Type 1 Diabetes and PTSD

Carter HospitalWhen your child is diagnosed with Type 1 Diabetes, you are left with scars. Scars you don’t even realize are there, until the scars get ripped open again.

Sick days have come and gone throughout the course of this past year and a half of managing my son’s Type 1 Diabetes, all without incident.  This week, everything changed.  The dreaded return to the hospital inched closer and closer.

Carter started a fever on Wednesday afternoon, an afternoon where we happened to be on our second day of a mini vacation and 300 miles away from home.   I monitored his symptoms and fever, and Thursday morning his ketone strip showed he had large ketones.  Carter hasn’t had ketones since his diagnosis in November 2013.

At first I panicked, then I called Carter’s Endocrinologist.  We walked through the care I needed to provide, and we headed home.  By Thursday night I had reduced his ketones from large to moderate.  By Friday morning his ketones were back up to large.  It was then that I decided to take him to the Children’s Hospital.

Since this was the hospital he was diagnosed at, walking in after almost two years was rough.  I felt a twinge if PTSD as we entered the hospital.  Being in the ER was new, but when we were admitted, walking onto the peds floor, the smell of it took me back to November 2013, Carter’s diagnosis.  I was overwhelmed with heartache.

Being a parent, especially one to a child with a disability, carries an extra heavy weight with it.  The decisions we have to make aren’t always the easiest ones, often times they involve admitting our child to the hospital where we know there will be pain and suffering in order to catch up to survival.

Watching my now 3-year-old struggle with fear while we sat waiting for the IV to be put in was horrible.  I wanted nothing more than to scoop him up and walk out of the hospital and go home.  I knew that wasn’t an option.  I knew if my son had any chance of getting over this virus without entering into Diabetic Ketoacidosis remaining and getting an IV was the only solution.

Being in the hospital with the year and a half’s worth of knowledge we reluctantly have learned made this stay extra frustrating and difficult.  Knowing the specific things that worked for Carter within his care and having pushback from the nurses who weren’t familiar with managing Type 1 Diabetes in such a young child was unbelievably frustrating.  Yet it reminded me that no matter the situation, even with medical staff, I am always my son’s best advocate.

Reliving what we went through at diagnosis, thankfully on a smaller scale, brought back so many old feelings, and unwrapped scares I thought I had successfully allowed to heal.  I started to get angry, but decided to pour that anger and sadness into fighting harder for a cure.

Although our latest overnight stay at the hospital was difficult emotionally and physically draining, it was necessary for Carter to get well.  It also allowed us as a family, included Carter to grow when it comes to managing Type 1 Diabetes in him.  We are now all acutely aware of new ways to assist in reducing a hospital stay, and were reminded how quickly things can change when it comes to life with Type 1 Diabetes.

Coping with New Changes

Ashleigh Carter and Natasha June 2015It has been 6 weeks since we brought our newest bundle of joy home, our daughter, Natasha Marie who was born at the end of April.

Her birth was obviously anticipated, and we were so excited to welcome her, my husband and I, but none more than our oldest two Ashleigh and Carter.  They couldn’t wait for her arrival and when she finally was born they never wanted to leave her side.

To say I was ill prepared to manage life with not just 3 children where the oldest is 5, but also with a 3-year-old Type 1 Diabetic in the mix is the understatement of the century.

I thought back to bringing Carter home, the transition seemed so fluid.  He was just a welcome addition to our home and though the adjustment period lasted a bit, soon we were a well oiled machine just with one extra amazing addition to the home.

Adding a third child is challenging, but adding one into a home where their closest sibling is a Type 1 Diabetic is difficult.  There are many times that I feel as though I gave birth to twins.  My newborn needed me that second, as did my type 1 diabetic son.  The choice was easy, take care of the diabetic first, as consequences of making him wait a second longer could lead to catastrophic results.  It went against every instinct that my recently launched into postpartum self knew.

Waiting with my Type 1 Diabetic son, and lately having to coax him to consume carbs and sugars to fix low blood sugars, is unbelievably difficult with a crying hungry newborn in tow.

However, we have adjusted.  Carter is learning to take a more active role in his care, Ashleigh is learning how to be the best helper ever, and Natasha is learning how to have patience with me when unforeseen circumstances arise.

As stressful as it is, through working together, we have all found a new routine.  What I find interesting is at every doctor appointment since Carter’s diagnosis, my blood pressure has been uncharacteristically high.  Just more proof of the hidden price we as parents of Type 1 Diabetics pay.  We are continually under stress, every situation can change in an instant and we are fighting for our child’s life.  Cut to a split second later when all has been fixed, we are celebrating our success.

