We had Hannah's 6 week check up on Wednesday this week, at the McNeeley Pediatric Diabetes Clinic in St Paul. It's actually been 7 weeks already since diagnosis. It seems like it was just yesterday, although I realize we have come a long way since then, but it's all still so new to us.
Hannah and diabetes is a reality, a reality of our current lives and forever. We pray nightly for a cure and hope in the years to come to be more involved in the JDRF.
We are still in the process of learning. We had our last scheduled diabetes education class on Wed, which was on the topic of Pattern Management. Which in other words is teaching us the steps to follow to adjust Hannah's doses on our own. Up until now we've had to call the clinic with adjustments each time. It will take some practice and some more learning how to do this, but I believe we now have the steps to make the decisions on our own, but always have the support of the doctors and nurses.
Hannah is really doing well as far as her blood sugar levels, we finally seem to have a good dose for the time being. Although it can change in an instant as she changes and adjusts to different situations in life. Diabetes is never the same every day, our goal is to keep her blood sugar in her target range as often as possible. Vigilance is imparative, but perfection is impossible.
She has gained another pound, and is up to 49 lbs and has grown almost an inch in a few months. She was down to 42 lbs at the time of diagnosis, so she has come a long way in a short time.
Everything seems to be going along, and each day we deal with it, we do what needs to be done. Some days are better, some are hard, some are just plain overwhelming.
How do you deal with the emotions of a 7 yr old, plus your own emotions? We try to put in all in perspective and move on.
Hannah is still struggling to take it all in, but then as I think of us doing this routine, which seems like we've been doing it all forever now, I realize it's only been less than 2 months, and I may be expecting too much from her. She is very interested in seeing other kids with diabetes, and watching and learning about diabetes from the websites online. There is a site with videos of other kids and she loved watching them and how they deal with diabetes....she can really relate to them. All those kids have had diabetes for a few years or have the pump, etc, and she is facianated by them and how far they've come with dealing with it, but then she realizes she is not at that point yet. There was a video of a 4 yr old girl who was bascily doing it all, testing her blood sugar, and getting her pump site ready, and such. Hannah has been off and on with helping me with everything. One day she'll be all excited to be the grown up and set it all up and other days not so much.
She has taken another step though in her care and has been loading the test strip with her blood. Soon I bet she will be able to poke her finger.
The insulin shots are always a stalling tactic yet. It takes her like 10 min to get ready for the shot(s). The alcohol wipe we apply to her leg has to dry first, so she makes that take as long as possible, then she has to "get ready", by usually having her blanket snuggled up close, and will most likely whine until it's all over, even if it doesn't hurt. Soemtimes it will hurt a little more, but other times she will say that didnt' even hurt, but whines beforehand nonetheless.
We have to get her a little out of her routine at some point, because as of now will only take her insulin in her right thigh, it's how it always has been done and I almost wish they would have tried different spots in the hospital, because now she is so comfortable with the leg, she will not think of trying the back of her arm, butt, or tummy. We watched videos of kids getting the insulin in the arm, and tummy, and it looks so much easier, esp., when she gets to the point of doing it herself or possibly getting the pump in the future, which most likely will go on her tummy. The pump, which she is not interested in yet, probably because she doesn't know much about it yet, will elminate all the injections, as she can bolus herself or we can with the push of a button. The pump site would need to be changed weekly, but one poke would be better than 30-40 injections in a week. I'm kinda looking forward to that for her. But for now we just have to watch her leg/thigh, so she doesn't get red lumps or fat build up from overuse of the same spot, we try not to hit the exact same spot each time and move it around, but her leg is only so big.
Hannah is still in a strong "honeymoon phase", as they call it. Her pancreas is still producing insulin to some degree, in the reamining beta cells in her body, it helps her body out some, and right now is on very low doses of insulin because of that. As the months pass those cells will die out leaving her pancreas and the cells non-insulin producing at all. The honeymoon phase can last a few weeks up to a year. There is no test to determine how long this will last. We know Hannah is in this phase by her relatively low insulin amounts needed right now.
Hannah is doing well physically, emotionally we still have some things to work out with her....she can be so happy and loving at one point, but then some days, and this may just be Hannah, but she can be so crabby about something so simple, like having to dress herself can throw her into a angry fit, or listening to instructions from me, will bring her to a mad frustration instantly. There have been a few handfuls of situations we've had to deal with her, that have seemed to escalate from her typical whiney self and now adding diabetes to her life hasn't helped. I pray that this is just still so new to her and it will get better soon.
We are all done at the St Paul location for now, as they also have a clinic in Minnetonka off 494 which is a little closer for us to go, so on April 2, we will have her 1st 3 month doctor visit with the endocrinologist at Children's West. They will also test her A1C level for the first time since diagnosis, which back then it was over 10%. It will be tested every 3 months for accurate blood suagar levels over the previous 3 months. It is recommended that the % be 6.5-7%, so that will be our goal over her life now.
Things will get a little hectic again as we will be planning and enjoying a week in Mexcio soon !! I hope we can find some time to relax and have fun, but I suspect that this vacation will have it's share of stress and frustration as well.
Still looking forward to the memories, however they play out.