Wednesday, July 7, 2010

Bugs, bugs, everywhere!

Life has a way of making sure you never get complacent, doesn't it?  I had to make an unexpected trip to Lily's pediatrician's office yesterday.  Lily had a couple of bug bites that looked kind of odd.  Round, red bump for the first couple of days.  Normal.  But then they turned into little red bumps in the middle of a round, red circle.  We never did find the bug that bit her and have no idea what kind of a bug it was.  But since this is Minnesota and you can never be too safe where bugs are concerned, her doctor is treating it as a possible Lyme disease infection.  Two weeks of antibiotics.  For a normal child, this probably wouldn't be much of a problem.  For a diabetic child, it's usually not so simple.  You see, diabetic children tend to have a sweeter body chemistry than other children.  You kill off the good bacteria along with the bad bacteria and there's nothing left to keep the yeast in check.  So, the two-week wait begins...we'll finish up the course of antibiotics and most likely need a second trip to the doctor in order to deal with a yeast-overgrowth, possibly in the form of thrush.

For all you other d-moms out there, a simple equation....DIABETES + ANTIBIOTICS = NOT A GOOD COMBINATION!

At least I'm not too worried about the Lyme disease though, right?  If that is what her bites are, we're catching it very early.  She's shown no signs of fever or of being ill yet.  Just the bites.  Here's to hoping it all clears up quickly!

Monday, July 5, 2010

A little of this and a little of that....

I've been busy.  My husband has been on vacation from work for the last week, which has been fantastic since he's let me sleep in so much!  Nothing like catching up on all that missed sleep, right?  I've also made the mistake of signing up to take part in two Christmas in July craft exchanges.  I'm late sending my crafts out and still need to work on finishing them up quick.  And the friends of my husband's that I was working on a baby blanket for had their baby three weeks early, which meant I needed to finish up the blanket quick.  It's amazing how things can just pile up sometimes, isn't it?  So, here's a few pictures of what I've been working on and a few tips for d-moms....


My very first baby blanket


The matching hat


Now for the tips....you know how hard it is to deny a 3-year-old diabetic child a snack when they're in the midst of an insulin reaction, even after you've given them enough carbs to cover the reaction?  Well, here's our solution to that:


Lily loves her pickles!

I'll post more when I've finished my craft exchange projects.  Need to finish them and get them off in the mail.  I just have to hope that the recipients of them think they're worth the wait!

Friday, July 2, 2010

Monday, June 28, 2010

Channeling Pink Floyd

I've had that Pink Floyd song running through my head for days now...."all in all, you're just another brick in the wall".  It kind of fits the situation lately, but not quite.  For the situation at the moment, it should be, "all in all, it's just another brick wall".  All you other D-moms (and dads) know what I'm talking about.  You're cruising along, things are going great, blood sugars are looking good.  And, all of a sudden, a brick wall pops up!  Blood sugars are running high, child is eating everything in sight or nothing at all, you're picking your brains and pulling out your hair as you try to figure out what went wrong and what should be changed.  It's so frustrating!  Right now, it's not a brick wall we're facing, but a bottomless pit.  Lily's blood sugars are plummeting several times a day.  I know part of it may just be that we're in the midst of summer.  We're busy, running around, swimming in the pools, and just generally taking advantage of the heat.  My husband is on vacation from work this week.  He was in desperate need of a mental health break.  So we have a busy week of activity ahead.  Today, we went to the zoo.  We LOVE, LOVE, LOVE the zoo!  The monkeys, the dolphins, the fish, the birds.  It's so much fun!  Interestingly enough, one of the birds featured in the bird show today was named Pink Floyd (he had a bright pink belly).  We tested Lily when we got to the zoo....49.  Gave her 20 grapes and only bolused for 8.  Normally, that should send her blood sugar to the moon.  Two hours later, she was 78.  Gave her a second lunch of a corn dog, which she gobbled up in record time, leaving just a few bites for her daddy.  Tested her again a couple of hours later, as we were leaving...136.  Fast-forward to bedtime.  Lily managed to cram in 28 more grapes.  We gave her enough insulin for 20 of them, because it makes my husband nervous that she might go low at night.  Apparently, he was right.  Bedtime check gave us a blood sugar of 38!

