If you read my post yesterday then you know that Nate was super HIGH. His PDM said HIGH and another meter said 447. Either way you look at it the boy was HIGH and he had LARGE ketones which is dangerous and bad and scary and crappy and well, ALL MY FAULT.
As you already know he was dx with strep late Friday afternoon. We took his rx to the Market Street pharmacy because they are offering free antibiotics until the end of next month. The problem with the free antibiotics is that they did not have any sugar free options. We went ahead and went with the free option and were prepared to see some highs from the strep and the pink, sugary amoxicillin. We set a temp basal increase through the 1st night and he ran a little low - nothing major.
Saturday morning Nate woke up with a bg of 206. I bolused him for breakfast & gave a correction and then let the children wrestle, play and giggle in my bed for a few minutes before heading to the kitchen to prepare breakfast. During that play time Nate knocked his pod almost all of the way off but Jim and I were able (so we thought) to tape it back on with opsite flexifix.
I have to say I usually get out the flashlight and check the canulla with a light to make good and sure it is still in but Saturday I did not. I had only ONE thing on my mind that morning and it was not the usual diabetes.
Joanne, Jessica and I had planned a girls day out with a mani/pedi (with hot rock massage), lunch and as it turns out a little frozen yogurt for dessert. I had been looking forward to it for a week and was SO ready to take a little D break with my D sistas!
Jim checked in by email about 30 minutes into the mani/pedi to report that Nate's beep beep (DexCom) was reading 'high'. I emailed him back and told him to wait until lunch and his insulin to peak before giving a correction. During lunch with the girls he emailed and said that Nate's PDM said 'high' now too. Instead of throwing in the towel on my time away I told him to give the full bolus and correction and I would check him when I got home.
On to Yogurtville with my girls. It was so fun. I love chatting and hanging out with these 2 lovely ladies. We are truly sisters, partners and friends. Although we were all having fun we knew that we all had to return to the real 'D' world.
Once home I checked Nate's bg - HIGH. Checked ketones - LARGE. Checked Pod - it looked fine but I decided to remove the pod and give a large correction by syringe. The canulla was was not bent but I think it was partly out so Nate was not getting insulin from about 7:45 AM until about 2:00 PM. YIKES!
Looking back I should have done things differently but in the moment I was SO excited to get a little d-cation that I got careless. At 1st it just reassured me that d-cations are not in the cards for me right now but after some careful thought and consideration I think maybe the opposite is true. D-cations may be just the thing that I need to clear my head and make me a better caregiver and pancreas.
Plus --- I love my pretty toes!!