2 hours into work, up pops the school nurse on my caller ID. This is starting to be ridiculous. Hannah's in the nurses office with hives all down her legs and hands, with swollen fingers. I had to leave to pick her up of course!! Hannah woke up this morning complaining of dizziness, but we pushed Gatorade and the dizziness subsided. Somehow I just knew the nurse would be calling me to pick her up early today!
Speaking with the nurse as I picked up Hannah from school, she reported that Maddison was having a great day. Maddison came in at 139 for her 2 hr PP check, and was back again two hours later for lunch at a nice 130. GREAT! I take Hannah home, get her some Benadryll and my cell phone rings. SCHOOL NURSE on the caller ID again! Maddison's arm site got ripped out. Back to school to put in a new site.
An hour later, SCHOOL NURSE is ringing again. This time, I know its low time. 1pm, the low is striking earlier today. HOW CAN MADDISON BE LOW AGAIN TODAY!!?? ZERO BASAL FOR 2 HOURS TO STOP THE 1:30pm lows at school!!! Ratio significantly increased AGAIN! I almost dropped dead when the nurse said Maddison was 22!!!! TWENTY TWO!! 22!!!! I have done everything I could to stop these lows, and each day its gotten worse! Was it the site change this time!!?? A million thoughts were rushing through my brain as I listened to the nurse tell me how she treated the low. All I could think was she's 22 with how much active from lunch? 22.....please lord, say she rebounds! Off to school again....
When I got to the nurse's office the assistant was knocking on the closed bathroom door saying "Maddison......Maddison." My heart just about stopped. Where is Maddison!!?? It wasn't her inside the bathroom. 12 other kids were sitting in the office staring at me as I frantically looked around for Maddison. The nurse walks out telling me Maddison just rechecked at 110 and was supposed to sit and wait some more while she ate some PB crackers. Too many other sick kids to triage in the office, so Maddison just walked back to class eating her crackers while the nurse was overwhelmed with other sick kids. I set off towards Maddison's classroom to bring her back telling the nurse to not worry, I will handle Diabetes while she handles all the other sick kids. I was FREAKING OUT inside, THIS is what I see looking at Maddison's blood sugar log from the nurse as I walk toward the classroom.....
1250pm Maddison was 71 (thats 1hr PP) Nurse gave her only 4carbs!!!!!
I told her by email this morning to WATCH OUT for lows!! 4c!!??? She only gave her
4c!!??? NO WONDER SHE HIT 22!!!!!!!!!!!!!!!!!!!!!!!! I warned her and she only treated a 71 with 4c when Maddison's been hitting the 30's every day!!!???? Where is the damn plan? The one that says to treat any number under 40 with 20c!!??
So at 12:50 Maddison was 71. At 104pm she was 22 and the nurse gave her 8c!!! EIGHT CARBS FOR A 22!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! At 121pm Maddison was 110 eating 2 PB crackers, and then disappears, walking back to class. By now, having read this log as I walk towards Maddison's classroom, I get a sense of urgency in my step. I know Maddison is going to drop again....and HOW can a 22 be treated with just 8c!!??? I brought 16c of fruit gushers from home....WHERE is Maddison!!?? There she is in the hallway....entering the WRONG classroom!!!!! She's entering the classroom directly across the hall from hers!! I call her name (at this point I YELLED her name and didnt care how loud I was!!) and she turns to look at me. She stops, and just stands there.
It seems like I flew 100ft down that hall in an instant. I tell Maddison to eat the candy immediately as I ask her if she's confused. Obviously. She's still recovering from the 22 and wandering around! We get back to the nurse's office and the nurse tells me how Maddison was acting "onry" when rechecking the 22 earlier. DIDNT SHE THINK SHE WAS ONRY BECAUSE THE LOW!!?? WHY DID SHE LET HER OUT OF HER SIGHT IF HER BEHAVIOR WAS OFF?? I know how busy her office has been all day.....but this would have turned UGLY had I not been there seconds after her warning me of the 22!! Our nurse is overworked at the risk of our children! She had 3 assistants today, and Maddison still wandered off after a low!!
Arriving home with Maddison after the 16 extra carbs I gave, she was 155. And STARVING. Right now, she's eating. Eating, eating, eating.....while I'm FREAKING OUT about all this chaos! WHAT IN THE WORLD IS GOING ON?!
On another note, I didnt really get to talk to the nurse before taking Maddison home for the day....we REALLY need to talk about this. The nurse had rushed out to the Kindergarten class with meter in hand...I assume for the little boy that has Hyerinsulinemia. Could you imagine? I hope he is okay......This must be a low day for more than just Maddison. Another thing....leaving the nurse's office I spotted a mom with my same exact pump while she was picking up her sick child. A pump sighting. I could have talked that Moms ear off at that moment...just because I know she would understand my emotions of a 22 at school! WHAT am I going to zero out for tomorrow? No lunch bolus I guess! WEIRD!!
Moving my blog again
4 years ago