I used to love roller coaster rides.  I want to know where the exit is for this one?  I'm not enjoying it!  I know that this is likely the start of another growth spurt.  She's about due to shoot up another inch or two in height.  But now I need to figure out...do I decrease her basals for the next few days to get her back on track, even though I know her blood sugars will sky-rocket in a week as the growth spurt slows down?

A picture from the zoo:


Aren't they cute?  You might actually think that they love each other!


Just a little side note....
I used to do this thing in an on-line forum that I participate in.  Basically, in the middle of our daily chat area, I'd share some of my "Observations from the Gym".  I have a hard time getting myself to go to the gym sometimes, even though I find it so entertaining.  Seriously, I always come away with some interesting stories.  Like the time an elderly lady warned me that there was a "man" in the locker room.  She followed that up by asking the gym staff-member, "are you a man?"  Nope, just a flat-chested woman with a very short haircut.  Here's my observation for today:

I find people in the parking lot of the gym so incredibly funny.  They troll through the parking lot, looking for the closest parking spot possible.  I can understand maybe in the middle of winter when it's freezing or when it's raining.  But today was a wonderful, breezy 77 degrees.  Gorgeous.  And yet they still troll through the parking lot.  One person took it to a whole new level today though.  Apparently, all the special motorcycle parking was taken when he showed up on his bike.  So, instead of just using a regular parking spot, he parked on the sidewalk, directly in front of the gym!  Seriously, you go to the gym to exercise, but can't be bothered to walk from the middle of the parking lot?  Imagine how much more exercise you'd get if you parked at the back of the parking lot! 

Friday, June 25, 2010

Another Medtronic News Release

News Release


Medtronic Media Contacts:

Jeff Warren, Investor Relations, 763-505-2696

Amanda Sheldon, Public Relations, 818-576-4826





Medtronic Begins Enrollment in ASPIRE Pivotal Study of Low Glucose Suspend Integrated System



Semi-Closed Loop System Designed to Reduce Severity and Duration of Hypoglycemia







MINNEAPOLIS – June 25, 2010 – Demonstrating its dedication to close the loop for diabetes management, Medtronic, Inc. (NYSE:MDT) today announced that the first patient has been enrolled as part of the ASPIRE study of the MiniMed Paradigm x54 System featuring Low Glucose Suspend automation. Low Glucose Suspend works by automatically suspending insulin delivery temporarily if blood glucose levels become too low as defined by the patient and his or her healthcare provider and is a feature available commercially in Medtronic’s Paradigm® Veo™ System in more than 35 countries outside of United States.



ASPIRE (Automation to Simulate Pancreatic Insulin REsponse) is a multi-center, randomized, investigational device exemption (IDE) study designed to assess the efficacy of the MiniMed Paradigm x54 System Low Glucose Suspend function in reducing the duration and severity of hypoglycemia (low blood glucose). Hypoglycemia is a common occurrence and concern in diabetes management and can result in confusion, unresponsiveness and – in rare cases – even death.



“Hypoglycemia is the greatest fear and biggest hurdle in achieving better glucose control in patients with diabetes. Until now we have never had a therapy designed to automatically intervene when blood glucose becomes dangerously low,” said Satish K. Garg M.D., professor of Medicine and Pediatrics, Barbara Davis Center for Childhood Diabetes. “The new Low Glucose Suspend integrated system is intended to close the treatment loop, ultimately reducing the risk of hypoglycemia even when a person is asleep or unable to react.”



Medtronic’s MiniMed Paradigm® REAL-Time Revel™ system is the second generation of the only integrated insulin pump with continuous glucose monitoring system cleared by the U.S. Food and Drug Administration (FDA). With the MiniMed Paradigm x54, Medtronic has designed a first-of-its-kind semi-closed loop system that not only features insulin delivery and CGM sensors, but also advanced software algorithms that enable the Low Glucose Suspend automation. The integrated system and low glucose suspend automation are the first key steps towards the creation of an artificial pancreas.



