Uncharted Territory

I was recently going through my son’s pump and stopped in shock.  I was struck by how much things have changed since he first began pumping. 

When my son first got a pump, we needed to have the ability to use very small basal rates. Despite having a 300 unit cartridge, we would only fill it to 200 units and still have to throw some out after one week. 

His carb to insulin ratios were of course much different and his basal rates were never close to 1 unit per hour.  

Over the years, I have gotten used to some of those changes. I learned that sweeping changes would no longer kill him. Puberty was turning his insulin to water and my brain was on overload. 

The one thing I never expected however was the importance of the midnight carb to insulin ratio.  My son didn’t eat that late.  On a really special night of roasted marshmallows he might eat at 10pm but we didn’t need to worry about anything after that.  The ratio set after midnight was just to satisfy the pump.  It had no real significance…until now.

Now that carb to insulin rate is just as important and used as often (or more) than breakfast! He often finds himself creeping the halls late at night searching to see what goodies are hidden in the fridge.  

It took me a bit to realize this. At first I thought, oh he needs his overnight basal rates tweaked. I began to look much more closely at my son’s eating habits. There were boluses at midnight and one in the morning! This time now mattered.  I had to make changes and pay close attention.  What had happened?

Oh yeah…I have a teen son! What was I thinking?

No you can’t eat that chocolate bar!

WEGO Health Activist Blog Activity for day 8!

“Wow! That’s a lot of Easter treats!”

The “loot” including the infamous chocolate bar

“Yes,” my son said as he came in the door from school. “The bag of treats came from the bus driver and I won the bar.”

“Almond and chocolate?? You should really give your mother that bar.  I love almond and chocolate!”

“Yeah, they told me that at school.”

I was puzzled. How could his school know that I loved almonds and chocolate? “They told you at school to give me the bar?”

“Yep.  After I won the bar, they said to me, You have diabetes so you can’t eat that but you can take it home for your mother.”

I was stunned. Had these people learned nothing from my conversations with them? My child could not eat chocolate if he wanted to??? “They told you that? Are you serious? Have they never seen you eat?”

“I don’t know but yeah, that’s what they said.  They said that I couldn’t eat the bar.”

“Have they learned nothing? Why couldn’t you eat the bar if you had insulin for it? You don’t have to eat the entire bar at one sitting but there is no reason for you not to have the bar.”

“I know” my son said as he headed off to his room with his candy…chocolate and almond bar included!