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January 9th, 2009
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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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Because of finals and last minute touches on projects, the last few weeks destroyed my normal sleeping habits. The added stress didn't help my normal insomnia either. I tried heading to bed super early over the weekend so I'd be prepared for this week, but my body just didn't want to fall asleep before one.

 

Sunday night, I didn't fall asleep until after two. That happened again Monday night. So I was averaging about five hours of sleep a day, with no naptime. By Tuesday afternoon, I was quickly fading.

 

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Sometimes I get in slumps with my diabetes. I just put things off and don't watch much. I guess you could say that I get kind of "spacey" about all things diabetes related.

 

The last few days I've been feeling this "spacey" feeling. I don't test like I should. I don't log anything. I can barely remember to bolus.

 

Today, I've checked my blood sugar three times. Once when I woke up. Once before lunch. And once a few hours ago because I was low. Good pattern, huh?

 

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Surely, I thought when Toohey beeped at me mid-morning, it was one of those random beeps that I couldn't explain. Maybe even a no-delivery message.

 

"LOW RESERVOIR" was not what I wanted to see. With my new job in a new city, my commute is no longer just four blocks. Now I'm an hour away from home. I can't just scoot out for a few minutes if I forget something.

 

I scrolled down; 7 units would barely get me through lunch. I kicked myself because this morning before I left for work I checked how many units I had and knew I wouldn't be able to make it through the day. I made a note to stick a reservoir and a bottle of Novolog in my purse so I could make the change this morning when I ran out.

 

Clearly, I forgot.

 

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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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Seven weeks into this whole motherhood thing and I can honestly say I understand the true meaning of sleep deprivation. It's a brand of exhaustion I have never experienced before. Finals week in college does not begin to touch the level of tired I am. Moonlighting as a rock star while (barely) holding a 9 to 5 gig as an editor comes close, but still no cigar.
There is a reason sleep deprivation is used as torture, although I can't imagine how well it works if you're trying to get someone to talk. I'm so tired I barely know my own name right now. If I possessed any classified information crucial to the nation's security, that secret would be safe with me, because I really can't remember much of anything.
Things that were previously second nature now require a great deal of effort. And that primarily applies to my diabetes control. (READ MORE)


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This is the conversation that doesn't end It just goes on and on, my friend Some woman started saying it Not knowing how it how it goes And she'll continue saying it forever just because
Ad nauseum

I keep having this conversation with Olivia (and thus, with all of you lucky, lucky people) about her not entering her blood sugars in her pump. It is driving me in-freaking-sane.

I tried really hard today not to get upset with her. I didn't yell, but I was firm. I asked her why she hadn't entered these blood sugar readings and she said she didn't know. Then she said that it's because she's pushing the buttons to quickly and half the time, doesn't even look at the pump (ack!!) when she's doing it.
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On Thursday, Olivia asked me if she could spend Friday night at a friend's house. I said yes, but told her that she had to call home at some point on Friday evening and call again on Saturday morning to let us know when she wanted to be picked up.

I didn't get any phone call until noon on Saturday. I had gone out Friday night, but my husband was home with the two little ones. Normally, I would just get on her case a little bit about it and leave it alone. That was before I checked her meter and pump today.

She didn't check her blood sugar after 5 p.m. on Friday night and only checked THREE times on Saturday. Three. We typically check between 8 and 12 times a day, every day, depending on what's going on. I very nearly blew a gasket over that one.
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On Thursday, Olivia asked me if she could spend Friday night at a friend's house. I said yes, but told her that she had to call home at some point on Friday evening and call again on Saturday morning to let us know when she wanted to be picked up.

I didn't get any phone call until noon on Saturday. I had gone out Friday night, but my husband was home with the two little ones. Normally, I would just get on her case a little bit about it and leave it alone. That was before I checked her meter and pump today.

She didn't check her blood sugar after 5 p.m. on Friday night and only checked THREE times on Saturday. Three. We typically check between 8 and 12 times a day, every day, depending on what's going on. I very nearly blew a gasket over that one.
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After a conversation with Olivia about checking, how it's important, how I can't make changes to her insulin regimen without knowing her numbers, she's still not checking. Worse, I think she's starting to just put numbers in her pump without having checked first.
I log her numbers a few times a week. Tonight when I did it, I noticed there were a couple of reading in her pump that weren't on her meter. I asked her about it and she denied it, so I let it go, but I'm starting to worry. I really need to figure out why she's doing this, have a long talk with her about it.
Is this a common thing for teenagers to do? Those of you that grew up with type 1, did you do this? How did your parents handle it? Because it's really pissing me off. I yelled at Olivia about it tonight but once I calm down, I plan on talking to her about it, see if she has a reason or if she's just legitimately forgetting. She is a forgetful kid. (READ MORE)


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Scott Marvel
Scott lives an active life with type 1 diabetes. Aiming to stay on top of his unexpected diagnosis, he puts a strong foot forward to stay in control.
Living life in the sun and fulfilling his dreams, Scott tries to educate himself, and others, on the unquestionable possibilities of a life with type 1 diabetes.(Read More)


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