Yesterday Kortnie had a 31 at school. It was a friggin' mess!
She checks her BG at 7:55am when I drop her off, then again at 11am when she goes to lunch, then at 2:20pm when I pick her up. Of couse she checks in between if she feels like she needs or wants to.
Yesterday she was 185 when I dropped her off, with IOB to cover the breakfast we had a 7:15 (2 20gc Breakfast Burritos). I wasn't worried. Apparently at lunchtime she was 279, they don't call me unless she's over 300. They bolused for her lunch and the correction, I can't remember the carbs she took yesterday but it was probably a pretty big bolus at least 4.45U for the correction (279-120/60). She goes to lunch 11:10-11:45 (she goes to nurse at 11 for her check and bolus). Then they go to recess 1:15-1:30pm. When they got back from recess Kortnie's friend "K" told the teacher that Kortnie was acting weird and dizzy (thanks for looking out K!). Mrs. H, told K to get Kortnie's checker out of her lunch bag while she got the juice. They got Kortnie to check her BG and 31 popped up, they got her to drink her juice and then called the nurse. They did everything they were supposed to, at this point the nurse is supposed to call me and head down to the classroom to get Kortnie. The nurse went to the classroom to get her and Kortnie wouldn't leave her desk, that's when they called me. No big deal (NBD that she went to Kortnie before calling me, BIG DEAL the 31), really, I have told them to take care of her first and call me second. So she called me, I saw on my caller ID that it was Nurse S and like always my heart jumps into my throat. Usually when she calls me it goes like this...
Nurse S: Hi, it's me, nothings wrong!
Me: Oh good, what's up?
Yesterday it was like this
Nurse S: Kortnie's 31! (panicky)
Me: Holy Crap, give her juice!
Nurse S: She already had one but she won't walk
Me: Give her more, I'm coming!
Thank goodness I only live 1/2 a mile away, I yelled at my son to get in the car and we drove down, I was probably there in less than 2 minutes, but it seemed like FOREVER, we parked in the parent pick up line and ran to her class, didn't stop to check in at the office (BAD! Really nobody cares, I'm PTO President and everyone knows me, they know I'm not there to steal kids, I have my hands full with the ones I already have, and they know better than to mess with me when I'm in D-Mama mode) Got to her class and she had her head laying on her desk, her face was all white and her eyes were glassy, and she was sobbing. (which I'm sure that crying probably makes you drop even lower, I mean it takes a lot of effort to cry) The teacher and nurse were on their knees trying to get her to drink and she was having none of it, the panicked look on their faces made me wonder if that's how I look too? The other kids were watching a movie, some were watching the show and some were watching Kortnie, they looked a little worried and freaked out too. So I knelt down at her desk and took the juice, of course to my little man Graham, this was nothing, he thought since I was down on the ground it was a fine time to jump on my back, Mrs H took him and found him a place to sit and watch the show. All the while I'm whispering to Kortnie, "please drink the juice", she pushes my hand away, "no, I don't want it, sob, sob, sob, leave me alone, sob, sob, sob" I whisper again, "okay let me check you BG" she says to me, "no, it'll hurt, I don't want to, leave me alone, sob, sob, sob", I tried to pick her up and carry her out, she didn't want that either. Finally I convinced her "okay, take the juice sip it while we're walking and I'll take you home". She agreed, I grabbed her kit and her backpack told the boy to Come On!, and we walked out, Nurse S following right behind. I heard some of the kids call out "Bye, Kortnie, hope you feel better". On the way out to my truck I yelled to the Seceratary Mrs L, "Tell Stasia and Z to walk home!" Kortnie sipped her juice all the way home, kind of slumped over with her head on the window. I checked her before we got out of the truck and she was up to 112 (22 minutes after the 31), she still had IOB, (Insulin On Board which means Insulin still in her bloodstream working), I reduced her basal rate of Insulin by 50% **Why didn't I think if disconnecting her pump or suspending or reducing earlier? Panic I guess** for 30 minutes and by 2:50pm she was 163, the rest of the afternoon her numbers were 152 at 3:44pm (Snack), 96 at 5:29pm (Dinner), 160 at 7;11pm (Snack), 295 at 8:52pm (Bedtime), 265 at 10:27pm (My Bedtime), 177 at 2:31am, and she woke up this morning at 131.
Once I got her home, she lay on the couch for awhile until about 3:30, then she was up and ready to go, feeling better and wanting to go to Girl Scouts. I let her go to Scouts because I knew her friend "K" would be there and she would worry if Kortnie didn't show up. So she went to Scouts and had a good time. D-doesn't keep her down for too long. "K" was sure glad to see her.
When my husband got home last night, I told him all about the 31, Kortnie heard me telling him and she didn't even remember 1/2 of the story, she kept saying, "No, I wasn't!" when I told him about the crying and leave me alone part. She never remembers the details of the bad lows or even the bad high's. Maybe that's good that she doesn't remember her "episodes", but it also worries me because is it something she blocks out, or something that her brain misfires and doesn't record the memory?
I asked her if she felt low before everything went down and she said "maybe a little", then I asked her why she didn't go check her BG when she started feeling low, she just shrugged her shoulders. I know it was because she was having fun and playing and didn't want to stop. Hopefully this will make her think twice before ignoring her next Low feeling. Dang it! Life shouldn't have to be this way for little kids, they should just be able to play and have fun and not worry about Blood Sugars and Juice Boxes, Bolus's and Basals, they shouldn't have to wonder if running around with friends will cause them to pass out, act weird, seizure or...worse. It shouldn't have to be this way for anybody. But it is this way and I guess I'm here to help her thru the episodes, good and bad, and I'm here to teach her to listen to her body, and I'm here to "Keep Calm and Carry On" when everyone else is panicking. FUD!!!!!
Kortnie just got home from school, I asked her if anyone said anything to her about yesterday, she told me that Mrs H and Nurse S told her that they were worried all day yesterday. I guess I should have texted them to tell them all was well, I'll have to remember that next time. What am I saying, there better never ever be a next time.