Friday, September 24, 2010

3 Hours of Sleep

After years taking care of a child with diabetes, I've resigned myself that on some days I will be pulling a late-nighter.

We had tried all week to keep Cassie's blood sugars down with the new school routine. But last night, I couldn't seem to get her blood glucose levels up to a safe level. Our target range is 85-110 mg/dl. After dinner she was 68, then 57 before bed, then 64 at midnight, then 41(!) at 1 am, then 63 at 2 am, then 83 at 3 am. We keep a cache of juiceboxes at her bedside and I found myself "juicing" her all night.

And although Cassie has learned to be great (usually) at taking care of her own diabetes, she has yet to learn how to do it while she dreams. I don't mind that burden, but it sure takes a toll on my REM cycles. My wife and I trade off with the nighttime on-call duties. When I'm on the night shift I have a bad habit of staying up the whole time until I feel Cassie will be OK. Marinda opts for the multiple alarm clock wake-up approach, and gets a broken night's sleep. Short or interrupted seems to be the choice. I'm not sure which one is the best or worse, but nights like last night make me think hard about the benefits of a CGM (Continuous Glucose Monitor).

The satisfying thing is we made it through the night. Marinda clocked her at 87mg/dl when she awoke.

At breakfast Cassie was chipper and happy and didn't realize at all that her body had struggled all night to get to sugar control. It kinda makes it all worthwhile.

1 comment:

Anonymous said...

Daughter (then 6) was diagnosed a year ago this month. She is the only child in her school and there are not other kids in our area with diabetes. I've needed a community or network of other parents in the same situation. I'm so glad to find your blog.

My husband and I have been dealing with 2am blood checks for the last 2 months. First she was high so we increased her insulin then she was low all the time and we slowly decreased her insulin. The doctors are so unintouch with what its like to get up every night (possibly more than once) to check your child. The hardest part is waking her up to eat. We skip the juice and have her drink milk or eat a cereal bar. That helps keep her BS level elevated longer.

The entire time you're wondering if she got enough sugar to keep her up until the next check. Its so scary and stressful.