Monday, December 17, 2012

Week 1

So, if this is what a normal week with diabetes looks like, just shoot me now.

Our 3 children were plagued with the stomach bug for the past week. (As I knock on wood that it's actually passed...) Just when we thought they were settled and feeling better, another one would pick up where the last one left off.

This constant stress, plus the newness of Sam's diagnosis and new requirements (blood sugar tests, insulin injections) made this past week officially the toughest of my parenting career.

This week plunged us head-first into what our nurse called the "common sense" mode of diabetes care. Because Sam wasn't keeping food in him, his blood sugar remained pretty low. So most days he wasn't requiring insulin, only food to bring his levels back to normal. This was a blessing and a curse. It was a blessing in that he HATES the insulin injections and he fights and bucks and screams at us each time we give them. It was a curse in that, once the bug is gone and he's feeling better, the insulin is going to be a (3-4 times) daily part of his life.

The finger pricks (for blood sugar testing) were a battle as well. Each time, we begged Sam to stop fighting us, and each time, he yelled "NO!"  I couldn't help but think of one of the last scenes in Tangled, where Rapunzel's evil mother yells for her to stop fighting and she responds, "No! For the rest of my life, I'll never stop fighting you!"  Despite what everyone tells us; that this will get easier, that he will get used to it, that it won't be this hard forever, I see him fighting us for the rest of his life. He's always been our most stubborn child. We found a technique that works better than the 3 hour battles we were facing in the first couple of days. They are easier on us, and we think easier on him, but he still screams and fights.

We are seeing in Sam a desire to exhibit control in some aspect of his life. On day 2, he "figured out" that if he doesn't eat, he doesn't have to get poked. So he refused to eat.  And he fights us when it's time to brush his teeth. He fights us when it's time to take a bath. He fights us when it's time to put his shoes on. He is fighting and fighting and fighting.

And we are struggling with anger, and frustration, and confusion.
And we are forced to our knees in prayer.
And we are taking comfort in the truths of scripture, which are true even when they don't feel true: ‎

"We rejoice in our sufferings, knowing that suffering produces endurance, and endurance produces character, and character produces hope, and hope does not put us to shame, because God's love has been poured into our hearts through the Holy Spirit who has been given to us."--Romans 5:3-5

Friday, December 14, 2012

the days before the diagnosis- part 2

600? How is that possible? Can that be accurate? Our friend tested his own blood sugar, as did my husband. The meter was accurate.

Our friend immediately called her husband, who started trying to get in contact with their doctor- a Pediatric Endocrinologist. It was Saturday, but their doctor was the kind who gives his patients his home phone number, personal cell number, etc. They were confident we would hear back from him. In the meantime, she advised us to cut out all carbs.

Lesson 1- It's not just about sugar, it's about carbs.
In the 12 hours prior, Sam had eaten 2 chocolate-chocolate chip cookies, a cup of hot chocolate, an orange scone, peanut butter toast, crackers and goldfish.

My in-laws were going to be at our house at any moment. Date night didn't seem quite appropriate, but we had a lot to figure out and the extra set of hands would be helpful as we processed. As soon as they walked in the door, my husband dropped the bomb on them. "We just found out that Sam probably has diabetes."

Sam was lying sleepily on the couch, but after eating some cheese and drinking two glasses of milk, he was up and excited to see his grandparents. We got them Chick-fil-A for dinner (grilled nuggets for Sam, which he refused to eat, crying because he wanted "normal" nuggets like his siblings) and then headed out to dinner ourselves. Time alone to digest what we had just learned in the past two hours seemed like a good idea at the time. But by the time our pasta arrived, neither of us had any desire to eat or to be away from home any longer. We immediately got to-go boxes and headed home.

Sam was fine while we were gone. He ate almonds and greek yogurt for dinner, he played Wii and he wrestled with his grandpa.  Life seemed normal enough. That night, he didn't wet the bed. He never even woke up once. I had the words "diabetic coma" running through my head, but in reality it was probably sheer exhaustion and the lack of carbs in his body that allowed him to rest without excessive urination.

The next day was Sunday, the day the stomach bug hit our house.

Thursday, December 13, 2012

the days before the diagnosis- part 1


I didn't want to be right. 
I wanted to have been worried about nothing.
I didn't want my "mother's intuition" to be spot on. 

Sam started wetting the bed, which isn't completely unusual for a "potty-trained" boy under the age of 4. But he hadn't done that before. And it was happening every night. We invested in a package of Pull-ups and a plastic sheet and thought it would pass. 
But it didn't. And then he was peeing more frequently during the day.
The red flag, for me, came 3 weeks ago, when I took all 3 kids out for dinner and left my sickly husband at home on the couch. As soon we sat down to order, Sam had to go to the bathroom. I asked his big brother to take him. Then he had to go again before we left. Two times in 30 minutes? That seems odd. When we got in the car to head home, he immediately asked for his water cup. I didn't have it, and he asked again a few minutes later. I assured him we would be home soon and we'd get a drink then. 
That night, I told my husband what happened and asked him to confirm- isn't excessive thirst and frequent urination a sign of diabetes? His face dropped as he told me that he had been concerned about that, as well. He had noticed how very irritable Sam gets when he gets hungry. In all honesty, I had chalked that up to being almost 4, or just his general disposition. 
We didn't talk about it much more, but it kept nagging at me. We have a few church friends who have Type 1 Diabetes. I called the mom of one of those boys and told her what I was observing in Sam and about my concerns. She shared her experience and then encouraged me to test his blood sugar, as that would be the best way to get an answer. She offered to come over with her son's extra kit and do the test with us. We wanted to wait. 

3 days later, I couldn't wait any longer. Nothing huge happened. It was more of the same- bed wetting, coming close to accidents during the day, lots of water guzzling. My husband and I had a date planned for Saturday night and the in-laws were coming to watch the kids in about 2 hours. For whatever reason (Divine intervention), I told him I didn't want to wait any longer. I called our friend and she showed up with the test kit within the hour. It didn't work (dead battery) so she called her son and he came over with his extra kit.

One finger prick later, our lives changed. 
Sam's blood sugar was 600.  (Normal is between 70-100)
Out to dinner with the kids. The first night I used the "D" word.