Your Child with Type 1 Diabetes is Starting School

All Work and No Play

How is life going? Have you found yourself recently trying to do all diabetes all day and night? Has your child been ill, leaving no room for anything (even a shower)? Or are you just trying to be the best parent/caregiver you know how and that means an A1c less than 7! images

This can mean living with too much stress and creating a more clinical environment for your type 1 child. What has your family done recently that has been fun and not structured around diabetes (at least to the best of your parental abilities)? Or structured around diabetes as a learning experience or game?

Here are some Ideas to try for a week

Diabetes is never fun, but sometimes it’s good to change things up a bit. For example, only do the basic things for meals like carbohydrate counting and giving insulin.

The whole family checks their blood sugar – new lancets!

Everyone does a site or CGM insertion

Different treatment, see post on treatments

Low-key approach to lows and highs, be calm

The other parent takes charge: spa day!

All Work and No Play Can Make Diabetes Unbearable

Aside Leave a comment August 14, 2015 Stacey

The “Weekend Away”

The Weekend

Here it is our first real out-of-state vacation without the kids. My mother-in-law took them for us while we scooted off to Seattle, WA for five days. This would mark our first “BIG” trip without the kids. We have had others: to the mountains for a night or they have scooted over to friends’ houses overnight. But to go out-of-state without me being in complete control of Quincy’s diabetes for five days (and he was not at camp)? My feelings: excited, scared, curious to see if I could do it and not go psycho crazy and need to control everything! So I plotted my obsessive need to control all the details. spaceneddle

The details

Five days at grandma’s house. She had a mini-trips planned with the kids. This meant I needed to plan and discuss what is expected for Quincy when you are more than 30 minutes from home, staying in a hotel, and then going on a fabulous train ride (which was way more exciting for my kids than going to some silly city!). I, of course, have the “travel overnight” and not being at a hotel down to a “T” with skiing. But I actually had to think my steps through and decided what a non-routine caregiver would need to do for a fun-filled grandparent weekend.

The steps

We do use our book for our son. Now that he is a young teenager he does quite a bit on his own with lots of supervision. He needs his travel bag and then several smaller bags for the train ride. The travel bag consists of several pump site changes, insertion device (it is never fun to leave this at home), insulin, Lantus (just in case the pump fails all together), syringes, test strips, glucagon (in every pocket imaginable), alcohol wipes, sugar, and an extra glucometer. That is the big bag. Now experience has taught my family that taking one to two extra glucometers is a must, and keeping things in several places is a must. So my mother-in-law had a baggie with a glucometer and sugar for her purse, and my son took the site change (only one) in his diabetic bag on the train. Then came special training about keeping all diabetic supplies from being too hot or too cold in the event they may not function right.

The result

We had an exceptional time in Seattle. The kids had fun with my mother-in-law. Mobile phone communication was mostly about our trips and very little about blood sugars until the last day and that will be the next post. My mother-in-law utilized the book when she needed to and it kept everything running smoothly. It’s amazing how a full scope of knowledge helps care for your child! Everything she needed to take care of Quincy was right in the our book, “Type 1 Diabetes and Babysitting: A Parent’s Toolkit”.

Diabetes educators: Who are they and what do they do?

Likely every type 1 child and their families have seen an educator: at the hospital, for insulin management, to start on a pump, or for school paperwork. But what do you really know about your diabetes educator and what are their backgrounds?

The Definition

According to the American Association of Diabetes Educators (AADE):

A certified diabetes educator (CDE) is a healthcare professional for diabetes or people at risk for diabetes with behavioral goals to achieve better clinical outcomes. So what exactly does that mean? The idea is an educator helps a child with diabetes (or family members, in the case of children) with eating habits, exercise habits, insulin dosing, sick day management, and basically the day-to-day activities for a child that affects blood sugars and A1c levels. A diabetes educator’s background is varied. He or she may have a background as a registered nurse, a nutritionist, a pharmacist, a physician, or a mental health professional, to name a few. He or she must take a certification exam to become an educator. The basis for their education revolves around what the AADE calls the 7 self-care behaviors: healthy eating, being active, monitoring and taking medications, problem-solving, healthy coping, and reducing risks.

Who Pays to See a CDE

Typically a person with diabetes can see an educator more often than the endocrinologist; however, this is based on insurance coverage. Insurance coverage for an educator will differ between plans (so check your insurance plan out). Usually you need a referral from the endocrinologist. After the referral is made you can typically see the educator more often than the endocrinologist depending on the reason for seeing the educator.

