The other day in the car - (on the way to the cemetary to visit my deceased Grandma, who we infact couldnt locate within the cemetary, on the way home from the fresh fruit/vege markets, where we didnt actually buy anything) ..... Reuben was car sick.
A big stinky vomit. All I can think about is the insulin in his little body.
He had a hypo - without symptoms- we treated it with a small chocolate bar, and later on, something else.
Then, dun dun dun dun.... he vomitted all that !
He then promptly dropped off to sleep so we high tailed it home.
Glucose gel administered.
I layed next to a droopy Reuben in bed and breastfed him, hoping he could take some milk to soothe his stomach, then process SOME sugar. Another test. Still low. 15 mins later, still low. Even after a tube of glucose gel, still too low for my liking.
Hubby was designated hypo-sargeant and me, I ran to the store for our fruit/vege supplies.
He hypo-ed twice more.
Was it a tummy bug? We still dont know. But we brushed up on the mini glucagon dosing and I made sure my husband knew how to use glucagon. Never too late for a refresher on the big needle in the orange box. Because of his body weight, Reuben only gets a half dose to treat an unconsious hypo. So we talked about the event of needing to use it... hope not. But there it is, maybe one day.
He finally woke from his sleep and he was coming up into range again. (Thankyou coca cola).
After this frightening morning (just one of many threads in this crazy tapestry that is diabetes) we discussed a pump. Realistically, discussed it.
We couldve adjusted his basal or suspended the pump?
With MDI the insulin is injected in the AM. It doesnt care if hes not hungry or vomits, it keeps on keeping on! Its why we came off the 24 hour Lantus. Kids are too unpredictable. What hes on now, Protaphane, is an agressive insulin that runs all day, peaking at 6-8 hours after injection. Its fine if you have a good appetite and want to eat. It enables you to be flexible through the day with food choices. If we drop that dose back one unit, its not enough. If we increase it, its too much and dangerous for the lunchtimes we get food refusal or vomitting. ARG. Today we are trying a half unit less to see if it makes a significant difference. I hate to leave the house between 10-2pm. I just know Im going to be stressed about food. Reuben must be getting this 'vibe' about food and I hate it.
Please, pumping persons and pumping mummys - tell me what you would do with your childs pump on a vomit or food refusal day! Please tell me how much better this would make our lives.