Please remember that I never give medical advice. Ask your endocrinologist or pediatrician for advice about your own child. Make your own informed decisions for your own child.
One day the assistant principal called toward the end of the school day. Q’s blood sugar had been in the 200’s at noon but had alarmed that it was high…our high alarm threshold being 250. He was shocked to see that her blood sugar was in the 400’s and had her wash her hands, recheck her blood sugar, and also check for ketones with the blood ketone meter.
It was so close to the end of the school day that even if I left work right then, it would be only a few minutes before the bell that I got there. I instructed him to correct her blood sugar.
When I got to school I went to her classroom instead of meeting her outside. The teacher said that Q looked really sick. And she did look horrible. Like a wilted flower. She was white and lethargic. She had no perk.
I was shocked after school that her meter said HIGH. What the heck? Why was it so high? She got her insulin to cover lunch. That bolus given by the assistant principal did nothing to help. And how high is HIGH exactly? Who knows! Somewhere above 500.
Obviously there was something else at play. I wasn’t going to bolus with the old pod and it was pod change day anyway, so I went ahead and started the pod changing process. When we pulled off the old one, lo and behold, the cannula was bent. It’s hard to see in this picture, but there was a very noticeable kink in it. The culprit! I can’t recall if in 3.5 years of pumping that we’ve ever had a bent cannula like this.
I will say that I have only given Q two, count ’em two, injections with a syringe since she began pumping. So when she saw the syringe come out, she was a little afraid. She used to get 4 injections each and every day, but that’s the great thing about pumping: no injections.
I didn’t give her a choice in the matter. I cleaned off her arm with an alcohol swab. And just did it.
Her reaction: “That wasn’t so bad.”
To be honest, I completely forgot how to give an injection!
And not knowing how high her blood sugar really was, I estimated basing it on being 500 mg/dl.
The upper limit on her DexCom graph is 400. It too was telling us that she was HIGH and staying that way.
Okay, still saying she’s HIGH, but at least we have an arrow down now. We’re getting somewhere. This was about 45 minutes after the injection.
Within another hour her personality was coming back.
The trick was to bring her down with that injection and an increased temp basal without tanking. It took a good six hours, but she was finally back in range.
And of course the DexCom woke me in the night with the low alarm! Ironic that I had to give her a juice at 2:00 am after that crazy high blood sugar. She evened out after that.
So now we can say in 3.5 years of pumping that she has only had three injections by syringe. And quite frankly, that ain’t all that bad.
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