Kortnie

Kortnie
Kortnie at the 2011 JDRF Walk to Cure Diabetes, Tempe Town Lake, Tempe, AZ

Saturday, September 29, 2012

Soccer

Kortnie is playing soccer this year.  The first and only other time she played soccer was in 2009, the year she was diagnosed, soccer season is Sep/Oct here.  In 2009 about halfway through the season she started not feeling well.  We'd go to the soccer game and she'd end up laying in my lap on the sidelines while we watched her sister and the rest of the team play.  We'd go to practices and she'd run down the field once and get so tired that she just had to sit.  At first I thought to myself, that she just wasn't a sporty girl.  Then I started noticing that everything was making her tired and not only tired, but drained!  Her face would go white, she'd cry because she was so tired, she'd just flop down on my lap and fall asleep.  Soccer season ended and 1 week later we were in the hospital getting diagnosed with T1D. 

When soccer season 2010 rolled around she didn't want to play.  Her older sister wanted to play, so I signed her up.  I didn't push it with Kortnie.

Soccer 2011 came around, I asked the girls if they wanted to sign up, neither one of them did.

Sign ups for this year's season came around, I asked again if they wanted to play and asked my son too since he is finally old enough to play.  Surpisingly both Kortnie and Graham wanted to play.  Our oldest didn't.  Fine with me.  I signed up Kortnie and Graham and they really are having a great time. 

Kortnie is a go getter, she runs fast, she has okay ball handling skills and most times plays forward.  That means she is running up and down the field the whole game pretty much.  Her blood sugars are definitly affected, but they are different at every game and practice, so I haven't figured out what to do to manage them better.

Today we only had 10 kids to show up to play her game, this meant all 10 of them had to play the whole game, no sitting out.  Her coaches were out of town, so I was sub-coaching for them. 

Here is how her blood sugars went Her in-range # should be between 80 and 120

Her game was at 11am, around 9am we started thinking about breakfast

9:14am  she was 362...I should have known this would happen, we always have late morning highs on Saturday, I think because our sheduale is different, I really need to get her to eat earlier, or change her basals on the weekend.  She ate a muffin, I had her bolus for 35 carbs (instead of 50) and the correction. 

10:56am - game starts at 11, her BG is 182 no correction

11:32am - halftime, we always check at halftime but I knew she was gonna be low, I could tell she was getting tired, been running nonstop pretty much for 30 minutes.  She was 81, gave her about 1/2 a package of Smarties and she was off.  I would have given her the whole package of Smarties, but it must have been in her kit for a long time, because when we opened it about 1/2 of them fell into a powdery mess and the other 1/2 of them that she ate, she said tasted yucky!  Around  11:38 I ran out on the field and put a glucose tab in her mouth.  The other coach is a friend of ours and she just laughed and yelled out "Such a devoted mom!"  She knew I was shoving sugar down Kork's throat.  I was running off the field and kind of yelled out "Sorry she needs some sugar, I can tell!" A couple other parents, were like WTF was that all about? I could hear them murmuring, then another girl who knows us-she's friends with my older daughter-on the sidelines says, "she's diabetic, she needs candy and stuff sometimes".  Then I hear this older kid talking about how he's hypoglycemic.  Then I just tuned out and kept my eye on Kortnie.  I realize now that I should have had her take her pump off, or reduced her basal, I'm still getting this sports thing figured out, and it didn't occur to me that I should have done something like that until after the game was over.

11:44 - end of 3rd period, she was 67, she sucked down a Capri-Sun, and she went in as goalie, less running-that was my thinking-I should have made her sit out, but she wasn't having that and sitting out would have left us with one less man on the field, no one to sub in for her.   I went and stood by the goal to keep my eye on her, gluc tabs and juice in hand.  She did fine, I could see the life coming back into her face.  I also at this point thought to myself that it was pretty stupid of me to leave my glucagon in the car, way across the street at the fire station.  Had to park there because the parking lot at the park was full, well because there are 3 games going on all day 9am-5pm.  Next weekend I will be bringing the Glucagon with me to the field, and I'm going to remind myself to think about temp basals too!

11:59 - end of game, she was 123, she had a cupcake as an after game treat, had her bolus for 23 carbs

1:09 - back home, time for some lunch (stopped at a yardsale on the way home), she was 85, we had mini pizzas, she bolused for 32 grams of carbs, after they ate, the girls had to clean their room

4:11 - 63, she ate a mini chicken sandwich 12gCarbs - no bolus and a dum dum sucker unbolused, at 4:30 she went out to play at the neighbors house, with a roll of Smarties in one pocket and cell phone in the other, told her to come back at 5, it's 4:43 now.

