This is a current typical school day for Eden…
NOT the typical things on the mind of a 12 year old girl wanting to be a kid..
These are just T1D related…
SO much to think about and be responsible for – it is no wonder things slip through the cracks sometimes.
Although VERY hard not to get frustrated with Eden when she forgets something – this IS WHY.
Every T1D decision you need to think just a little deeper than what just appears on the surface.
6.15am – wake up
- take thyroid pill
- test blood sugar
Depending on BS result – correct with insulin or eat – (not supposed to eat for 30 mins after taking pill)
Get ready for school
- reconnect insulin pump after showering
- put blood sugar meter & phone in school bag
- medical kit – to drop off at school office on way to first class
- pack lunch – making sure to count ALL carbs and write down on piece of paper to dose lunch later
- check carb count and dose insulin for breakfast – does she dose LESS carbs today to account for PE? check with D-mom
9.10am – test blood sugar AFTER PE
- IF blood sugar number has a “ONE” in front of it – OK to text D-mom
- BUT – need to take into account any active insulin which might be in system from breakfast
- AND – if it is a low 100 number she will most likely need to eat something
- OR – if out of the 100 range – need to CALL D-mom and not just text
- IF – low blood sugar – report to teacher and drink juice or other glucose as required. STAY put and re-test blood sugar in 15 mins. Call or text D-mom again. Repeat if necessary or go to next class. Teacher to notify school nurse
- IF – high blood sugar – possibly adrenaline induced from PE or a true high that needs insulin?
1pm – test blood sugar BEFORE LUNCH
- same as above – text D-mom if in 100 range or CALL if out
- to dose insulin for lunch per carb count on paper
- notify a teacher if LOW
2.30pm – test blood sugar BEFORE XCountry practice
- same as above – text or call D-mom
- MOST likely will need to eat something unless blood sugar is high
- AND – must take into account active insulin from lunch and food still digesting
- wear belt with glucose during practice
- IF – going off campus – give blood sugar meter and sugar stash to teacher to carry and test blood sugar at halfway point
- text or call D-mom
3.30pm – test blood sugar AFTER XCountry practice
- eat immediately or correct depending on blood sugar result.
- Past history has shown us if she starts practice high – her blood sugar will continue to climb
- GUESS – whether to give full insulin correction or whether it will come down on own over the next few hours
4pm – after school snack
- COUNT carbs and dose insulin accordingly
- IF – low after XC practice – need to re-test blood sugar and then eat
6pm – test blood sugar before dinner
- same drill..
- correct with insulin if high
- GUESS dinner carbohydrate count and dose insulin for dinner
- GUESS whether to dose less carbs due to exercise and/or to lower her basal rate for a few hours to pre-empt a crash in blood sugar in a few hours
9pm – test blood sugar before going to bed
- IF high – do we do a full insulin dose due to exercise? Is it the meal causing the high – depends on what was eaten for dinner
- IF low – eat/drink before bed to get blood sugar in a safe range for sleeping and change basal rates to get less insulin for the next few hours – re-test in 15 minutes to ensure blood sugar is rising
These hours are D-mom and D-dads responsibility.
Sometimes checking Eden’s blood sugar at hour intervals.
ALWAYS at least TWICE every night especially when exercise is involved.
May include force feeding Eden a juice or sugar or giving additional insulin
6am – a new day – it starts ALL OVER AGAIN
These are just the BASIC things that must be done and thought about daily living with Type 1 Diabetes.
TO STAY ALIVE