to get a call within a week from the trainer to get us scheduled for training and starting him on saline first. I know it's all going to be very overwhelming in the beginning, just like diagnosis all over again. But I also know that this is a better choice for Clifford for his diabetes management, and it will most definitely be worth it.

2 years.... That's like a lifetime in D care when you think about it. Diabetes care involves 24/7 watch and management. Technically it's been 17, 520 hours of constant care and attention. I know there are others out there that have done this way longer, and I commend all of you! I'm just very excited we are finally heading in the direction of treatment we were wanting. Only one last step of getting the CGM approved and we will be there! Clifford's already been prepared that the first week on the pump will not be too much fun. He will just be on saline and will still require his injections daily (6 x a day). So in addition to the injections we'll be changing infusion sites. But he also knows that after that week it's live on insulin and no more injections(unless needed). It's very exciting as we enter in a new "normal" for us. I think we just started getting used to our other "new" normal.

Last night D cooperated for the most part. Clifford really enjoys these peanut butter cookies we have, but they are pretty carb loaded, and at night time I do not like to give him a bunch of carbs. So I told him we were trying a test. 3 cookies is 26 grams. So 3 cookies for tonight it was with 0.5 units humalog, and 7 units of Lantus. He was 130 at 8pm, and 137 at 10:30pm, then 152 at 4am. But come wake up time (he actually woke up at 6:50) he was 68.. Yuck, just glad he caught it. So the test was if his blood sugar was good throughout the night we would let him have the 3 cookies, and a 1/2 cup of the carb smart ice cream (13 grams), so a total of 39 grams. Definitely more than I like him having. The reason is he seems more sensitive to the humalog at bedtime and tends to drop like a rock with anything over 0.5 units. For the 39 grams depending on his blood sugar at bedtime he will have to get almost a full unit. That's scary territory to me, but I'm willing to let him have his treat, and get up and test to see how it's working.

Back to the pump... It will be here Tomorrow! So Happy Valentine's Day to us. I told Chad if I could keep my mouth shut I would save it for Diagnosis Day (his D anniversary ) on 2/28, but I can't keep my mouth shut about his pump in the house for 2 whole weeks, so yeah not happening!

So almost 2 years in and entering into new territory soon with pumping. For those of you that pump and tips/tricks/words of wisdom you have would be greatly appreciated!

Thursday, February 9, 2012

Ice Cream for only 13grams????

I wrote about an ice cream previously that didn't hurt Clifford's blood sugar. Well to my surprise today when grocery shopping, I came across Breyer's Carb Smart. Apparently they have vanilla and chocolate, but I only found vanilla. Good news is for 1/2 cup serving there are only 13 grams of carbs. We haven't tried this yet so I can't really say how it affect's his blood sugar, but you definitely cannot beat a 1/2 cup for 13grams.

I felt the need to let everyone else know about it and give you a link to the nutritional information so you could review it yourself. If you find that your kids, or yourself love ice cream but they just have way too many crazy carbs, you may want to look into Breyer's Carb Smart and give it a try.


Here is a link to their nutritional info: http://www.breyers.com/products/Carb-Smart/Vanilla.aspx

Valentines Day Carbs.....

Valentine's Day is fun for the kids in school, with all the pretty cards, and tasty treats. However it can be a headache trying to figure out all those carbs. For the most part a lot of treats are labeled now a days which saves a lot of work trying to guess or SWAG the carb count. When we put our treat bags together, we make sure to label the number of carbs in the treats, because Clifford has a friend in his class who has Type 1 diabetes too. So I am hoping by labeling them it makes it much easier on her parents when it comes to carb totals.

But if you are the lucky ones that get the tasty treats without carb totals, take a look at Calorie King (which btw is an awesome book), they have a bunch of common Valentines Day Candy carb counts listed here:

Once we pass Valentine's Day it's onto Clifford's Dx Day. Still trying to figure out what to do for him that will make it a special celebration of a healthy year with Diabetes!

On a positive note, we got a phone call yesterday that his insulin pump was APPROVED! So he officially will have a new exterior pancreas. Although he likes to tell me it's not a pancreas just a pump, his pancreas is inside and it's broken. :/

Wednesday, February 8, 2012

*Archives* God and Diabetes

I think it's time to bring a post from my archives back in because it's definitely something I think about a lot.

Let me start by stating, I believe in God. However, when Cliffy was first diagnosed, I questioned why he was chosen, why did God have to make it so my son's life changed forever. It's just the nature of the beast to wonder why, and ask "why me". But let me tell you what I've learned from this experience.