This life is a definite roller coaster ride, filled with many highs and lows, and I’m not just referring to blood sugars.  With every defeat and with every victory, there are lessons.  Stopping my life because we were handed an unforgiving disease wasn’t an option.

We choose to live and not survive, and part of living is growing our family and giving my children a new wonderful sibling who can join our constant fight and advocacy against Type 1 Diabetes.  Natasha is so small, and has yet to realize the strength of her big brother and big sister.  In her short 6 weeks of life, she has proven, already, to have the same fighting spirit.  A spirit that will reign supreme when it comes to assisting in making sure Carter’s rights aren’t forfeited, or that he is treated differently due to his disability.  Yes little one, you fit on just perfectly and are already such a blessing.

The Ups and Downs of Type 1

maybeI hate today, actually a better statement would be, so far, I hate this year. When it comes to the management we have endured pertaining to Type 1 Diabetes, 2015 hasn’t been handed to us on a silver platter.

A lot of this is to be expected when you have a young child with Type 1, especially as they go through growth spurts and the like. Teething, growing, illness, these are all things that affect the way Type 1 Diabetes behaves on any given day, at any given hour.

Today, we have been fighting low blood sugars. I’ve always said that battling high blood sugar numbers is aggravating, and battling low numbers is terrifying. When Carter’s blood sugar is low, a different kind of care is required.  More vigilance, more supervision, and this is required whether it is daytime or nighttime.  More so if it is in the middle of the night.

Tonight it seems no matter what I do, I can’t get his blood sugar to rise.  Luckily he is hovering in the 80 range, which for a person without Type 1 Diabetes is a perfect resting blood sugar.  Tonight however, I’ve fed Carter a peanut butter teaspoon, 8 oz. of milk, and half a juice box and he is 88.  This means, without the carb loading I’ve done with him this evening, he would most likely be reading at a blood sugar of 50.

Now he is full of liquid and food, and I have to check his blood every hour, making sure that he doesn’t dip too low and become hypoglycemic.  This turn, is deadly, especially in the quiet of the night.  So I will set my alarm for every hour and monitor my son, making sure he makes it through the night.

I think this is one of the biggest misunderstood measures that is rarely discussed outside of the diabetic community;  beyond the frustration, beyond the exhaustion, we are responsible every second of everyday to keep our child alive.   Failure isn’t an option, and discovering that with each minute, the stakes change.

Truth be told, it is so difficult to bring understanding to those who don’t live this life day in and day out.  Hearing the horrific, difficult issues we as Type 1 Diabetic parents face daily, doesn’t resonate with the proper mind numbing fear that we experience throughout our days.

The feelings of helplessness, fear, anguish, anger, determination, pride, joy, all overlap and it’s hard to realize which feeling you are in from one minute to the next.

But the one feeling that is never missed, is once you are out of the woods, and you get the blood sugar reading you have been working so hard for, there is an overwhelming feeling that washes over you.  It is welcome and sought after continually, and is known as relief.

Type 1 Diabetes and Anger

diabetesthoughts.blogspot.com
diabetesthoughts.blogspot.com

“Don’t hurt me mommy!” This is the new phrase that comes out of my son’s mouth lately when I check his blood or give him a shot of insulin.

Type 1 Diabetes and anger walk side by side, and as Carter gets older he is manifesting a hatred for the life he has to lead.  I understand, to a degree, his anger.  I work hard to not be angry daily dealing with this disease.

It’s harder lately, as Carter pushes back when it comes to his care and the management of this horribly frustrating disease.  As his mother my heart breaks into pieces hearing him plead with me not to hurt him.  Then I am stuck with the difficult task of trying to explain to my not even 3-year-old son that in order to live I must poke him.

This year has been really hard so far, we have battled illness continually in some form since January, and feeling crummy already, then having to get pricked and poked in order to make sure DKA doesn’t add fuel to the fire was rough for Carter.

There have been many days this year that I have wanted to throw in the towel, but then remember I can’t.  Type 1 Diabetes never clocks out, there is never a down time.  The only options you have is to find ways to push through the exhaustion and the disappointment that greets you daily.

My prayer is that Carter will understand soon how because I love him so much I monitor his care so closely.  I know he will grasp this concept eventually, yet now there is an added dread to the blood checks and shots that exist throughout our day.

I watch my son wince when I grab his hand, just to hold it.  Every time I touch him, he anticipates a poke.  I take every opportunity to just hold him and cuddle with him, in an effort to reinforce our bond and connection minus the diabetic care.

I know this phase will end at some point, yet being in the midst of it is trying…to put it nicely.  I don’t know if my anger toward Type 1 Diabetes will ever completely subside, and now watching my son’s anger grow is a hard thing to witness.  I remember that his journey is much different from mine, and I must allow him these feelings in order to move past them.

