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Things just keep getting better and better around here. (to be read in a dripping-with-sarcasm tone of voice.)

I got a phone call from the nurse this morning that Olivia had shown up in her office shortly after gym started, complaining of shortness of breath. The nurse took her blood pressure and it was 120/100. I called Olivia's pediatrician. Four bp readings later, she was 120/96. And no one has a clue as to what's going on.

She says she feels fine. She doesn't feel like her heart is racing, she doesn't feel sick, nothing. She hadn't even started running around in gym when this happened.

The pediatrician didn't want to see her today. She suggested I have the school nurse check Olivia's blood pressure tomorrow, a couple of times during the day. She also said that if it flared up again tonight, that I was to take her to the ER.

Blah.
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I've been hit! I've been hit! I called out sick for second straight day. My wife has me quarantined in my 8-year-old daughter's room since she has already been contaminated after seven straight days. I know I'm feeling a little loopy from the medication, but if Zac Efron and Harry Potter keep staring at me all sexylike, I swear I'm gonna pop them both in the jaw.
On to the Mad Libs. The submissions were fantastic! Great words, everyone. Thanks for playing. I should note that I did take the liberty of striking a minor two lines from my original Mad Lib because it just didn't work well at all. So, a couple of your words didn't make the final cut. Sorry about that. They were all so good, I plan to post each one. So, if you don't see yours in this post, look for it in the coming days.

Treating Low Blood Sugars
From Becky: (READ MORE)

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In the life of a diabetic, blood draws are fairly common. I can remember being a little girl in my pediatric endo's office waiting for the inevitable butterfly needle after the appointment. My mom and I claimed that the nurses in the hospital were always rougher than the ones in my normal physician's office. It seemed like those quarterly blood draws hurt more and more every time.

 

But I was always used to them. Needles never have been my problem. Maybe it's because before I even begin to remember things, I can remember diabetes. Needles and those blood draws are so common to me that I know no other way. But even though I'm not scared of needles or opposed to the routine draw, I still hate the way it all happens now.

 

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We haven't made a deposit in our bank since June of 2005. We also haven't seen the need to make a withdrawal in that time. I often wonder how to even make a withdrawal if we needed to. I mean, could I take out just a little bit at a time or would I need to take one lump sum, closing my account? It would be really cool if they gave us an ATM card of sorts so that we could easily control when and how much we wanted to take out.
Then again, a withdrawal of cord blood from a machine could get a little messy. (READ MORE)

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Nope, not a new Nancy Drew mystery, unfortunately. It's much more prosaic.

 

Olivia has been using the One Touch Mini since last summer. She got a new, downloadable one at the endo appointment in February. It's her favourite meter.

 

However, yesterday I went to put her numbers for the last couple of days in the meter and I noticed that she tested her blood sugar at 4-ish on Friday and never checked it again until the next day. She swears up and down that she did check it, but there's nothing in her pump and nothing in the meter. Check that - there are carbs and insulin doses in her pump, but no blood sugar readings.

 

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Charlie's ice hockey session ended yesterday. After a rocky start – which I wrote about recently – I must say; blood sugars have worked out beautifully.

 

Without too much trial and error, we found a routine that worked and stuck with it for the remaining four weeks of the hockey program.

 

I tested him just before he took the ice, unplugged him and gave him a 20-carb banana (with no bolus) to cover the intense workout. Unsure how it would work out in the beginning, careful disconnection of his pump felt like an attempt to dismantle a bomb. "Work damn you! Work!"

 

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"What's the best diabetes advice you've ever been given," Kerri asked the other day.

 

As a health writer, one of the perks of my job is that I get to talk to experts. One of the questions I often ask is, "What is the best advice you'd give someone with diabetes?"

 

And of all the interviews I have done, I think the best response came from Linda Dale, RN, CDE, Clinical Nurse Specialist in the Outpatient Diabetes Eduction Program at the University of Michigan Comprehensive Diabetes Center. The article was about testing your blood sugar.

 

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I went to bed early enough to get eight hours of sleep the night before surgery. Before I fell asleep, my blood sugar was 168. I lowered by bolus by about 20%. I set an alarm for 3:45 am (9 hours pre-op) and an alarm for eight (to call the doctor's office). Not too long after, I was fast asleep (thankfully!)

 

At 3:45am, my blood sugar was 185. I ate 45 grams of carbs and bolused for both the correction and food. I decreased the bolus by 15%. I set my basals to decrease by 30% at 8am, since that would put me at 5 hours pre-op and awake (and nervous!).

 

When I woke up at 8am though, my blood sugar was 233. I bolused, lowering it by 40%. I called the doctor's office to confirm my pre-op instructions and ask about my basal rates before I came in for surgery. The nurse told me that the oral surgeon wanted me to keep my basal rates at a normal level. If my blood sugar dropped, I was only to treat with Sprite.

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In anticipation of my end of the month endo appointment, I have to go for fasting blood work this week. I'm dreading it. To me, this one of the most inconvenient things in the world for several reasons.
First off, it has taken years for me to get into the habit of eating breakfast. Now that I'm a regular at the breakfast table, I'm completely hooked on the most important meal of the day. I can't leave home without it.
Second, I don't think its safe for me to drive on an empty stomach. It's kind of like not drinking liquor on an empty stomach. It's just a bad idea. I'm low, I'm shakey, I can't see straight. I'm liable to curse at anyone who crosses my path, even if they do have the right of way. Granted, the doctors office is down the hill and around the bend, literally 3 minutes away. But still, I'm not fond of driving before eating. (READ MORE)

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When testing Charlie’s blood sugar in public, there was a time when I would crouch down in a semi-secluded corner of the store and prick his finger to avoid full-on display of bloodshed. Not so much anymore. While using some gift cards at Best Buy the other day, Charlie said he felt low. The diabetes bag folds open quite nicely on the DVD shelving while curious shoppers look on. I had it wedged between Night at the Museum and Star Trek, I believe.

 

Maybe I should collaborate on the Zagat guide to the top public places to test your child’s blood sugar in.

 

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