Monday, July 16, 2007

What Would You Do?

As the great thespian, Keanu Reeves, pondered in the movie Speed, what would you do? What would you do?

I'm curious to know what you would all do in this situation.

Susanne dropped Charlie off at art camp at 9:30 am. This was 2 hours after a 52 carb breakfast of pancakes, small banana and 4 ounces of milk.

At 9:30 am his blood sugar was 160 with 1.2 units of active or "on board" insulin. The class ends at 11:30 am.

So I won't tell you what we did next. I'd like to know what you'd do. I'll tell you what happened later. Let's see who would have made the right decision.

It's worth noting that Charlie is hardly ever out of our sight. The art teacher happens to be a mother of a 20-year-old girl with diabetes and she knows how to test him if necessary. Still, these two hours, a precursor to kindergarten in the fall, have us both on edge.

So, let's see it. What would you do?


At 8:01 AM, Blogger Shannon said...

OMG...I hope I get this right. I'm a nervous wreck here.

I would've tested him about 1/2 hour or so later to see how low he got. If he dropped a significant amount, I would give him a small juice box. If he was holding, I'd check again maybe an hour later.

Honestly, I don't check Brendon in between meals, so my answer was a total crap shoot.

At 8:02 AM, Blogger Shannon said...

Oh yeah, if he dropped significantly, in addition to a juice box, I'd cut back his basal. Don't ask me how much though.

At 8:53 AM, Blogger Kassie said...

not knowing his blood sugar before eating or his carb to insulin ratio, etc, I'd ask the staff to check at 10 as well. Pancakes strike me as a food that sticks around so I'd be less worried with those on board.

At 11:43 AM, Blogger Penny said...

WWPD (What Would Penny Do)

Hmmm....I'm going by Riley's insulin needs and 1.2 units of insulin is an awful lot to have on board.

OK, OK, let me think....

Don't rush me, OK? I'm thinking....

OK, here's what I would do. Riley usually eats a snack 2-2.5 hours after breakfast anyway. I usually want his sugar around 160-170 at that time, so Charlie's sugar sounds great. But, there is the IOB issue.

I would just give Riley a snack and cover what it said to cover (if anything).

But, Charlie probably doesn't eat a snack so.....

I would forego the snack and test in another 30-45 minutes and see if he was still dropping. If he was not dropping, I'd wait it out. Bananas and pancakes both can hang around a bit. So, the active insulin could cover the carbs he still had "on board".

If he was dropping, I'd give him a snack to bring him up.

Oh, who am I kidding? If this happened to Riley I'd sit with him the whole class, constantly asking if his sugar felt low. Then, no matter what he said, I'd test anyway and treat accordingly.

Yep, that's probably what I would do.

At 1:41 PM, Blogger Carey said...

Thanks Shannon, Kassie and Penny for your thoughts.

It really was a bogus question to be asking when you don't know Charlie's eating routine, patterns, etc., but here's what happened.

Susanne gave him a 23-carb snack at 9:30 am. He usually has a snack at this time anyway. Being that he had so much active insulin and the fact that she wasn't going to be with him, she only plugged in 12 carbs into the pump rather than the full 23. She went with the .3 the pump recommended and came back to test him in an hour.

He was 250 at 10:30.

She picked him up at 11:30 and tested him for lunch at noon.

120. Pretty close to perfect.

Another reminder of how lucky I am to have Charlie in my wife's care. Makes me breath a little easier while I'm at work. Yet, scary because the school nurse would not know to do that.

Clearly too much insulin. More tweaking needed. She shouldn't have to fudge the numbers like that to get him in proper range.

At 1:53 PM, Blogger Shannon said...

Good job mom!! Yeah, she shouldn've have to fudge the numbers like that.

As for the school nurse, she'll get into a groove and will get to know how Charlie's body works. Give her the breakfast info in the morning so that she knows what she's in for at school (whether he's low or high...if he's low, she should take extra precautions to check him more...if high, then she should be prepared for higher numbers during the day, etc.).

I like to let the nurse know what she's in for.

At 6:20 PM, Blogger Chris said...

First of all Carey, Keanu Reeves is not a lesbian.

Second i know exaclty what to do...
just ask Denise.

At 6:47 AM, Blogger Penny said...

Way to go mom!!!

I know where you are coming from about school. I try not to think about school right now. I don't want to ruin my summer.

At 7:17 PM, Blogger Chris said...

Hey brother. Just hanging around waiting for you to post rush or anything, its not like the family is in the car waiting for me to go grocery shopping.


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