Monday morning came way too early after not getting to bed until 1:30 am. It was also the first day back at school for Angelina after two weeks of Spring Break. I happened to actually wake up at 6:30 when David was getting ready to leave for work. I knew there was no way I would wake up again to my alarm at 7 or 7:30 (I have two set to make sure I wake up on normal mornings) if I went back to sleep so I got up. Blood sugar was perfectly in range. Got her breakfast, bolus, off to school.
Went about my day, heard nothing from the school. Great! Around 3:45 I see the bus pulled up outside our house (normally the bus turns at our corner and stops diagonal from the house on the opposite side of the intersection.) I see Angelina coming off the bus at our gate so I went outside to investigate. D-Mom senses were tingling again because this is just ODD. Angelina walks up to the door and I said “Why were you dropped off at our door?” Her response, “Substitute bus driver.” Okay, big sigh of relief from me, nothing is wrong. And then, “It’s a good thing because my blood sugar is low!” WHAT?!?! As part of her diabetes accommodations at school she has to check in with the nurse near the end of the day to make sure her BG is in a good place to ride the bus because she is the last stop and has an hour-long bus ride. So, I said, “Okay, let’s get you some juice.” We go in the house and she said that she alerted low on the bus. “Mom, like, it just said “LOW” but there was no number.” If any of you use a Dexcom you know what this mean, if not – when the Dexcom just says “LOW” and doesn’t show a number it means that it’s outside of it’s readable range of 40-400, so a “LOW” reading means she was below 40, according to the Dexcom.
Fortunately she carries a spare meter in her backpack, even though technically she isn’t supposed to. She said her meter said 62, which is still low, but certainly not as scary as a below 40 reading. The only problem is that she didn’t have anything in her backpack to treat the low. I thought she had a tube of glucose tabs, but she didn’t (She does now, as of yesterday!). She said she had a package of beef jerky in her backpack though and ate that to at least stop her blood sugar from dropping more. According to the Dexcom she was low from 3pm until she got home 45 minutes later. The bus leaves the school at 2:55pm and they had a substitute bus driver who knows NOTHING about her diabetes, obviously. So she ate her beef jerky and waited to get home, fortunately the beef jerky did seem to keep her BG from plummeting further and juice worked quickly just as it should, almost too well.
We had meatloaf and brussels sprouts for dinner which was only about 25 carbs. I was falling asleep by 8pm so passed the Dexcom off to my husband and went to bed. I woke up around 10pm when he came to bed and put the Dexcom receiver on my bedside table. Bg was stable and hanging around 150, which was fine for going to bed. We all went to sleep.
Then I was woken up around 2am with Dexcom screaming that she was high, over 250. Bg steadily went up starting just after she went to bed. So, even though meatloaf was low carb and I used extra lean beef we still saw a fat spike, apparently. Checked her BG, gave correction and went back to sleep. Got woken up again 2 hours later with BG still over 250. I have a 2 hour snooze set for her high alarm since that is the active insulin time for her and correction isn’t administered more often than every 2 hours anyway. So I got up at 4am, confirmed BG with a fingerstick and gave more correction. Got woken up again at 6:30 when David was getting ready for work to see that BG stayed around 250 the entire night despite a few units of correction over that span of time. It did not alert high again though because it was reading about 245 and her high alert is set at 250. Got up and did fingerstick again, calibrated CGM, did MORE correction and started my day by emailing her teacher and nurse to make sure that the accommodations for state testing were going to be followed since they are starting testing today.
I got Angelina up around 7:30, pre-bolused for breakfast, especially since she was already high, and sent her off to school. Whew!