Muscle Mayhem

After 24 hours of nagging and the threat of using a butt site for the first time in his life, my son finally did a site change.  I was lining up the top of his little toosh but he was not having any of that! The arm that he couldn’t reach was to be the site of the day.

His reading a few hours later was a little higher than I would have liked but I attributed it a carb counting error.  I went to bed and around midnight I heard him get up to use the washroom.  Much to Larry’s amazement, my son never needs to get up during the night…unless he is high.  Alarm bells screamed in my head while my body craved the warmth of the of my blankets.  I forced myself to get up and waited for him in his room.

I asked him to test.  I heard him say that he was 13 (235).  Oh well, false alarm. As I headed out his bedroom door but paused and  I said again, “13.1 right?”

“No 30.4(547)”

WHAT THE #!@^??????

Suddenly I was awake.  Its time to put in a new site NOW

I stumbled around and found a site.  As I opened it up, we realized that the tubing was way too short for his other arm.  Crap.  I grabbed another site.  I prepared the new site and had another revelation…I should be using 30 degree sites on his arms.

As I mentioned before, my son enjoys lifting weights in his spare time. He is not into body building but his sweet little arms are slowly developing into the muscled limbs of a healthy young man.  Baby fat is giving way to muscle and that muscle is creating havoc with infusion sets! He hates the 30 degree sets. The insertion needle gives him the willies.  He has to use them on his stomach because there is too much muscle there but he still hates them. Sadly it seems that that’s the price you pay for being fit. I am sure he will think its worth it in the long run.

Diabetes Crashes our Vacation

3.2 (57)..what in the world is that?? Holy cow, its a low!! And of course it happened at 2:30am but it was a low.  I don’t think I have seen one of those since back in June.  My son has either been in range or running on high, high and higher for the bulk of the summer. This was especially the case on our recent trip into the Eastern United States.

A couple of weeks ago, we picked my son up from his father’s house and headed off on a road trip.  We stopped in New Brunswick long enough to drop off our dogs with my aunt before making our way to the border.  We here headed to New Jersey, New York and Connecticut. 

Our first day of travel went alright.  There were a few highs and I joked about the last time we had made this trip.  My son had been in double digits the entire time we were south of the border. I swore that the second we crossed back into Canada he instantly dropped back down into range. I was hoping that this trip would be much better and so far so good!

I should not have jinxed myself.  Day two saw his readings begin to creep up.  We added a travel basal and continued to hope for the best.  Driving and highs are not a good combination.  Driving, highs and freeways are an even worse combination.  My son was not happy knowing that he was high and neither was I.  We both wanted to enjoy the scenery, not stress over diabetes.

By the third day, Diabetes had created a complete trainwreck for us to deal with.  We had put in a new belly site and then, my son being a teen, had also enjoyed a monster sized breakfast with a triple digit carb load.  We headed down the highway and I was nervous as to how well we had counted the carbs and whether his system would handle all of the food he had ingested. It didn’t take long to find out how badly things could turn.

“Mom, I’m high.”
You mean that you are high?
“No, I mean I am HI.  No reading. Just HI”
Crap! You have lots of water?
You have a new site and new insulin?
Maybe the site is bad. 

As we are driving down the freeway to our New Jersey destination, I had my son pass me insulin, alcohol and a syringe. I was going to deal with this disaster head on.  We continued down the interstate and I calculate the correction dose for my son. I don’t want to rely on a site that seems to be toast so it was time to stab him and pray he would start to come down.

He then prepared a new site for himself and added a new resevoir of insulin.  We continue driving and I hoped that ketones would not develop.  Having to use the washroom while speeding down an interstate is bad enough but to have to vomit as well in sweltering heat would be the worst. Thankfully multiple injections, water, and a new site seem to do the trick.  After a number of hours and another injection–just in case, his readings finally came down into the low double digits (200s).  We could almost live with that.

We began to more aggressively bolus his meals in hopes of beating Diabetes at its own game.  If I thought a meal should be 50g of carbohydrates, we bolused 75.  It seemed to work…until the next site failure but that was a little further into the trip.