Let's start with a snippet of a book I've been reading. In the future when I am tempted to ask the question "Why me?" I will immediately counter with the answer: "Why not me". Challenges are gifts, opportunities to learn. Problems are the common thread running through the lives of great men and women. In times of adversity, I will not have a problem to deal with, I will have a choice to make. Clifford's diabetes is NOT a problem. We have a choice daily and that choice is to live! I have learned from my past that I can handle a lot that is put on my plate. So if God chose my son to have diabetes, he chose him because he knew Cliffy and I could handle it. He knew that I would care for him to the fullest that I possibly can. He also knew not a day would go by that I wouldn't be educating myself about the disease, and learning as much as I possibly can so one day we could find a cure!

For me personally, Cliffy's diagnosis forced me to slow down in life. To take it one day at a time and cherish every moment I had with him and my kids. It showed me just how precious life is and that at any moment everything could change. He was diagnosed in DKA, and many of you know that is not something you would want your worst enemy to experience with their child. I cried the whole first day as it looked like something was taking over my son's tiny body. But with prayers and hope, things turned around for the better. Yes our lives have changed, yes he is no longer a normal child. But we can handle it, and we can move forward and make a difference.

If you are questioning why your son or daughter or yourself was given this fate, then take a step back and think, God knows you are really strong and you could handle it. He needs strong advocates in his corner to not only care for these special children and adults, but to fight to find a cure! Everytime when I would think about questioning why in the beginning, I would go back to a poem I read shortly after diagnosis.

How God Selects the Mother of a Diabetic Child
by Erma Bombeck Modified a great deal by me.

Some women become mothers by accident, most by choice, a few by social pressures and a couple by habit. Did you ever wonder how mothers of children with diabetes are chosen? Somehow I visualize God hovering over earth selecting his instruments for propagation with great care and deliberation. As he observes, he instructs his angels to make notes in a giant ledger.

"Armstrong, Beth, son. Patron Saint Matthew."

"Forrest, Marjorie, daughter, Patron Saint Cecilia."

"Rutledge, Carrie, twins. Patron Saint Gerard. He's used to profanity."

Finally, He passes a name to an angel and smiles, "Give her a child with diabetes." The angel is curious. "Why this one, God? She's so happy."

"Exactly", smiles God. "Could I give a child with diabetes to a mother who does not know laughter?"

"She has the patience?" the Angel agrees.

"Once the shock wears off, she'll handle it. I watched her today. She is strong. You see, the child I am going to give her will require great care. It's not going to be easy."

"But, Lord, could this make her stop believing."

God smiles. "No. This one is perfect. She has a strong faith in me."God nods. "Yes, this is the woman whom I will bless with this child. I will be at her side every minute of every day of her life because she is doing my work."

So if you remember anything from this posting, when you are tempted to ask "Why me", counter it with "Why not me". God obviously knows you and your child are strong, but the most important question is "Do you know"?.

Tuesday, February 7, 2012

Rocking as a Pancreas- At least for the day!

It's how we roll in "D" land, one day at a time, and celebrating the small victories which I intend to do through pictures!!! Yesterday was a great day for us "blood sugar wise", minus the low at midnight to kick off the night/day previously, we definitely rocked the pancreas game later on. We had two lows, but they weren't even horribly low lows. One at 7:10 Clifford came down and was 74, so we treated since he still had some time before bedtime. He then came back down about 20 minutes later asking if it was okay to eat bedtime snack because he was hungry. He tested himself and it showed "255", um yeah no way he's that high after 20 mins and only having 15grams, so I had him retest after washing his hands, and he was "89!" much better.

I had purchased some "Carb comfort" Butter pecan ice cream yesterday from Schwan's, and he was wanting to try some. For a 1/2 cup it's only 15grams, pretty good, however he complained briefly he was only having a half cup, then after eating it asked why I wasn't giving him his Humalog because he ate "ICE CREAM". So I kindly explained to him that he was only 89 it was only 15 grams, to be happy no injection for this treat. He argued a little bit (as he's 8 and likes to argue with me) but finally went back to playing his video game. At bedtime 8pm, he came down to retest and get his Lantus injection. Turns out he was 116! Not too shabby, but I will test later just to make sure he's still good to go. Midnight check revealed he was 155, 5am check showed he was 149, and wake up today he was 115! The one thing both Clifford and I have realized as of late, is we are going to start listening to "me". With three different occasions that were done how the D Team wanted them and resulted in lows that were not good. But onto better things.

So here is a little show of our little victory yesterday through pictures.





We ended with a 7 day average of 132! Not too bad for the pancreas game!