5:16 - called her on the phone, told her to come home and check, 71, cupcake time, 23gCarb, she got a bolus of .85 and is now un-hooking from the pump for a shower and site change, which will probably take her 30-45 minutes, she loves to be un-tethered so she stretches it out.  Being un-hooked, that ought to bring her BG back up, probably too much.

Her team ended up losing 3-1, kind of sucks because it was a great game, going into the 4th period (when I put Kortnie as goalie), the score was 1-0, her team scored bringing us up to 1-1, then the other team got 2 kicks past Kortnie, which I'm sure the low had something to do with her letting at least one of those get by.  Oh well, though, it's just city league 8 and 9 year olds and they had fun, so that's the main thing.  Right?  Maye next time the real coaches are going to be gone, they won't ask me to sub-coach.

Phew, here's hoping the post game lows stop now and give us a break. 

Diabetes-never ending-always making me think-my brain is tired-but Kortnie is having fun and enjoying a typical Saturday for an 8 year old girl.



Thursday, September 27, 2012

The Stuff Kids Say

A week or so ago I posted over on our family blog about some of the funny things my little boy had been saying recently.  Yesterday my girls were sitting at the kitchen counter and they had a kind of funny-silly-sad conversation.  Something like this.

Me:  Kork, check your blood sugar.  it was time for dinner

Kork:  UGH!  gets out her stuff and starts checking
Stasia:  I'm sad that you have diabetes
Kork:  Yeah it sucks, I hate it! pokes her finger, does her thing, she's thinking, I can tell
Kork:  But I guess it's all right.  It's fun too, sometimes.  Like the Diabetes walk and Diabetes Camp.  That is FUN!  Yeah, I guess it's okay
Stasia:  Yeah, the Diabetes Walk is fun!  I like to go to that.  It still sucks you have to have diabetes though.

That being said....Our Diabetes Walk this year is November 3, 2012.  Tempe Town Lake.  On Friday the 2nd,  Kortnie had her Endocrinologist appointment, we'll be going down to The Valley (Phoenix Area) for that, staying the night and doing the JDRF Walk on Saturday.  Kork's 3 year D-Aversary is on November 7, so we'll be celebrating the weekend of the walk.  We'll probably hit up the mall and get everyone a new outfit, maybe a Christmas dress, and we'll go out to eat somewhere that Kortnie picks.  She and her sister are already planning on the carb-tastic, carb-o-licous Golden Corral.  Should be a fun weekend. 

Painting pumpkins last year at the 2011 JDRF Walk to Cure Diabetes.
Kork on the left, Stasia on the right.

And here is where you have the oppurtunity to donate to our Walk Team and help support research in finding a cure for Type 1 Diabetes.  If you'd like to help us out with a donation or even join our walk team click here.  $1, $5, $10, anything helps!  If you have already donated, we are thankful and appreciative. 

Monday, September 24, 2012

Diabetes Art Day 2012

Today, September 24th is Diabetes Art Day

A brief description of the movement from the website says...

Diabetes Art Day is a web-based initiative for the Diabetes Online Community to “tell a story” about life with diabetes though creative visual expression. It’s a way for us to tell our stories so we can connect and share with each other and with our loved ones. It’s a way to generate diabetes awareness outside of the DOC by sharing artwork on Facebook, Twitter, blogs and community websites. Diabetes Art Day is for people young and old with any type of diabetes and their families, so children, spouses, parents, siblings, or anyone who is affected by diabetes can participate. For this one day, you’re encouraged to break out of your linguistic comfort zone, bust out some art materials, and make a piece of artwork – painting, drawing, collage, sculpture, an installation piece, a mixed media something or other, or whatever you can imagine. Whether you have lots of experience making art or none at all, Diabetes Art Day is for you to show the world what it’s like to live with diabetes in that “a picture is worth 1000 words” kind of way.

Yesterday morning, I told Kortnie all about Diabetes Art Day, I told her that you take some of your diabetes stuff trash, and make something out of it, then take a picture of it and put it on the internet.   When we got home from church, Kortnie asked me if she could make something.  She gathered her supplies, I showed her some photos of previous years Diabetes Art, and she and her sister went to town.  This is our first year participating.  I have to say I'm pretty pleased with what that girls came up with, and I had fun taking pictures of their art.  While I was taking pictures of their art, I took some photos of some of their supplies.  I made a few collages to upload to the website.


 
 
Here are a few more pictures we took.
 
 A bunch of test strips, some insets, cartridges, and insulin vials.  Some lego guys and little brother's ambulances.  This was definitly inspired by some of the Diabetes Art we looked at online.
 

A peace sign made out of One Touch and Accu-Check test strips bottles. 
 

 Kortnie has been saving test strips all year, this is a bottle of some that they didn't use.
 

