This past Thursday was a day that we haven't seen in a while, and for that I'm thankful.
Bean spiked into the low 300s after lunch...her usual lunch that treats her BGs fine, usually.
This meant that her afternoon was rough. Her class was working on a project and she couldn't focus. She was trying, was getting some individual help, but still couldn't get anything accomplished. This had her in tears by the time school was over and she came to my room. She was hiding in a corner, teary eyed, and just wanted to lay down and do nothing.
A couple of things could have been the issue....it was pod change day and sometimes those last twelve hours just suck. And, we were past the halfway point of the insulin vial and that can mean it's 'done' and doesn't work as well as it should.
So, as soon as we got home we geared up for a pod change. That was loads of fun with an overly emotional 9 year old. We cracked open a brand new vial of insulin and gave her a hefty bolus.
Now, here's where I kinda messed things up....we were having tortellini for dinner. Not terrible for Bean's BGs when she's in range, but not really great when you are starting in the mid 300s! But, with her being so emotional and so overly dramatic, I wasn't about to have the 'you have to have something different than everyone else because of your BG' conversation. So, she ate pasta.
Putting the numbers into perspective, she only spiked 150 points. BUT, when that spike means you are hitting close to 500, not so good.
It took until 10pm to get her in range. So she was flying high from 11am until 10pm....great.
Thankfully her overnight was fine and the next day she was back to 'normal'....with the exception of a random 44 mid-afternoon, which I think was due to misinformation about the carb count for the school lunch she had, but she came up nicely and stayed in the low 100s for the rest of the day.
And then there was Saturday....another day we haven't seen for a while.
We were on our way to Bean's D-checkup and I needed coffee. ;) Because Wilma (Bean's CGM) had her arrow down, we decided a hot chocolate was in order. Test, low 100s, dose, enjoy. Then as we are pulling away from the coffee stand, beeeeeeeeep goes the pod! At least the bolus was delivered.
When we got to the clinic, Bean did her pod change and as she was filling the pod with insulin, it alarmed. UGH! And, of course, it was the only pod we had. But since we were at the D clinic, there wasn't an issue, so our FNP pulled out one of her pods and we started the process again.
I did the normal unit bolus for a new pod to help with the pod change spike, and because Wilma had her arrow up at this point and I didn't want Bean sky rocketing from the hot chocolate. Apparently this pod didn't need that boost because within about 30 minutes she was double arrow down, tested at 60-something, juiced, tested again at 44, applesauced, and then was finally hitting 100 before we left the appointment.
Yep, just a couple of typical D-days that thankfully don't happen very often. But when they do, you are reminded that the days of 'normal' that can seem frustrating aren't so bad after all!