How do you use your educator in your community? Is he or she helpful or is the endocrinologist you see more helpful? Have you seen your educator lately?

Here is the link to the American Association of Diabetes Educators with a full-page on what an educator is:

http://www.diabeteseducator.org/export/sites/aade/_resources/pdf/Definition_Diabetes_Educator.pdf

What Exactly Does a Certified Diabetes Educator Do?

Aside Leave a comment July 11, 2015 Stacey

Type 1 Diabetes and Growth Spurts

Growing children seem to eat parents out of house and home. There is never enough food for them! For example, my type 1 13-year-old is eating me out of house and home! And the result is a three-inch growth spurt about every three months. The problem (beyond the obvious sugar control!) is that he wants to eat all day long. Waiting until the next meal might as well be giving him a “death sentence”. The recommendations we received was to eat every two hours. He is able to have an entire meal every two hours. I thought what a great compromise! But he still wants to graze all day long like a cow in pasture! So I try to help him eat good food and sometimes fun foods to encourage eating well.

So why is it a big deal for him to eat constantly? It has to do with insulin, whether via shot or pump. Eating more often requires insulin. Each time he takes insulin he is stacking it on the last dose and essentially giving himself mega doses of insulin, setting himself up for a low. Rapid insulin like Novolog or Humalog have about a 3-4 hour active time in the body. The insulin works quickly but does not leave the body quickly. It basically means we can expect many and frequent lows. Eating every two hours helps with this but does not necessarily eliminate stacking of insulin. But for us it works.

Growing and grazing. Eat, beef up and grow taller. Type 1’s can navigate this easily without negative consequences. Go forth and chow down!

Growing and Grazing

Aside Leave a comment June 24, 2015 Stacey

Toes in the Sand and Pumpers

1 Comment July 21, 2014 Stacey

Its summer time and most of us are heading out for a vacation. Some to big cities, some to forested mountains, some to lakes and camping. And then there are those of us headed to warm sun, sand and ocean! Think of it, seeing to the bottom of the ocean and the fish swimming and surfing, sailing, and sand castles! But wait….

….There is insulin and insulin pumps and strips and all that fun stuff to figure out! Hot weather and taking the pump off to play in the water and then putting it back on every two hours and trying not to get sand in everything!!! Here are some tips to save the sand everywhere (and if you are at a beach, have been at any time in your life then you know sand just sticks to everything!):

1. If your child or self uses an insulin pump. always put the site cap back on. If sand gets into the site then it is site change time.

2. Have a dedicated cooler for only insulin supplies, (insulin, strips, sugar etc )that is large enough sand will have a hard time jumping in!

3. Consider going back to shots for the time you will be at the beach. No pump, only glucometer, and strips to worry about. If doing this connect with you Diabetic educator and review what basal insulin and an insulinshot schedule.

Our book has all of the equations to determine correction factor and insulin needs for food as an easy resource for your beach travels!

While at the beach have fun and keep you r toes in the sand for those of us by the Rocky Mountains

Stomach Bugs and All the Fun

Sick Days and Type 1 Diabetes

Your type 1 kiddo is sick. Whether it be a stomach bug, head cold, or bacterial infection, the consequences of a sick type 1 kiddo can be serious if not treated right. Likely you endocrinologist or educator has gone over what you need to do for a sick day. But a quick review never hurts!

Always check blood sugars every 2 hours
Check ketones with each urination
If unable to correct low blood sugars decrease amount of basal insulin
Encourage plenty of fluids especially if ketones are present.
If your child is not eating you may need small amounts of fluids with sugars.

If you are following the above very basic guidelines and working with your sick day management plan and you find yourself struggling, call your endocrinologist. They will give you advice on what to do next and when to call back. You can never go wrong with this approach.

What happens if your diabetic child is sick while with a sitter or grandma and grandpa? First head home! But if this is not feasible, we keep a basic sick day management plan in our book that anyone can follow. Then you as a parent have peace of mind until you get home!

What Diabetes Apps Do You Use?

Technology is great! It allows us to keep connected with other people in our lives. For example, It allows my teenager to contact me always. So when he is over at a friends or out with school activities he texts me his blood sugar numbers when they are out of range. So my question is what apps for your smart phones do you use for your type 1 diabetic?

