Bubs date w friend. Pizza dinner, then swim, then sleepover. In tent. In living room. Mid-swim: 83. 9PM 107. 11PM 104. Bigfoot, Bigfoot Spouse decide OK sleep, convinced more worried delayed pizza high than delayed swimming low. Not vigorous swimming. More just stand in water, shoot hoops. Also creepy if hover around children in tent. Sorry if sound defensive.
- The tent sleepover was so exciting he sort of sleepwalked out of his pump and sleepwalk-placed it somewhere weird
- The pump IS attached and this is one fucker of a delayed pizza high
- The friend is not actually a friend but a follower of Abu Nazir, and needed the pump to make a bomb
- B somehow wiggled out of the Spibelt and it’s at the bottom of his sleeping bag and he just didn’t search very thoroughly
Then realize: pump still in swim bag. Blood drain from head, gather in gut. Bigfoot not give back after swim. No insulin since 7:15PM. 12 hours. Amazing only 322? Consider for moment, maybe would be dangerously low if did wear pump overnight? Then exit Pollyanna town, test ketones.
Call endo answering service. “She will get back to you within the hour.” Meanwhile, BSpouse syringe 3u, water bottle. Bubs feel fine, Minecraft with friend. Endo call back within 5 minutes. Bigfoot explain no pump since about 7PM. Endo prescribe 3u more. Water. Warn, “He’s probably going to start to feel very sick.” Bigfoot ask OK eat normal breakfast? Answer: yes, and don’t worry about covering the carbs with more insulin. Ask: even if pancakes? “We can deal with his blood sugar later–for now we just want to clear those ketones.” Bigfoot ask: So, no basketball at 10 o’clock? Answer
- check with the blood ketone meter at 9:30 and call me back
- Maybe they’ll be clear
- I’m surprised that he doesn’t feel sick; that shows us that he hasn’t had them in his bloodstream for very long
- Maybe he’ll be able to play
Okay. Make pancakes, ignore batter label Bigfoot make for self last night: 12g CHO per 5″ cake. Make all sizes, teeny tiny, big as face. Freedom. Any size pancake. Also not weigh syrup. Probably eat 60g CHO. 6u insulin inject for ketone can multi-task also handle carbs? Or insulin power used up on eradicate ketones? Would use >6u for 60g CHO, anyway. Because I:C ratio for breakfast lately 1:8. Really think need more insulin. This crazy.
Call endo back, rambling message high carb breakfast…would need even more than 6 units just to cover the carbs…feel weird not giving more insulin…
Call right back. Turn out insulin work ketone/carb same time (huzzah!) but wait more insulin because risk too fast drop, not want “bottom out.” Also turn out, even though endo hear Bigfoot say pancake breakfast, endo not believe Bubs really eat. Because assume will begin sick. That so nice endo explain why wrong dose. Say “I’ll make a note in his chart that he doesn’t necessarily feel nauseated with large ketones.” If trace or negative, can play basketball. If moderate/large: no. Even if he feels fine? Yeah, no, we don’t like kids running around with moderate to large ketones. Call in one hour w. blood ketone meter result, BG#.
Meanwhile, Bubs begin feel sick. But sick in way ask for more food. Confuse nausea w hunger? Tell Bubs wait eat until after next endo call. Lie on floor w Lego. Ask: do you think you’ll want to go to basketball? Answer: No.
BIGFOOT: Well, if you’re sure we’re not going, then I’m going to start baking that cake
BUBS: What cake?
BIGFOOT: The applesauce bundt cake
BUBS: (Jumps up, smiling) Because of my ketones?
BIGFOOT: No, because we’re going to the _____ house for dinner and I said I would bring it
BUBS: They have a pellet gun! They let me shoot it at their metal chickens!
Not seem sick.
9:30AM 400. Ketones: LO. Call endo. Instruction: correct for high BG as usual, just keep careful eye on BG rest of day…ketones can make insulin resistant…etc. Endo end instructions with you guys did a great job. You know, with a pump, these things happen; it can get disconnected, and unfortunately that can happen, but you guys were great–you caught it before he got really sick. Consider tell endo: not random disconnect. It Bigfoot leave in swim bag. Decide not confess, because why put endo awkward position absolve parent guilt? That what blog for.