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Entries in DexCom (56)

Wednesday
Jan052011

Trusted too much

I fell into the trap...  I ignored what I was told, only for a few hours but that was enough.  

 

My brother is home for the holidays and last night we went out to dinner to celebrate his last night with us.  Arden ate, I bolused and felt great about it because there was no spike visible on her CGM.  We went about our evening talking and just enjoyed the time together - it was a great evening!

 

Now it’s important to say that the food she ate would normally have caused a spike and that more often then not it would have required a maintenance bolus about 90 minutes after she finished eating.  About ninety minutes after dinner I asked Arden what her Dex said and she was slightly elevated with a horizontal arrow and she hadn’t heard a beep in hours.  I remember thinking that I must be getting better at estimating restaurant carbs and then she left to play with her brother.

 

Before bed I looked at her Dex and she was 150ish, which I was okay with because she has been dropping around midnight these last few nights.  Then I tested her and the number hit me like a cold glass of water to the face - 413.

 

I re-test and it came up again 400+.  Now I can feel my stress level growing and I’m normally pretty hard to rattle.  How long has she been this high I wonder.  I mumble, “been high for five hours I bet”.  Kelly asks me what I’m muttering and I respond in an unpleasant tone.  I’m angry now.  Angry at diabetes, at DexCom, at myself for thinking that I could enjoy a few hours with my brother.  I’m just pissed off.  During this mess Arden says, “I think I bumped my Dex a little while ago”.  “Poor kid, can’t graze the doorjamb in the car”, I think to myself - and that makes me even angrier.  

 

I take a deep breath, change her Dex transmitter, apologize to my wife for snapping at her and bolus for the high BG.  

 

It’s only a few hours and this certainly isn’t a cause for alarm, Arden is fine.  No ketones, no sick stomach she never really knew - but I know.  I can’t really ever shake the notion that I just cost her time from the end of her life.  I know that I can’t or rather shouldn’t think about all of this in that light but I just can’t help it.  I don’t have the same life that other people have, my daughter doesn’t, my son doesn’t, my wife doesn’t, we just don’t.  

 

The real bitch about type I is that when other people make a mistake raising their kids they don’t really know that they’ve messed up.  Saying the wrong thing to your ten year old that causes him to seek a therapist when he’s thirty is probably par for the parenting course but there isn’t meter with a test strip that tells you every few hours that you’ve fucked up.  When your son tells you that he’s not as happy as he could be twenty years from now you can bury your head in the sand and blame his girlfriend (that you knew was no good for him) and pretend that you were a perfect parent.  We can’t do that.  If Arden ever experiences a decrease in her vision, a failed kidney or any of the other side effects that come from having the inside of your veins, arteries and organs sandblasted, well, I’ll know that it was me.  I forgot, was too tired, mis-calculated, whatever the slip up, I did it.  I know that I’m only human and that I’ll make mistakes but boy does diabetes give you a lot of opportunities to make those mistakes.  Then just when I’m about to really feel bad for myself I remember that I’m actually good at this and then I feel ten times worse for the people who really struggle.

 

So in the spirit of the pursuit of transparency about type I diabetes, I give you this post.  Our technology failed, I failed, Arden paid, my relationship with my wife took some shrapnel... in short, my family lives with diabetes.

 

**

The following are archived comments from this post. You can post new comments below.

