Evenings are always the most interesting for us since we perform night checks to ensure that the kids' blood sugar levels are not dropping that low. When the blood sugar drops too low in the night, the kids can start convulsing. Therefore, at the end of their night activities around 10-10:30pm, we give the kids their nightly dose of insulin as well as provide nightly snacks to ensure that their blood sugar remains at a good level throughout the night. Given all the exercise each day, we don't want them dropping low while they sleep.At about 1am, we gear up for the nightly checks bundled up in warm clothes and ready with our headlamps. Given the timing of when different insulins peak, we need to check their blood sugar level around 1am to make sure everything is ok. We have set protocols that we follow. If their blood sugar level is below 55, we give them a full glass of coke to raise their blood sugar immediately and we check it again 10-15 minutes later. If it rises to above 70, we give them a sandwich and a glass of milk to sustain their blood sugar over the long run of the night. Any blood sugar between 55-70, we give a half glass of coke and when they rise above 70, we give them the sandwich and milk. Between 70-120, just the sandwich and milk. The most critical ones to watch are those who drop significantly from their 10pm blood sugar to the check at 1am. Even if they are at 130, but they were originally at 350 at 10pm, we need to give them food to ensure that they don't continue such a harsh drop.
The kids usually don't wake up when we prick their fingers and check their blood sugar levels however pulling their hands out from under the covers is sometimes tricky. They groan and move around and so we have to wake them up if they continue to be uncooperative. And if they are low, we have to give them food. We almost had to force feed Kevin in the photo below when he kept whining that he would throw up on us and refused to eat. He realized in the end that he needed to obtain the necessary carbs for survival once he woke up a little more. After much complaining, he ate it all and did fine the rest of the night.
However, if there are kids whose blood sugar levels still need to be monitored, we end up staying awake until 3am to make sure they are still ok. I only had one night where I ended up awake until 3:30am and then had to wake up for morning checks at7:30am. Others had rougher nights and were up until 5am because they had kids who needed to be monitored yet again. Despite the lack of sleep, I enjoy night checks the most since I find the process pleasantly peaceful to check their glycemias while they sleep in the dark. I feel like Santa giving them milk and sandwiches even if they don't want them.
Tuesday, August 11, 2009
Santa Claus with Milk and Sandwiches
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