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May 24th, 2012
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Olivia has a tendency to run high after exercise. I don't know why, I just know that she does. What we usually do is have her eat something light an hour before practice and bolus her a little more than usual for the carbs eaten - usually 30% more. It seems to work, although like many things with this stupid disease, what works one day might not work the next.

Last night, Olivia got home from soccer practice and said she'd taken out her site because it was hurting her when she ran. I told her that was fine, but that she should take a shower and we'd put in a new one when she was done. This was around 7:15.
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We're constantly weighing things. Weighing grams. Weighing negatives. Weighing the lesser of two evils.
On the soccer field at halftime I weigh the effect grapes will have on Charlie when his blood sugar is 260. I weigh this against the sadness he'll have if he's the only kid unable to enjoy a halftime snack. This one's easy though. I'll never ever subject him to exclusion.
But, how many grapes? I don't like that he's 260, but he's running around like a wildebeest for two hours. He should come down. Right? Well, maybe. He may also go up higher with all that adrenaline pumping. He may just stay the same somehow and then plummet later. I can't bolus him and risk a low.
But there's that difficult decision again. The rest of his teammates are reclining on soccer ball pillows and popping grapes like Julius Caesar and I've allotted Charlie a measly three. (READ MORE)


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I am Charlie. I am 7 years old. I love hockey! I have one bruther and one sister. My sisters name is Maeve. My bruthers name is Ben. When I first got diabetes I was almost two years old.

 

I don’t remember how it felt when I was littil. one time I past out at a food stoor!I think I was four or five when I past out. I have a pump. When I go in the pool I have to take my pump off.

 

when I am really high I feel low. i like the pump beder then a shot because you have to take shots all day with a pump you get a bolus. the pump gives me insulin. my littil bruther is four and my sister is ten. diabetes can’t stop me from dowing anything. There are a lot of difrint kides of pumps. i have a minnimed. it is blue.

 

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Free Balls

 

At least with lows, you can get a heads up when your child comes to you and says, "I think I’m low." It’s a quick fix. At my 4-year-old’s first soccer practice on Sunday, the coach asked the group how many balls are used in a soccer game. Ben popped up like a Ben-in-the-Box and shouted out the answer triumphantly, adjusting his fingers accordingly to support his response.

 

"Freeeeeeeee!!!! (3)"

 

How’s that for the son of a soccer player.

 

Meanwhile, Charlie sat quietly behind one of the goals. Maybe too quiet. Maybe we should have been intuitive enough to know that he was sitting there very high and possibly had been for a few hours. It makes me sick knowing it after the fact. Continuous glucose monitoring is entering our conversations more and more these days.

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My inaugural season coaching Charlie's soccer team - The R2s - came to an end. The soccer part went well. We scored "THIS many" goals. (Holding up sticky orange fingers) The other teams scored "THIS many goals." (Holding up slightly less sticky orange fingers.)
I know soccer. That part comes easy. But managing diabetes when there's 117 various obstacles working against me? Not so much. I often found myself winging it; rolling the dice; holding my breath; crossing my fingers; thanking my lucky stars; speaking in clichés.
I did a lot of research on pumping strategies for excessive activity. The more I read, the more confusing it got.
Reduce basal rates by 50 percent 1 to 2 hours prior to activity. OK, I can do that.
However, watch out for high blood sugars just prior to activity due to adrenaline.
If using insulin to treat high blood sugar, use caution as activity speeds up the effect of insulin. (READ MORE)


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* I brought Charlie and my daughter to my soccer game on Sunday. Charlie, super duper shy, kept his cap down over his eyes and gave reluctant high-fives with bouquets of orange leaves rather than hand while I introduced them to the players on my team. A well-concealed smile formed with his chin firmly against his chest when he heard the Brits talking strategy, because to him, they sounded just like Obi-Wan Kenobi in Star Wars. "Anyone have a pump?" one of the players yelled, squeezing a soccer ball. Charlie's eyes widened and his head popped up like a Jack-in-a box as he bit his lower lip with a coy smile and adjusted his shirt to reveal his blue pump.
* A co-worker told me that the worst thing about the pump is that it makes it easy to eat a lot of bad foods because you can just hit a button for insulin. That's something her friend with diabetes does. I can think of a few worse things about the pump. (READ MORE)


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Charlie will play organized baseball for the first time tonight. He's super excited. It's also the first time he will have a coach other than me. I've coached Charlie's soccer team for the past few seasons.
This doesn't make me nervous though. It actually allows me to have my eyes on him a little closer now that I won't be dodging soccer balls launched at my head or wearing 40-pound children as slippers. But it does necessitate some fair warning to the coach regarding Charlie's diabetes. Not just for safety purposes. I like the coach and I don't want to put him in an embarrassing situation. (READ MORE)


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It weighs heavy on me, this damn disease.  Some days are especially long and challenging. I'm reminded of a song called "Four Seasons in One Day." In just one day, diabetes can throw so much at us.

 

Blistering hot highs. Blustery lows. Raging tempers like an April thunderstorm and even beautiful numbers as cool and still as autumn.

 

This was Sunday.

 

The day started off promising. Charlie woke up with a good blood sugar. He hit the ice at 8 am for hockey practice with a blood sugar of 203 - a number I'm comfortable with when he's out there on the other side of the glass. After hockey, Charlie tested himself while we drove to my soccer game.

 

"I'm 98."

 

"Nice!"

 

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"Pretty cool, huh?" I say to Charlie's soccer teammates, as I remove his pump from his pants and hold down the up arrow.
We met for ice cream and handed out trophies yesterday afternoon. Charlie couldn't wait for his first-ever trophy. He was giddy all morning despite having unexplained high blood sugars.
The boys watch, with dripping brown, blue and white beards, as I hold the up arrow button down for what feels like an eternity. 97, 144, 172. Higher. 201, 233, 268. Higher. 280, 312 and , stop! 339. Phew! At least it wasn't 340. Now that would have been high.
I cringe as he bites into the chocolate ice cream and his own brown beard takes shape around his mouth. He smiles at me, knowing that his face looks funny. I smile back uncomfortably. I hate this disease! I hate this disease! I HATE THIS DISEASE! (READ MORE)


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Baby’s Firsts

 

The first time you ...

 

held a bottle - 8 months

 

turned over - 4 months

 

crawled - 8 months

 

wore shoes - 10 months

 

sat unsupported - 7 months

 

stood up - 9 months

 

took first step alone - 13 months

 

tested your own blood sugar - 90 months

 

When you’re waiting anxiously for your baby to begin crawling or walking or become potty trained, it often seems as if it will just never happen. I've joked about Ben throwing his hairy legs in the air and demanding a diaper change at age 17, lest he be late for graduation. (For the record, we're finally making progress on that front).

 

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Lindsey Guerin
Lindsey GuerinLindsey is a typical, yet unique, Texas girl who loves shopping, movies and reading. She loves to travel and take risks. She dreams of diabetes cures, never-ending cheesecake and her own airplane. The rest you can discover in her blog! (Read More)
Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
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