Friday, April 3, 2009

Morning Sweats

This morning Betsey woke up low. Very low.

It was 10 minutes until the bus was coming and I went in her room after calling to her... no answer...way after she had been woken up.... I said, "Bets--you're going to miss the bus, wake up!" She was sweating. Immediately I knew she was low. I asked Libs to run down and grab a juice and I pulled out her DB (affectionate name for her Diabetes Bag.) 41! Yikes. And boy was she feeling it. She actually felt it as she laid there but was so hungry and tired from the low she didn't get up. This is my fear. Middle of the night lows like this where she just can't get it together to get up.

She sucked a juice box down and wanted to eat. I lead her downstairs, grabbed granola and she nibbled that while I made toast. The problem with the lows like this is she wants to eat so much at once, eat, eat, eat and you just can't do that.

A low or high in the morning sets the tone for the day. She's had a hard time regrouping from this low, we were late off to school, and she was a little less patient with other little people in the house.

Last night her sensor "ended." It lasts 6 days. Then we have to replace the site for it. She does not like to do the sensor change, the needle is SO big and the site hurts her - it's tender for the day we change it. We usually take a day off in between the sensor changes. But we seldom put it in during the morning, mostly because of the discomfort and she doesn't want that nagging ache at school first thing. I wouldn't either.

Having the CGMS is so vital to Betsey's overall blood sugar control - had she had it on last night, if she was dipping low in the wee hours of the morning, or even earlier than that, as I assume was the case in this morning's low, the sensor woud alarm her by sending a signal to her pump which would make a continuous beep and a vibration. If it didn't wake her, Libs would surely hear it as she shares a room with her, or eventually I would - so we hope.

A quick check on the way out of the car into school - 277 mg/dl!! Whoops--she forgot to bolus for the extra 2 pieces of toast!

Up and down-- this should be a pattern today.

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