“The forces that tend for evil are great and terrible, but the forces of truth and love and courage and honesty and generosity and sympathy are also stronger than ever before.”

Theodore Roosevelt

Through the eyes of a Type 1 Diabetic

Persona_Non_Grata_With_DiabetesI was contacted by the author of a book called Persona Non Grata with Diabetes and asked if I would like to interview him.  I found this to be a great opportunity to find out what living with Type 1 Diabetes was like, through the eyes of a Type 1 Diabetic himself.

As the author, Paul Cathcart put in the forward within his book, “I have written ‘Persona non grata with diabetes,’ a lowbrow walk through of real life with diabetes, hoping that from within these shared pages we are able to draw parallels and exchange in lifetime experience, exemplified throughout in life defining moments.  None of which stray to far, if at all, from a life with diabetes but all of which touch on this condition in one way or another; offering comfort in the knowledge that what we are going through both physically and emotionally is shared by us all.”

That last sentence spoke to me, as this is the reason why I wrote this blog.  I remember when my son was diagnosed and I looked online for support, I remember the relief I felt when I found mothers who were experiencing the same feelings I was, those who wrote about the devastation and frustration they go through daily.   Though it didn’t change my life, or my day, it helped me realize I wasn’t alone.  To feel as though what you experience is shared by other people, allows you to feel accepted, even if the acceptance is into a rough world where others would rather avoid.

My interview with Paul is below, and his book can be found on Amazon, and be purchased on your Kindle.  Thank you again Paul for being so candid and allowing others into the struggles you have faced, in an effort to close the gap on feeling alone while managing this disease.

Question and Answer with Paul Cathcart, author of Persona Non Grata with Diabetes:

Diabetic Journal: When were you diagnosed with Type 1 Diabetes?

Paul Cathcart: I was diagnosed at the tender age of 16. I say tender because the years leading to diagnosis, when my pancreas was blinking like a traffic light, were some of the most difficult.

I know its standard understanding, that before we become type 1, that our body may take a while to finally succumb, but no one really thinks about the social surrounding.

I was in a class full of kids, back when they used to give us cartons of milk at lunch time, and at the point where they stopped was the some point when I was having my first dizzy spells and my mouth was attached to the tap.

But on a social / educational level that was lost, I was invisible because I was at least well fed, and the other kids were often collapsing with hunger or bringing knifes into school.

Searing cramps were indistinguishable at home from teenage growing pains and locking myself in the bathroom every twenty minutes, at the age of 16, well you can guess what my family thought I was doing in there.

DJ:  Can you remember a time when you didn’t have Type 1 Diabetes?

PC:  Yeah, I remember boundless energy and I got that feeling back when I sorted my diet out (went low carb).

DJ: How do you think diabetes affects your life, both good and bad?

PC: I have been through some harsh times with my diabetes; uncontrolled blood sugar has no doubt impacted on my emotional range and personality on every level of family life, personal and social.

But on the up side, diabetes has maybe saved my life. I’m a Glasgow boy at the end of the day. My father was an alcoholic, my grandfather, my lowing step-grandfather; the all drank themselves to death.

I grew up on a housing estate and by my late teenage years, I could see the kids I refused to try drugs with beg for change in town with heroin pot marks on their faces.

And even if I did have the brain to avoid that without the prevention of type 1 diabetes, I’d probably still be stupid enough to be killing myself with cigarettes and junk food.

So yeah, I play to my strengths and diabetes forces me to eat well and live well.

DJ: Think back to the worst low or high you experience. What did you do to correct it?

PC: The highs were persistent in my youth. I’d forget to take my insulin with me on nights out and vomit my way home, unable to digest the following day.

I drank a bottle of Jack Daniels diluted with Pepsi Max once (see, thinking ahead) and I had my stomach pumped, with a Doctor screaming at me because rightly so, that amount of alcohol could have killed anyone, especially a diabetic.

But really, I could have killed myself more with the missed injection I didn’t totally understand the impact of, as the vomiting turned out to be ketoacidosis and I was pretty close to collapsing and freezing to death on the road.

The worst low never actually happened till between Christmas and New Year last year – clever me, on a clean diet with loads of working out inflating my metabolism through the roof, gave in and had a Chinese takeaway.

The problem was, to deal with this treat I had a bunch of insulin and I’d forgotten about the bunch I’d had earlier in the evening when enjoying a day off health. Terror, Ambulance called, couldn’t keep my sugar above 1.4, vomiting everything up for 40 minutes, pure fear till the ambulance arrived.

So to correct that, I shall try not to be an idiot again – but I am only human.

DJ: Being an adult, does diabetes affect your life in the workplace?

PC: How about screaming an expletive in an auditorium when my blood sugar was through the roof. My dad was also diagnosed with cancer the same week and my head was in a mess.

