J. is my 12 yr old daughter. She was dx with type I in December 2006 and is now in 7th grade. She’s been using the minimed/medtronic insulin pump since March 2007.
We’ve had a few ups and downs with J.'s blood sugars. Her last A1C was awful. Over 14.
I’ve been encouraging her to work diligently since May to bring her A1C down, to get better control by bolusing each time she eats, checking bg regularly, logging bg numbers. Some days she does well, some days are a struggle from the time she wakes up until she goes to bed.
Here’s what happened this afternoon:
J. was very mean and not her usual happy self when I got home from work and asked her to help bring in some things from the car. Then when I saw her having a snack- right before dinner - I asked if she’d done an insulin bolus to cover the carbs in her snack. When she started yelling, I asked her to check her blood sugar. She threw down the snack and started yelling for me to leave her alone. I made her let me check her insulin pump and saw that she’d not done a single insulin bolus (to cover food) since yesterday at 5:45pm. We ate dinner around 7pm on Monday. It’s now almost 7pm on Tuesday.
I made her check her blood sugar and it’s 245. Not as high as I thought it would be. Her higher afternoon bolus and her mile walk home from school must have helped lower it some.
I’m worried about her. And exhausted from worrying about her health and her attitude regarding herself and diabetes. It’s so hard to know what to do to help, to encourage good behavior, to discourage poor choices, to discourage self-harm and encourage healthy habits.
I don’t know how else to help her. Any advise? What do you do to help your child gain better control? If you have diabetes, what did your parents/family members do that was helpful to you?