Thank you guys for the well wishes. Riley is feeling better, but he's still home from school. If it wasn't for diabetes he probably would have gone to school today.
He's been having some crazy lows, lows that just refuse to come up. And, because he doesn't have much of an appetite it's hard to get him to eat or drink to bring them up.
Since he was diagnosed I have not been as scared as I was last night. He'd had a few sugars in the 70s and upper 60s at my mom's yesterday. They would come up with treatment but not much.
Holden had a basketball game last night. Riley was feeling pretty good and I didn't want to miss Holden's game. He only has a few left. We ate supper at the school. At supper Riley's sugar was 219. It was the highest it had been in a while. He still didn't have much of an appetite. He ate half of a cheeseburger and a cupcake. I put the carbs and sugar in the pump and gave him less insulin than what the pump suggested since he'd been going low so much.
An hour later he came to me and told me his sugar felt low. It was 49. He hasn't gone that low in a while. I got him to drink a juice box. I decreased his basal. And, I coaxed him to eat some chocolate chip cookies (because I knew he still had plenty of insulin on board from supper). He wouldn't eat all of the cookies because he didn't have much of an appetite.
20 minutes later he was 66. I suspended his pump and gave him another juice box. 20 minutes later, 77. I didn't give him anything else right then because I figured he would continue to rise a little bit from the two juices and cookies. 17 minutes later he said his sugar felt low again. (He had been lying down in the bleachers the whole time). His sugar was now 64. I didn't know what else to do except give him a 3rd juice box.
By this time he was beginning to complain of a full tummy. I'm sure all that juice sloshing around didn't feel so great. 15 minutes later he was 65. At this point it had been an hour since he was 49. All this time Holden's game was going on. I was barely able to pay attention to any of it.
I started to debate about using Glucagon but he wasn't too terribly low and I knew he wouldn't need a whole dose and I really didn't know how much to use. Plus, I didn't want to deplete his reserves in case he needed them later for a really, really low. So, I coaxed him to drink another juice box. Poor thing, it was all he could do to choke it down. I had to beg him to finish it.
15 minutes later he was 68. I know that's not a terrible sugar, but anything with an 8 in front of it would have made me feel better. He had been low for so long. I pulled out some fruit snacks. I got him to eat two of them before he started gagging and saying he felt like he was going to throw up.
I began to pray that he wouldn't throw up. I don't know what I would have done then.
20 minutes later he was 83. I finally started breathing again. He was able to keep everything down.
From the time he was 49 until he got up to 83 was exactly 1 hour and 34 minutes. He had consumed 76 g grams of carbs. He usually doesn't eat that many carbs in two meals combined. He had never ever come close to doing anything like that. I don't know what in the world happened.
I braced myself for the high that I knew was coming. I was thinking he'd most certainly reach the 300s and maybe even the 400s. The high never came.
30 minutes after the 84 he was 83. An hour later he was 162. I finally unsuspended his pump. 35 minutes later, before I tucked him into bed, he had dropped to 133. I decreased his basal. He ran at a decreased basal the majority of the night. He finally reached 233 at 4 o'clock this morning. I was actually glad to see it.
His sugar at breakfast was 145. 3 hours later it was 51. I had him drink yet another juice box. 20 minutes later he was 70. I made him lunch. For lunch he ate stew beef and rice and yogurt. He ate pretty well. But, fussed about having to eat all the yogurt. (He has to eat yogurt to try and combat the icky side effects he's having from the antibiotics he's taking.)
I put the carbs in the pump (45g) and put in a sugar of 60. I gave him less insulin than suggested by the pump.
As I was writing this I realized I should probably check him again. One hour after his insulin he's 65. What in the world is going on?!? He has .67 units of insulin on board. He's drinking another juice box and I've suspended his pump again.
I'm hoping we won't have another episode last night. Where has his liver been while all of this was going on?
(edit: 20 minutes after the 65 he was 63 and ate an Air Head. 25 minutes later he was 67. He is now munching on fruit snacks that he complained about having to eat. He usually loves fruit snacks. His pump is still suspended.)