“The commencement of the ASPIRE study is the result of extensive interaction between Medtronic and the FDA to identify the clinical data required for FDA approval of our Low Glucose Suspend integrated system, an innovation we believe has the potential to transform the way diabetes is managed,” said Katie Szyman, president of the Diabetes business and senior vice president at Medtronic. “Building on our commercial success with the Veo in Europe, we look forward to the opportunity of bringing yet another new and important ‘first’ to U.S. patients for whom hypoglycemia is a significant and constant concern.”



Hypoglycemia can be one of the most frightening aspects of living with diabetes. Research has indicated that, on average, a person with diabetes will experience more than one low blood glucose event every two weeks. In addition, each year nearly one in 14 people with insulin-treated diabetes will experience one or more episodes of severe hypoglycemia.1 The landmark Diabetes Control and Complications Trial showed that severe hypoglycemia is more common in adolescents than in adults, and hypoglycemia has been shown to be a risk factor for reduced cognitive functioning among the pediatric patient population.2,3



About the Diabetes Business at Medtronic

The Diabetes business at Medtronic (www.medtronicdiabetes.com) is the world leader in advanced diabetes management solutions, including integrated diabetes management systems, insulin pump therapy, continuous glucose monitoring systems and therapy management software, as well as world-class, 24/7 expert consumer and professional service and support.





About Medtronic

Medtronic, Inc. (www.medtronic.com), headquartered in Minneapolis, is the global leader in medical technology – alleviating pain, restoring health and extending life for millions of people around the world.



Any forward-looking statements are subject to risks and uncertainties such as those described in Medtronic’s periodic reports on file with the Securities and Exchange Commission. Actual results may differ materially from anticipated results.



References

1. Leese GP, Wang J et al. Frequency of severe hypoglycemia requiring emergency treatment in Type 1 and Type 2 diabetes. Diabetes Care 26:1176-1180, 2003.

2. Diabetes Control and Complications Trial Research Group: Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial. J Pediatr 125:177–188, 1994.

3. Matyka KA, Wigg L, Pramming S, Stores G, Dunger DB: Cognitive function and mood after profound nocturnal hypoglycemia in prepubertal children with conventional insulin treatment for diabetes. Arch Dis Child 81:138–142, 1999.



-end-





Medtronic, Inc. 2010

Wednesday, June 23, 2010

The definition of success...

There have been a few topics floating around in my head lately that I keep thinking about and keep thinking I should write about on here.  Surprisingly, the ideas haven't completly deserted me yet and continue to pop up every now and then.  I'm sure I'll get around to writing about all of them sooner or later.  But I've seen a few posts from d-moms lately that talk about feeling like a failure when they see blood sugar readings that are out-of-range for their children.  So, I'm writing this particular post in response to that.  And, don't get me wrong, the response is not meant to be critical of anyone.  Especially since I often feel like a failure when I see those bad numbers too!

It seems to me that all of the d-parent community is defining success as always having their child's blood sugars in-range, always getting a good A1C, always being spot-on with everything.  Unfortunately, blood sugars are not like throwing a dart at the center of a bullseye.  It's actually much harder to keep blood sugars constantly in check than it is to throw that dart!  No matter how hard we try, there will always be a growth spurt right around the corner, an extra activity, a birthday party with cake and ice cream, a family gathering, a receptionist with a dum-dum sucker...you get the picture, right?  We don't get to control everything, no matter how much we wish we could.  Being diabetic myself, I think it strikes me even more how much I wish I could control everything for Lily.  I know how awful it feels when she's high.  I know how scary it is for her when she's low.  I want to do my absolute best to make sure I take care of everything so that she can feel her absolute best.  And when those numbers pop up on the meter, they taunt me and tell me that my best just isn't good enough.  It's funny how in those moments, I completely forget the ideas and beliefs I want to share with other d-parents, the main one being that my Lily is a child first, diabetic second.  Diabetes needs to be in the backseat, not driving the car.  Don't believe me?  I'll explain a little more....

