Friday, July 2, 2010

Oh What a Night (Month)

I am not sure what we have been doing that is keeping so busy, but I suspect it has something to do with our two sons. Last night, was the epitome of diabetes and 2 year old craziness.

Chance's numbers have been elevated for the past few weeks. At first, we thought this was due to an ear infection, but his BG levels have neve really come down after the infection. His average BG is now 203 up from 175 just a month ago.

Last night, Chance was high at dinner and then was 423 when I checked him at 10:30pm - gasp! We deducted that his pump site went bad and this was causing the high. Prior to this, over the last three days, we had been able to get his numbers back in the 150-175 range by doing a temp basal increase of 10%. I made the mistake of bolusing him on the bad site, then realized it was a site issue.

So I went into the kitchen and told Heath about the BG reading and the bad site. We determined that our only option was to change the site. So we quietly went into the boys rooms with our flashlights and new site paraphrenalia. Heath held the flashlight ad acted as moral support while I cleansed the site area and inserted the new site. To my surprise Chance did NOT wake up! The site looked good and we were on our way.

At 2am, I woke up to do a blood test to make sure Chance was coming down from the 423 and had the expectations of having to do a second bolus. I quietly entered the room with my mini-flashlight, cleansed Chance's finger with an alcohol swab, pricked it - and WOW he was 98! I scatched my head and thought how is this possible? Then, I looked down at the little man I had pricked and realized it was Tas! The boys had changed positions in their beds so Tas was close to the outside instead of Chance! So I redid the whole routine. I wiped Chance's little finger, pricked it and he was 250. In disbelief from testing Tas, I gave Chance a bolus and went back to sleep.

At 4am, Gibson who decided he was sleeping in his kennel last night, started barking probably at a small animal. His barking was very loud since we had all our windows open. Heath got up and brought him in.

At 5:45am, Chance started crying becasue Tas was infringing on his sleep space and he was still a little high requiring yet another bolus.

At 7:15am, amazingly - Chance woke up at 168 - phew!

Tonight, Heath and I did a major analysis of Chance's numbers and his total daily dose (TDD). We implemented some significant changes, which I really think will help. We took a very scientific approach and increased Chance's TDD by 10%, what the nurse at Dr. Lagarde's was recommending. Another change we are implementing is changing the site every other day. It doesn't appear that his site is making it through three days.

Tomorrow, we pack all our stuff and Sunday, we head to the beach for a week in Avon, NC! Yay!

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