This kid can make everything look okay. This was her day.
Wake up with nausea. NBD as this happens often. Deep breaths. Pack backpack with D supplies. Go over list with mom. Forget Zofran in closet. Must save for worse day. You can do this.
Drive off with sister. What fun. Urp, urp, urp all the way. Deep breaths. Sister says, “You’re pathetic.” She doesn’t know. Don’t expect her to know next time.
Walk down hall to first class, textbook in hand. Make beeline for nurse’s handy toilet. Say hello to Ralph. Ooops. Turn around and pee on ketone strip (taken out of the backpack!) knowing mom would be proud. No ketones, but bye bye school. Stepdad to the rescue.
Snooze on couch with beautiful numbers flat lining around 103. Mom decides good time to listen to podcast in kitchen.
Wake up ever so slowly.
Check temp. 99.1, which is enough to zap you. Notice time, pee on another ketone strip (from bottle on bathroom sink where it lives). LARGE-MARGE. (crap) <– cuss therapy beneficial at a time like this.
Dexcom says 103.
24-hr basal rate total requires 3 IU of insulin for large Marge ketones.
Could you eat? Yes. Nausea is gone. (Zofran safe in closet for now. Mom skeptical.)
Think girl…how many carbs are covered by 3 IU insulin? Eat that – following B.R.A.T. diet a bit. Choose cheerios dry out of a bowl. Exactly 22 CHOs.
Wait until see straight up arrow (^) before giving 3 IU insulin. 20 minutes, 170 ^ means GO. Inject 3 units.
Watch Dexcom arrows. This is working. Mom goes back to kitchen. Cook and listen to Everybody Counts Podcast – Shoutout!
Watch Under the Dome. Catch up. Mom in kitchen making pesto.
Watch Dexcom arrows. Still working.
See Dexcom coming down. Hungry? No. Okay, still safe.
Dexcom says “Hey over here, we’ve got an 80. Roger.”
3 hours passed since first ketone check.
Check ketones. Moderate Mary. (crap) <– again.
Based on 24-hr basal rate total, Moderate Mary needs 2 UI insulin.
Think girl…how many carbs would you bolus to give 2 UI? 15? Okay.
Eat dry easy B.R.A.T. diet again and nibble on bag of corn somethings which isn’t actually part of BRAT but nausea gone, so here we go. 15 FREE.
Wait. Watch Dexcom arrows. Wait.
Gut not catching up to Dexcom.
Zzzzt. Zzzzt Zzzzt. Hello? 55.
Can you sip apple juice? Nope. Reminds me of a low. Gatorade? Fine.
Watch Dexcom arrows.
Watch Criminal Minds. (scary people are wired weird) Make sister happy.She got to go to school and come home to be happy.
Watch Dexcom arrows. 57 up arrow
Check temperature. 99.6
I AM going to school tomorrow. Oh, really?
Dexcom 68 up arrow
Watch Criminal Minds. Black widow maternal desire creepy killer (part listening)
Dexcom 97 up arrow
Wait. Mom cook. Listen. Kid watch TV
Mom test/teach kid: Can you tell me why we keep basal rates pumping today when we normally lower basal rate when trending low? Uhm. Because ketones? Bingo. It’s a dance. Let’s test our skills. Good to remember for until iLet is on your body. Ketones = need insulin.
Dexcom 107 diagonal arrow up
Think girl…at what number and what arrow would you like to inject that insulin you need to flush out ketones? Uhm. Like…140?
Think about sensitivity factor. How much will 2 units drop you? Oh, uhm. Let’s go 170 any arrow trending up. (Mom smile here. Still consider Zofran in closet = kid eat most anything not greasy/heavy. Save Zofran for another day.)
114 –> holding steady
It’s been 1.5 hours since eating. You’ve moved about 60 points. Let’s eat more food. This is taking WAY too long and you needed insulin yesterday.
Drink chocolate Rice Dream. 24gm. (<– Too much. Too much?)
Give 2UI insulin via syringe.
Whine I want food to CHEW. Okie dokie.
109 –> well, this is weird
3.5 IU for 32CHOs flour tortilla, that choc milk should be coming along.
124 up arrow
Mom finish making what seems like all day dinner and waBAM. Kid not looking at Dexcom. Looking at phone. Always looking at phone.
Up Up Up Up Up.
282 double up arrows up friend likes to call monkey schlongs (this is real life crap.) I mean CRAP.
Go check ketones. Okay, after this next act. Yeah, no. Go. Now.
Check ketones. It’s “You’re killing me Smalls” Small.
Based on 24-hour basal total give 2 UI when Smalls occur.
Also give 1 unit to drop that high. Trying to sugar surf, and we sugar stacked instead.
Just give me the Dexcom. I’ll push the button.
Bedtime? Check ketones. NEGATIVE!!! Beige is beautiful.
Reminder: I will wake you up around 1am to stumble down steps to check ketones, ‘cause that’s how we roll. Just don’t roll down the steps. K?
Sound machine on.
151 down angle arrow here we go
It will have to do until that ketone 1am check. She will have to eat for safety. Maybe even this…she will get to chew again.