I was diagnosed when I was 9 years old, less than 3 months before my birthday.  My birthday rolled around.  I wanted chocolate cake for my birthday.  I was told I had to have angel food, diabetics don't get to eat chocolate cake.  Or any other kind of birthday cake either.  Too much sugar.  Fast-forward to October and my first Halloween as a diabetic.  I was thrilled when my mom let me go trick-or-treating.  Not so thrilled when I came home and she confiscated my bag of loot because diabetics can't eat candy.  Now, I realize those mentalities are a bit "old-school diabetes".  Things have changed a bit since then and we now understand that it doesn't matter so much how much sugar is in a food, but more how many grams of carbohydrates.  Great, but the thinking hasn't really changed all that much.  Parents of children with diabetes still use the "you can't, you're diabetic" line.  So, a little warning for all of you of what happens when you tell someone they can't have something....they want it more!  I have a serious sweet tooth.  I learned at a very early age to hoard my candy, to shove it into my pockets before handing my trick-or-treat bag over to my mom and then hide my stash in a safe place.  If someone offers me a piece of birthday cake, I have a very hard time refusing.  (No wonder I have a weight problem!).  My life and every food that went into my mouth was so focused on diabetes, that I revolted against it horribly and have gone too far in the other direction.  And, I'll be honest, I have a hard time denying my little girl (diabetes and all) anything her little heart might desire.  Not good!

So...the point of my post tonight....what if we define success a little differently?  Instead of thinking we've failed because the blood sugar is off, what if we focused on the successes of the day?  Did our children have a good, fun, activity-filled day?  Did they play and run and jump and act like a normal child, in spite of the breaks for finger-pokes and boluses?  Did they hear from us that they are loved?  Did we roll around in the grass with them, push them on the swing, twirl them around until we got dizzy?  Did we nurture their hearts and minds and souls as much as we did their little bodies?  That, my friends, should be our definition of success.  Every now and then, let's trade the 15 gram apple for 15 grams of a cookie and remind our children that they are just kids and deserve to have a bit of the carefree life that the other kids get to have!

Sunday, June 20, 2010

Happy Father's Day! (aka: Differences in style)

Oh, what a wonderful day!  A whole day dedicated to celebrating what amazing fathers our children have!  And while I may be just a bit prejudiced, my kids have the best dad!  Lily has been on a kick lately, determined that she is going to marry her daddy when she grows up.  Never mind that Mommy is already married to Daddy.  She's got a plan to take care of that.  Mommy is going to marry Leo and then Lily can marry Daddy.  Can't tell that she's a Daddy's Girl, can you?  He really is pretty incredible though.  They crawl all over him, use him as a jungle gym, run circles around him, talk him into just about anything they want, and just plain adore him.  The kids both run for the door when they hear his truck in the driveway and wait, bouncing, on the step for him to come up to the house.  I'd be a bit jealous of their adoration except they still need their mommy when they have an owie or want to snuggle!

Before I give you the impression that I'm a huge puddle of mush for my husband (although, quite honestly, I am!), I do have a bit of an issue tonight.  My husband and I share almost equally in the substitute pancreas duties.  I take care of everything for the kids during the day, as that's my one and only job.  But on the weekends and in the evenings, we share it all.  Sounds great, right?  Just one problem with that....we have very different management styles!  Let me explain....my husband and I lived together during college.  When we first moved in together, I was pre-pump.  My care of my own diabetes wasn't at its best.  My poor husband woke up to find me convulsing on a couple of occasions.  Being the incredibly intelligent man that he is, he managed to spoon-feed me sugar straight from the sugar bowl both times and no ambulance was necessary.  But the experiences have scarred him for live.  Literally.  Fast-forward to the here and now and Lily's diabetes care and my husband tends to err on the side of caution.  Extreme caution.  I can always tell when I look at our logbook who determined how much insulin to give Lily.  Tonight is a perfect example.  We took the kids swimming for a couple of hours and followed it up with a late dinner, immediately before bedtime.  My husband and I discussed the carbohydrate count.  Because Lily was 90 at dinner (great number!), my husband decided to subtract some carbs from the final total.  Lily is now 434 (gasp!)!!!  I hate those numbers!

All you other d-moms out there...do you deal with anything similar?  Have any tips on how to reconcile the differences in our diabetes management styles?