 Leftover supplies.  Alchol wipes, smarties, syringes, pump tubing, syringe caps, test strips, gluc tabs.
 

Kortnie and Stasia with their masterpiece.  

Wednesday, September 12, 2012

A crap week

Monday was long, Tuesday was tiring, and today has not been great either.   This morning, I forgot to put a carb count in Kortnie's lunchbox.  Every afternoon after school she makes herself a lunch for the next day, in the morning before school I am supposed to put a carb count in her lunch and make sure she has her checker (her test kit) before she leaves.  This morning, I forgot.  I also forgot to give her the medicine she is taking for her UTI.  Around 10am I realized I had forgotten the medicine, I go pick up her brother from Kindergarten at 10:45, so I just took the medicine with me then.  She came to the office and took her "yucky" medicine, I picked up Graham and came home.  My phone was beeping at me, telling me that it wanted to be charged.  I put it on the charger, I got the little girl I babysit on the bus, I made lunch for Graham and I, then I came into the living room to fold laundry and watch Grey's Anatomy on Netflix.  I finshed the laundry and laid down on the couch, the next thing I know, Kortnie was walking in the door with her Nurse from school.  I jumped up and yelled "what are you guys doing here", they had startled me, I thought something must be wrong.  They told me that they tried calling but I didn't answer the phone, so they drove over here to find me. They told me there was no carb count in her lunch.  Kortnie was crying.  Oh brother!  Miss Sharon said she had to get back to school and asked me if  I would bring Kortnie back.  I told her thanks for bringing her and yes I'd bring her back to school, went into the kitchen where my phone was plugged in and it had turned itself off.  Stupid Smart Phone!

Kortnie checked her BG, she was 102, I looked through her lunch box and counted up 33 carbs.  She'd packed 7 strawberries-10gC, a 2gC juice pouch, peanut butter for dipping the strawberries in-5gC, and 2 cookies-9gC.  Yeah, a real healthy lunch, right?  I told her to go get a cheese stick and piece of salami out of the fridge too.  We got her bolus and I told her I'd take her back to school, she started crying again and told me she only had 1 minute to get back to class!  She was upset with me that my phone was off and she wasted all of her eating and recess time with her friends trying to call me.  So, she stayed home and ate, she got calmed down and I took her back to school about 20 minutes after lunch ended. 

She's had a rough week, the UTI stuff, she's tired from the infection and the medicine, I think today kind of pushed her over the edge for a minute. 

I am tired.  It's not just Diabetes, there are other things dragging me down too, it all just gets to be a lot sometimes. 

Tuesday, September 11, 2012

It's true what they say about Monday's

My poor Kortnie, I feel so bad for her sometimes.  Ever since she was a little baby she's always been my sickest kid.  Once she was diagnosed with T1D, she actually didn't get quite as sick anymore, we figured it was beacause we finally knew what was wrong with her and we were working hard to treat her and give her a healthy life.  Well, we are coming up on 3 years since diagnosis and while we've dealt with a few colds and one or two stomach bugs, we've not had to deal with anything too awful. 

Saturday morning she had a soccer game, Saturday evening we went to the fair.  Blood sugars were good, we had a fun day, at the fair we ate some junk food, funnel cake, french fries, lemonade, and hot dogs.  I bolused, the BG's stayed good.  From 10:30pm Saturday night to 8am Sunday morning she was kind of high but 230-280.  I figured it was residual from that dang funnel cake and lemonade.  By 10am Sunday she was back at 112, we had breakfast and went to church at noon she was 81 and still had Insulin On Board (IOB), I gave her 3 smarties and sent her to her Sunday School class while I stayed in my class.  We got home from church around 2:30 and she went to the bathroom, then came out and started telling her dad stomach hurt and she went to the bathroom during church and just now at home and there was blood in her pee.  He called me upstairs and told me, she hadn't flushed the toilet so I went and looked.  Not gonna lie, I freaked out.  Jumped on the computer and started googling.  I figured that she probably had a UTI (uterine tract infection), but there was also stuff about Kidney Stones and Kidney Disease and how people with Diabetes have Kidney problems.  So I started asking her questions and figured that yeah, it probably was a UTI.  Next I went into some of the D-Mom and PWD groups on Facebook and posted a question about it.  I got lots of advice and encouragement, here.  I am so grateful for the DOC (Diabetes Online Community)!  I called her Endocrinologist and they said it sounded like a UTI as well, and that I could give her tylenol and push fluids and keep her at home and take her to Urgent Care in the morning or ER that night if she was really in pain.  She did go to the bathroom several times that evening, we monitored ketones and they stayed around the trace-moderate range, her BG's were pretty good too so I wan't too worried, just feeling bad for her that she was in pain.  I have never had a UTI myself, but some of my friends told me that they pretty much suck and are painful.   A friend of mine and a fellow Diabetic brought her an AZO pill that is supposed to help with the pain and also turns the urine kind of bright orange or yellow.  That little pill seemed to help her and get her through the night. 

