Diabetes Blog Week at Bittersweet Diabetes: Topic for the Day: “Yesterday we gave ourselves and our loved ones a big pat on the back for one thing we are great at. Today let’s look at the flip-side. We probably all have one thing we could try to do better. Why not make today the day we start working on it. No judgments, no scolding, just sharing one small thing we can improve so the DOC can cheer us on!”
Well, this could be a number of things. Some days we seem to do well, others we don’t. Some A1C’s are within target, then others aren’t. We have seasons where we struggle, such as when my son turned 16 and hit a rebellious period or during the summer with my daughter when there isn’t as much structure. So here goes on a few things we could improve.
- Checking Blood Sugars: My son used to be very tedious at checking at each meal, bedtime, and some in-between. I used to wake him up in the middle of the night frequently to check. He went through a time when he hated diabetes and had some days where he did not check at all. The more I tried to get him to, the less he did. This was a tough time for us. I of course, was worried he’d end up in the hospital in DKA, but he never has. He says he can feel when his blood sugar is high and he will check then. He’s gotten better and now checks at least 3 times a day (that was a negotiation between him and his endo).
- 3 AM Checks: I used to be really good at doing these. If I woke up in the middle of the night, I’d go check them. Other nights, I’d set my alarm. Now I rarely do this unless I know there’s a reason I need to, such as a high or low before bed. I guess I’m just more exhausted now, but I need to raise the bar for myself on this for their sake.
- Using the CGMS: When we first got the CGMS, my daughter used it quite a bit. She loved it once it was in. My son didn’t like it and only wore it once. He was just self- conscious and didn’t like another thing attached to him, or something else to call attention to the fact that he has diabetes. Sara complains quite a bit about inserting the sensor, so I just haven’t pushed it lately. Her A1C has been within target, (and was actually the best it’s ever been last month, though the endo said it was too low for her and meant she was having too many lows) which is one reason I haven’t pushed it. But I do think they are great for getting data between checks, especially in the middle of the night. (since my above item that I’m not doing well is the 3 am checks)
- Bolusing: Both of the kids struggle at times with remembering to bolus. Most of the time we bolus after eating, since they both are somewhat picky. If their blood sugar is high, we bolus the correction and then go back and bolus the carbs. But there have been times when they forget (or in Sara’s case, I forget). Sara struggles with remembering to bolus for snacks if I’m not there to pester her. We have set up the Missed Bolus Reminders for both of them, but they just seem to clear out the alarm, even though I’ve said “when it alarms, think about whether you ate something or not.”
So I guess we all struggle with things we can do better. Most of the time, they do well with bolusing and checking blood sugars, and I know they have days when they are just sick of dealing with it and doing all they have to do, and I have days where I get tired of it too. My husband helps a lot too, and having someone else to step in and relieve me helps. Also, I try and give Sara a break and check her blood sugar and do the bolusing on the pump for her sometime. Some days I just wish they could be kids without having to do all this diabetes stuff!