I'm not sure this helps, but I beat myself up about my own management all the time, too. But the silver lining of that self-abuse? Much like your realization that you're pretty good at what you do, it's the reason my last 2 A1c results have been under 6. It's not pretty, granted, but the insane standards we have for ourselves do have *some* payoff. And when Arden's old enough to be managing her own diabetes, she'll know how hard you worked and will be grateful for it.
Wednesday, January 5, 2011 - 10:41 AM
anon
I can so relate to this post. My son was 150 last night before bedtime but felt like he was dropping. He's pretty good at knowing how he feels since he's had the D-beast for 8 yrs (now 13y/o). He ate a few pieces of candy to stave off a low. I gave him 1 unit fast acting with his long lasting insulin in case he overcompensated. Then at 4 in the morning, he woke to 415. Yup, we both screwed up. I'm getting better at not beating myself up too bad, but I have the same concerns as you. How much will those accumulated 4-5 hours affect him over 40/50 years? In the meantime, I'd like more sleep. Didn't really sleep again from 4-6:15 when the alarm went off. Keeping it real....But, reading the adult DOC posts has made me less concerned - knowing they've faced the same challenges and they've made it through 40/50 years of living with the D!
Wednesday, January 5, 2011 - 10:57 AM
After living with diabetes for nearly 25 years, I'm just now coming to the realization that we aren't meant to be a vital organ. For ourselves or anyone else. Because of that, stuff is going to happen. Like the fact that I forgot to bolus for dinner last night and my CGMS was off becuase it threw a Cal Error, so I spent about 4 hours without insulin before I realized it. :/ It happens. Don't be too hard on yourself.
Wednesday, January 5, 2011 - 11:07 AM
Scott
Thank for all of the feedback!  Please don't worry about me... I don't take it so hard that I can't function, it just is, what it is... I try to speak plainly here on the site and to give a complete look at what it's like to live with type I - both the parts that others can see and the parts that go on at an emotional level. I want it known that it isn't just insulin and carb counting, type I sends every part of our existence a bit askew.
Wednesday, January 5, 2011 - 01:12 PM
Sometimes it just gets to me this life that was chosen for us, and we live with on a daily basis. If you ask me my definition of normal the answer would probably shock most people but yet it is the reality that diabetes is, we just have to accept that and move on with our lives. I hope this incident was just that an incident...
Wednesday, January 5, 2011 - 02:53 PM
Scott
Thanks to all for the great comments!
Friday, January 7, 2011 - 07:03 PM
Anonymous
I've just come across your blog and you echo just how I feel.  I have 2 kids with Type 1 and although like you I feel I'm pretty good at this, I do sometimes get it wrong.  I, like you beat myself up all the time, but I guess it does make you strive for the best results possible.   Diabetes never takes time off, but neither does the love for our kids and so we battle on.

Ali
Sunday, February 6, 2011 - 05:03 AM

 

Thursday
Oct142010

DadadaData

Short and sweet.  Arden is growing and I had to make adjustments to her insulin doses.  I was able to make those adjustments properly with almost no effort because of the data that the DexCom 7+ provides me.  No BS, get one of these things...

Sunday
Aug222010

Better then a Teddy Bear

Just like everyone else that wears a DexCom 7+, Arden sleeps with her receiver.  Lately, I’ve been noticing that she holds it on her chest while she sleeps.  My initial reaction was sadness but as the days pass I’m really beginning to love the fact that she does this.  

 

There are a ton of inconveniences that come with having type I, sleeping with a piece of electronics might be the least of them.  Today I made a choice, a choice that we can all make; I’m not thinking of these things as “inconveniences” anymore. 

 

There are days when I’m so busy that eating lunch feels inconvenient but no matter how busy I am I never get upset about having to eat lunch.  That’s the lesson... weather it’s sleeping with electronics or having a sensor stuck to your butt these things are just “eating lunch” for diabetics.  

 

I thinks it’s all attitude and perspective and we can all do this!

 

Be well...

Just like everyone else that wears a DexCom 7+, Arden sleeps with her receiver.  Lately, I’ve been noticing that she holds it on her chest while she sleeps.  My initial reaction was sadness but as the days pass I’m really beginning to love the fact that she does this.  

 

There are a ton of inconveniences that come with having type I, sleeping with a piece of electronics might be the least of them.  Today I made a choice, a choice that we can all make; I’m not thinking of these things as “inconveniences” anymore. 

 

There are days when I’m so busy that eating lunch feels inconvenient but no matter how busy I am I never get upset about having to eat lunch.  That’s the lesson... weather it’s sleeping with electronics or having a sensor stuck to your butt these things are just “eating lunch” for diabetics.  

 

I thinks it’s all attitude and perspective and we can all do this!

 

Be well...

Just like everyone else that wears a DexCom 7+, Arden sleeps with her receiver.  Lately, I’ve been noticing that she holds it on her chest while she sleeps.  My initial reaction was sadness but as the days pass I’m really beginning to love the fact that she does this.  

