"My tummy hurts!"
Two things you never want to hear from your child at 1:30 in the morning.
Your child with diabetes.
Your child with diabetes, a blood sugar of 67 and a CGM screaming LOW with a downwards arrow.
Welcome to our Tuesday night/Wednesday morning. The story actually started a good 4 hours earlier, when Elise's BG was 91, which was curiously low given that she had eaten ice cream for dessert, and had her 15g uncovered snack around 8:30.
In other words, she should have been much, much higher. We gave her 9g and toddled off to bed. We checked every 30 minutes, noting with some alarm that her BG is not going anywhere. A little after midnight, we gave her 5g more.
That's when Elise started complaining of a tummy ache. When her BG is low (or falling), this is usually what she tells us, so I attributed it to that. Somewhere in the back of my mind an alarm was going off, saying, "danger, Will Robinson!"
At 1:30 in the morning, all spew broke loose. Elise had stated crying again, so Fred went in to see her. I hear the, "my tummy hurts!", then the unmistakable sound of a technicolour yawn coming from the baby monitor.
Awesome. Just so very awesome.
I ran into Elise's room to find a huge puddle of vomit in Elise's bed, her pjs covered in hurl, and puke hanging from her hair. A quick BG check shows her at 67. Ketones are .3. I got her to drink some juice, praying we would avoid further regurgitation.
I took her sheets and comforter down for washing, while Fred bathed and washed her hair (Yay teamwork!). Did I mention that during all of this Mattias is awake and yelling for food? While I'm nursing him, I heard Elise throw-up again as she got out of the bath. Her BG is only 105 and ketones are now .8.
After Mattias was fed and back in bed, Fred and I talked over our options. Because of the wealth of knowledge of the DOC, I knew the best thing would be to get some Zofran into her. And I also knew the only way we'd get it would be if by some festivus miracle, Elise's pediatrician was on call that night.
Thankfully, she was and she agreed that Zofran was the way to go. One hour later, Fred was back with the prescription. Elise's BG was still hovering around 100, and ketones were now 1.1. She had thrown-up again, and didn't want to eat or drink anything.
It's a good thing we had the Zofran , because a few hours later, her BG was 88 and ketones 1.6. I was able to get her to drink some juice and water.
Wednesday morning, she woke up perky with a BG of 246 and 1.6 ketones, but said she felt fine. Until the Zofran wore off, and the up-chucking started anew around lunchtime.
Thankfully, today (Thursday) is a new day. Everything seems to be back to normal. And we survived our first sick day (night) in almost two years. I had forgotten how scary it can be.
And there is so much to be learned when you're going through these situations; putting ketone meters back in the right place so you don't have to tear the house apart looking for it.
The importance of having spare ketone meters.
How great it is to have a pediatrician that will listen to you and what YOU think is best for your child.
And just how amazing the DOC is; for teaching you about Zofran, mini-gluc, and ketone meters.
5 hours ago