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Olivia has a chronic issue of forgetting to bolus for meals. She regularly spikes up after breakfast because she forgets to give insulin. I'm not always up when she's eating, so I forget to remind her.
I went thru her pump history yesterday and it looks like she only took two boluses all day, one at 10 a.m. and one around 3 p.m.. She claims she put in her blood sugars and bolused, but none of that information is showing up on the pump. When I went thru her meter, it showed that she'd tested way more than twice yesterday. I don't understand why it's not showing up in the bolus history, though. I don't even know if that's possible and given her history of forgetting to bolus, I'm questioning the broken pump theory.
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Olivia is again forgetting to bolus for meals and/or high blood sugars. She came to me tonight, saying I needed to raise her basal rates because she was running high. I've started logging again (another post for another day) and knew that she'd forgotten to bolus once on Monday. Last night, she was 415 and throwing up because she forgot to bolus for her high blood sugar and her dinner, which she'd eaten two hours earlier. I can't really make basal changes when the data I'm looking at is skewed by absent boluses.
I'm not really sure what to do about this. I do not want to punish or yell at her - that seems as though it would be counterproductive. But I need some way to get her to remember to do this. I can't sit on top of her at every check and every bolus - she's 13, not an infant.
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Remember that song that the Red Hot Chili Peppers covered? Roller Coaster of Love? I always think of Olivia's crazy blood sugars when I hear that song. And this week, that song has been on a permanent loop in my head.
Starting on Saturday, Olivia's blood sugar never got below 168. She mentioned that she was running high, but I didn't download her pump information until Monday. That's when I saw exactly how high she'd been running. It wasn't pretty.
She had a high of 527. Most of her blood sugars were hovering around the 300 mark. This was exacerbated by the fact that, once again, she's been neglecting to test and put the blood sugar reading into her pump. On Saturday, there were only 2 readings in the pump. Everything else was just a bolus for carb intake.
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Remember that song that the Red Hot Chili Peppers covered? Roller Coaster of Love? I always think of Olivia's crazy blood sugars when I hear that song. And this week, that song has been on a permanent loop in my head.
Starting on Saturday, Olivia's blood sugar never got below 168. She mentioned that she was running high, but I didn't download her pump information until Monday. That's when I saw exactly how high she'd been running. It wasn't pretty.
She had a high of 527. Most of her blood sugars were hovering around the 300 mark. This was exacerbated by the fact that, once again, she's been neglecting to test and put the blood sugar reading into her pump. On Saturday, there were only 2 readings in the pump. Everything else was just a bolus for carb intake.
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I don't normally make New Year's resolutions, finding them to be just another way to make myself feel guilty about things. And I can do that well enough without adding a list to the mix.
But this year, I have resolved to get more on top of tracking Olivia's blood sugars. I tend to slip about it. I'm great for a week or two and then I let it slide. I forget to ask for her meter for a couple of days and then I think "Oh, well, I'll start over on Monday." But I don't. I forget. (do you sense a theme here?)
This forgetfulness thing is kind of new with me. I'm fairly sure it's because I don't get enough sleep. My youngest daughter - 17 months old - still isn't sleeping thru the night and I'm up 2 or 3 times with her, which plays havoc with my sleep patterns. It can't possibly be because I'm getting old. *ahem*
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It started last night. I guess it was right about the time I got home. I'm not sure there was one source or if it was a combination of things or if it was just one of those afternoons. I was cranky. Really cranky. Like drive me out to the middle of nowhere and leave me there kind of cranky. Even I didn't want to be around me.
It was close to an hour before it occurred to me that my crankiness might be due to a high blood sugar. I sighed. It all comes back to diabetes in one way or another, I thought angrily. I tested, and, sure enough, I was high. Really high, in fact. Over 300 kind of high. No wonder I was acting so terrible.
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