 

There are a ton of inconveniences that come with having type I, sleeping with a piece of electronics might be the least of them.  Today I made a choice, a choice that we can all make; I’m not thinking of these things as “inconveniences” anymore. 

 

There are days when I’m so busy that eating lunch feels inconvenient but no matter how busy I am I never get upset about having to eat lunch.  That’s the lesson... weather it’s sleeping with electronics or having a sensor stuck to your butt these things are just “eating lunch” for diabetics.  

 

I thinks it’s all attitude and perspective and we can all do this!

 

Be well...

Monday
Aug162010

Eat no wait don’t eat

“Always test”, my NP told us as we began using the DexCom 7+, “the CGM can’t take the place of your meter”.

 

I’ll admit that some days I am tempted to trust it and calculate a bolus based on the CGM number but I’m glad that I haven’t and here’s why...

 

Last night at 3:30am (oh diabetes how you love to not let me sleep) Arden’s CGM beeped, when I checked her it said that her BG was 39! I reached for a piece of extra sugary candy and asked Arden to sit up and eat it while I tested her.  A few moments later her OmniPod PDM reported that her BG was actually 117.  

 

When the 117 came up on the PDM screen, Arden, without missing a beat said, “I’m not low” and she took the candy out of her mouth and flopped her head on the pillow.  It was very cute the way she delivered that line.  She was so deadpan and matter of fact about it.  

 

Please don’t get me wrong the DexCom is a fantastic and stress reducing diabetes management tool that I highly recommend to anyone with type I.

 

Moral of the story, CGM aren’t meters, test, test, test.

Friday
Jun112010

Just like real estate

The key is location, location, location.

 

 

I characterized Arden’s first week using the DexCom Seven Plus as, “bumpy” but “encouraging”.  I didn’t know what to expect going forward, especially after the next sensor that we tried experienced an error and failed.  I’m here to tell you that week two, in a word, was “perfect”.

 

After I found a better location on Arden to insert her next sensor everything was perfect.  Great trends followed and we consistently saw numbers that were close to those on ourOmniPod meter, I couldn't have asked for more.  The only time that we thought about the sensor was when Arden went swimming.  She swam twice the week before and the adhesive on the Dex sensor gave out.  This time I just covered it with some ‘Second Skin’ to keep it dry and we didn’t have a problem.

 

I haven’t experience this level of stress reduction in relation to Arden’s type I since we found the OmniPod.  On their own these two products are a diabetes management need, together they are indescribably irreplaceable.  Vanilla and chocolate, Batman and Robin, you can pick your own metaphor.  I’ll just say this, “perfect!”.

 

**

The following are archived comments from this post. You can post new comments below.

 

Jeanette
Scott,
I am glad everything is going smooth.  Will you be able to continue with the cgm even after you complete your study?  What sites have you used and how is Arden with putting it in?  I heard from an adult it was pretty painful putting in but curious how Arden is.
Friday, June 11, 2010 - 06:31 PM
Scott
No study, this is Arden's own CGM.  We have had threepainless insertions so far.
Friday, June 11, 2010 - 10:42 PM
Scott
Sorry my last reply wasn't complete.  Arden is wearing the sensor on the back side of her hip. Tough for me to explain but the sensor inserts into her buttocks.  My experience is limited but so far I would say it only hurts if you don't pick a good location (not fatty enough).

That a side, the ability to watch rising and falling BGs far outweighs any cons associated with the sensor (if there are any).  I would totally recommend the 7+.
Sunday, June 13, 2010 - 09:25 AM
Julia's Grandmother
Julia went on the Medtronic cgm two weeks ago.  We cannot imagine not having it either.  Our stress level has been reduced somewhat, since we can now see the upward and downward trends. It is great to be able to see every 5 minutes what is happening. Julia is a trooper (just like your Arden) and hasn't complained about another device being attached to her.  I know some people have had trouble with the cgm's.  But, so far, it is working great for us --  we believe this is attributed to doing the calibration at the right time (as you know, when the numbers are stable). Oh, also a quick note, the pictures of Arden for the hospital were beautiful.
Wednesday, June 23, 2010 - 12:58 PM