Monday morning I was supposed to go to the hosptial and give a talk to a group of Nurse's doing a training session and all the different types of diabetes.  I've done this training class before.   I was supposed to be there at 9am, Kortnie had wanted to go with me, but I told her she had to go to school.  Well, plans changed, I was at the Urgent Care with her by 8am, we were still there at 9am and I called the hospital and told them that I was at Urgent Care and was going to be late, they of course were okay with that, my talk is about being the parent of  a T1D, and well, this little trip to the Urgent Care and messing up my plans for the day fits right in with that doesn't it? 

I told the docs at Urgent Care that I prefered the Walmart pharmacy, but they must have written down Walgreen's instead, because they sent our prescription to Walgreens.  Oh well, I can run over there and pick it up, not a huge deal, even though I already had to go to Walmart to pick up test strips and a few other things. 

After we were done at Urgent Care we headed over to the hospital, I gave my talk, the Nurse's asked me some questions.  One of the questions they asked me was "Do you ever get a break?"  I smiled and told them not really.  One of the nurses asked Kortnie "How do you feel about having diabetes?", she thought about it for a minute and then said "it sucks!" but she was smiling when she said it and they all laughed and there was of a chorus, of empathy and "I bet's".

Next we went to Walmart, stopped by the Pharmacy and they were still out of test strips, I had called in the prescription the previous Monday, it had been exactly a week and they were still out.  What's up with that, the pharmacy tech decided to just pull them off the OTC shelf for me.  I'm not sure what the dang difference is between the prescription and OTC strips is.  Well, actually there is no difference in the strips, I'm sure the difference is all in the paperwork and behind the scenes stuff.  They told me to go shop while they got it all ready for me.  So I went and shopped, got the stuff on my list, headed back to the pharmacy to pick up the strips.  We are standing in line and Kork says she feels low, she checks her BG and she's 43!  Yikes.  Good thing I had juice boxes in my cart!  I popped open a box of Capri Sun's and she sucked one down and sat on the bench by the Pharm counter while I waited in line.  Had to laugh, here she is low, while waiting in line to pick up a new batch of test strips.  I mean it's one of those moments where you either laugh or cry.  I got the strips and she said she was feeling okay so we went over and got in line to pay for our other stuff.  Hopped in the car and went across the street to Walgreens for her UTI meds.  She was feeling better and her BG was up to 112, so we stopped at Subway for lunch.  I gave her the first dose of antibiotics and she said it was yucky. 

Then we headed home, she was so tired, I could see it in her face, we got back to town around 12:30, I was going to let her come home and have a nap, but she wanted to go to school.  So, I dropped her off at school.  Let her teacher know about the UTI and she would need to go to the bathroom.  She has access to the bathroom already according to her IEP, but it also says in the IEP that if she's going to the bathroom a lot, she's probably high and needs to check, so I just figured I'd clue her in on the UTI.  Her awesome teacher told Kortnie, "oh those are no fun, I've had them before, I'm sorry you don't feel good, don't worry, if you have to go to the bathroom, just get up and go, even if I'm busy you just go, you are definitly not supposed to try to hold it in okay, I won't collect a stick from you".  Awesome!  (the kids get popsicle sticks at the beginning of the week and then as rewards for various things throughout the week, usually if someone has to use the bathroom she makes them "pay" a stick to go, she doesn't make Kortnie "pay" with a stick though)

I picked her up at 2:30 and she told me she had fun at school and that she only had to go to the bathroom twice, and that she was feeling better.  She went to Soccer practice yesterday afternoon too, even though I wanted her to stay home and rest, but nope, she wanted to go to Soccer and play and have fun with her friends.  This girl, she doesn't let anything keep her down for too long.  She's my Hero.  I look at her and she looks so tired, I know that Diabetes wears her out sometimes, and I know this UTI has her beatdown and probably the combination of Diabetes and UTI is even worse, but she just keeps on keeping on.  I don't even know if she knows what it feels like to feel good, I think she probably feels crappy so much of the time, that feeling crappy is just her version of normal.  I wish I could take all of it away from her, it makes me sad, but I don't want her to see how sad it makes me, because even though she says having diabetes "sucks" she seems okay with it most of the time.  The fact of the matter is that even though I want to take it from her, I can't, so I have to let her be okay with it and not make her think it's such an awful, terrible, sad thing...even though it is!  When she wants to rant and rave and be mad, I'll let her, by golly, but for now, she's okay with it all, so I guess I will be too.