Meal Mommy: Long Night...

Wednesday, November 24, 2010

Long Night...

My ass is dragging. Literally. One, because I am exhausted from a bad D night. Two, because I have tackled and taken out every sweet this week that has been put in front of me...so my ass is literally dragging about two inches lower than usual since every dessert has attached itself there. Ugh.

So, last night....I am not sure if last night was brought on by yesterday or by last night. Confusing, right? It's diabetes and it has a mind of its own. Lily had her Thanksgiving Day luncheon at school yesterday only it wasn't during lunch, it was an hour and a half AFTER lunch...just for shits and giggles. So bolusing her for the luncheon was not easy nor was it fun. I didn't have the food in front of me since I was at work and no one could tell me the portion sizes so I did as much research as I could and estimated. Apparently, not well. She was over 300 in the afternoon and was at a playdate. I had her go ahead and correct herself. I then picked her up and we met another friend for Mexican food...not the wisest food choice but hey, I have yet to EVER turn down fajitas and a strawberry margarita so I had a selfish moment.

I bolused her for the amount of carbs I usually bolus her for and thought I did a good job...until I went to bed. She was 198 when I put her in bed at 8:30. I checked her at 11 and she was 356! UUUGHHHH. I bolused her a small amount to see if she'd come down and set the alarm for my usual 2 AM check.

At 2, she was 396. WTF? I checked ketones, .2 so I didn't think it was her pod at this point. I was damning myself for the stupid margarita. We should have had edamame or something glucose friendly. I had to give her insulin, which meant I had to get up again at 4 because I am too paranoid to give her insulin in the middle of the night and just go back to blissfully sleeping. At 4, she was 206. Phew. I stumbled back to my bed, climbed in, and laid there staring at the ceiling until 5:30. Oh. My. God. Once I fell asleep, the dog woke me up at 6:32 to pee. I threw in the towel, got out of bed, got coffee, and got my dragging ass in gear for work.

Sooooo tired. Just another day in the life! And I'm thankful there is another day...

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What is Type 1? Type 1 diabetes occurs when the body's own immune system destroys the insulin-producing cells of the pancreas (called beta cells). Signs: frequent thirst, frequent urination, weight loss, exhaustion. For Dummies: Your pancreas breaks.

What is Type 2? Type 2 Diabetes occurs when insulin that the body produces is less efficient at moving sugar out of the bloodstream. Some sugar is moved out of the blood, just not as effectively compared to a person with normal insulin efficiency. High blood sugars are a result of this. Diet, exercise, weight loss, and possible medications are the treatment for this type of diabetes. Occasionally, someone with Type 2 may be placed on insulin to better control blood sugars. This type of diabetes is associated with physical inactivity and obesity. Type 2 Diabetes used to be thought of as the adult onset type of diabetes. However, an alarming rate of children are now being diagnosed with Type 2 Diabetes (from http://www.diabetesplanner.com/).

What is a bolus? A bolus dose of insulin is the dose of regular or rapid-acting insulin that is injected to cover the food eaten in a meal or a snack (carbohydrates specifically).

What is basal insulin? The basal insulin is the “background” insulin, it works behind the scenes to cover daily functions such as breathing, heart rate, etc.

What is DOC or D-OC? Diabetes Online Community

What is PWD? Person With Diabetes

What is a D-Mom? Mother of a diabetic

What is the average range of numbers? This can vary by age but for Lily (7) it’s 80-160. Anything below 70 is low and must be treated with 15 grams of carbs. High for us is anything over around 250 and we give insulin to bring the number back down.

What is DKA? Diabetic ketoacidosis, aka DKA, is a serious complication of diabetes, which occurs when a very high blood sugar level (above 300 mg/dL) is coupled with a severe shortage of insulin in the body. This is more common in Type I diabetes because the body produces very little or no insulin on it's own. The body starts to break down fat for energy and ketones (toxic acids) develop. People with DKA usually complain of nausea, vomiting, abdominal pain, rapid breathing, and sometimes a fruity odor on their breath. This can lead to coma or death and should be treated by medical personnel immediately (from http://www.about.com/).

What are ketones? Organic compounds that result when body fat is broken down for energy. Glucose is usually used by cells for energy. But, when there's no insulin to help it transport out of the blood and into the cells, the body has an "energy crisis" and starts to break down body fat into ketones as an alternative fuel source (from http://www.about.com/).

What is an A1C test? It is an average of blood sugars over a 2-3 month period of time and is used to determine how well diabetes is being managed. For dummies: The report card.