Type 1 Available apps

There are so many apps available for use. Some seem perfect for a type 2 diabetic because they help with meals and weight loss. The few type 1 diabetic apps I have reviewed and looked at are ManageBGL, My care Connect, and Go Meals or Calorie King. ManageBGL website talks about real-time Blood sugars (a sitter/child enters it and it gets to the parents), predictive lows or highs, ans so much more. What a wonderful way for parents to help easy an overnight with others. Then there is My care Connect. This one allows information from school, child, parent to communicate back and for as well as with the endocrinologist. I have not had the chance to use either one but have look at both closely.

Then there is the applications that help you carb count:Calorie King, GO meals. We utilize apps and books. Usually just what we can get our hands on fastest. They have allowed my teenager to feel more comfortable counting carbs.

Pros and Cons

Apps help so much and in so many ways depending on which app you decide to use. Apps need good cell service or wi-fi to get the information live. Don’t get me wrong I utilize every thing I possibly can to help me with my sons diabetes management, but there are times a book or a phone call is easier or more reliable. So a mix of technology and old school paper is good.

Knowing when to tell your child or other adult if the app, phone call or consulting a book, like ours “type 1 Diabetes and Babysitting”, will be the fastest or safest method. We can rely on technology until it does not work then we need to rely on paper. Plus there are things that are tangible like having a flow chart right infornt of you to know management. Let me know which do you prefer: paper or a screen?

Type 1 Diabetic Apps

Aside Leave a comment February 26, 2014 Stacey

Brand New Type 1 Diabetic Parent

Leave a comment November 20, 2013 Stacey

I first want to tell you to BREATHE!

Okay now we can talk. There is so much information that is getting told to you and you feel like you are drowning. Breathe again! You will become the next expert on your child and type 1 diabetes. But how do you get there and when will that happen? Take small steps to get there. You will learn all of the information and will be that expert. Parents I have talked too say they really felt very comfortable around a year. Not that you won’t understand what to do until then; however, type 1 diabetes becomes second nature around then.

Not everyone is the same. Some parents are type A organized and have every paper ever given to us by the doctor to reference back too. And some of the parents have what is exactly needed and nothing more. Each has it merits. But what we do have in common is we keep all this stuff in one spot to find and reference. Usually all of the information is from a diabetic educator. Diabetic education is wonderful. They take you step by step through all things diabetes. So how could you break that up a little bit more for a not so structured person. Start with a list of how to focus on aspects of diabetic care. (And yes I am the type A personality, so planning is how I function. I recognize that planning is not everyone’s strength. And it is not a downfall). Start with a few weeks as a new diabetic parent and just get to know your child’s type 1 diabetes. As a parent of a newly diagnosed diabetic I learned my child; for example I learned that his legs were hungry when he was low. While you learn your child also spend time with a basic diabetic book to understand high blood sugars, low blood sugars. insulin, and carbohydrate counting. Then I would start to dive into each topic more in-depth.

A good example would be carbohydrate counting. To do this start to learn more about how to measure and weigh carbohydrates. The package carbohydrate counting is sometimes correct and sometimes way off. So measure with a good old-fashioned scale and use that carbohydrate counting book at diagnoses. If you have that book mark the pages you use most.If you don’t go buy one. If your preschooler will only eat macaroni and cheese then mark all of the pages. (We keep one of these books in a carry bag, in a kitchen draw, at grandmas house, in all the cars. One year we found older versions at the bookstore for a dollar a piece. You guessed it we bought every single one of them). Now that the pages are marked you will find it easier to start counting carbohydrates. Live with the carbohydrate counting and then move on to the next topic of your choice.

Over the next few weeks learn in-depth a certain aspect of the new diagnosis. With breaking it down into smaller steps it becomes easier.taking it step by step allows you to master your understanding of your child’s diabetes. Also remember you are still caring daily for your diabetic child. The first year is the hardest because type 1 diabetes is not second nature. It will come it just takes time. But the thing that is most important to emphasize is a parent can become caught up in trying to do all of the diabetic stuff and burn out easily. So BREATHE often and frequently!

It is important to stay on top of it but you as a parent needs to know when you need a break even for a few hours. You can better help you child with their diabetes if you are not burnt out from care giving. to do this use all the resources you can, books, family, spouse, to make learning and caring easier for you and your family. Diabetes did not just

impact your child, it has changed the whole family unit.

One place to start with a new diagnosis is with our book. It is for babysitters, but as authors we broke the book down in very basic topics to help people learn. The intended people are the sitters, but with a new diagnosed child the parent can also be that person to learn. And the plus side is that you will have all your kiddos information in one area. Diabetes is hard on the whole family and the primary parent tends to be the caregiver. You as a parent will learn it all and hopefully do so with as little stress as possible.