Other than that, going to the bathroom every two minutes made me feel silly. And yeah, later jobs in life, not being able to complete the three-month probatio

How to Deal, Type 1 Diabetes Disappointments

BraveryIt’s easy to talk about the luck of manageability of Type 1 Diabetes when things are going well. It’s harder to see the end of the tunnel when you have had a day filled with disappointment because of Type 1 Diabetes.

Today we had Carter’s check up with his Endocrinologist. His A1c was up to 8.6 from 7.8 three months ago. I have to admit I felt defeated and like I had failed. Carter’s doctor wasn’t concerned and even expected that he would be higher due to his growth and the fact that Carter has been battling illness for the past month.

Though we only slightly adjusted Carter’s insulin to carbohydrate ratios, I found throughout the rest of the appointment I was struggling with the feelings of disappointment.

I know there are peaks ad valleys when it comes to Type 1 Diabetes management, and knowing what illness and growth, as well as a bevy of other factors do to someone with Type 1 Diabetes, getting news you weren’t wanting can make you feel deflated. Pulling internal self together and reminding myself that Carter’s level of care he receives from me and his Dad hasn’t changed, assisted me with digesting the news.

There are times while traveling this journey that is being the parent of a diabetic where defeat becomes a regular feeling.  Victories can get clouded, shrouded in the perceived failures, and the misconceptions that managing this disease carries.

Recognizing that this too shall pass and that without these set backs we wouldn’t know what needed to change can be difficult when you are in the midst of the disappointment.

Allowing the reassurance, and remembering that a A1c result that wasn’t what wad expected doesn’t mean that you are a failure, it means that things yet again have changed when it comes to Type 1 Diabetes.  The one thing that is consistent with Type 1 Diabetes care and management, is inconsistency.

Realizing that because of those inconsistencies, numbers are often harder to manage and maintain, as well as test results may reflect an arena that is contradictory to what you have worked so hard to get away from, is part of what makes this disease so frustrating in one moment, when in the next moment beating the algorithm of Diabetes can feel like such an accomplishment.

The best advice I can give, is to not view a negative report as a personal failure.  Use it as a learning tool, and allow it to be a bigger view into your child’s make up.  No two people are a like, therefore management of Type 1 Diabetes varies from patient to patient.

Stumble and fall, but always get up and fight back.

Diabetic Ketoacidosis (DKA)

warning signsDiabetic ketoacidosis (DKA) is a life-threatening condition that develops when cells in the body are unable to get the sugar (glucose) they need for energy because there is not enough insulin.

When the sugar cannot get into the cells, it stays in the blood. The kidneys filter some of the sugar from the blood and remove it from the body through urine.

Diabetes is a lifelong companion.  Because the cells cannot receive sugar for energy, the body begins to break down fat and muscle for energy. When this happens, ketones, or fatty acids, are produced and enter the bloodstream, causing the chemical imbalance (metabolic acidosis) called diabetic ketoacidosis.

My mind has been reeling this week, reading the story about Kycie Terry, and seeing the parallel between her initial misdiagnosis and Carter’s.

No child should have to suffer through DKA, especially in this day and age where we have the technology available to us to properly diagnose people, especially children.

I am heartbroken, and in some small way, through the updates, reliving what we went through with Carter to some degree.

I think when you are discharged from the hospital, you are so grateful to be headed home, and when you arrive there you find your path, working relentlessly as survival becomes your way of life, we forget how serious this disease can be, and how quickly everything can turn.

Carter has been battling a small cold for a couple of days now, and last night at 2:00 am he threw up and his blood sugar was 460.  I cried as I waiting for the ketone strip to dry and let me know the current status of Carter’s condition.

In conjunction with the news of Kycie, I realized how fragile everything really is.  DKA is what we fight to avoid, every second of everyday, that and Hypoglycemia.  Yet, the majority of the time the word survival is at the forefront of my mind.

I came to the realization that I don’t want my son growing up thinking he is “surviving”, I want him to live.  Finding the balance between the two can be tricky, especially when you have two monsters on each shoulder.  DKA, or Hypoglycemia.

Some days it feels impossible to find the right balance with Carter’s blood sugars.  Some days end with me feeling helplessly defeated.  But others end with me feeling accomplished, not only at keeping Carter’s blood sugars within range, but that while doing so he also lived a great day.

Knowing the importance of Diabetic Ketoacidosis is irreplaceable, especially if you have a child, or know someone who is exhibiting symptoms.  Knowing what to look for with early diabetes diagnosis can mean the difference between a simple early diagnosis, or a horrible diagnosis accompanied by DKA.

For more information on DKA and Type 1 Diabetes, please visit the JDRF website.

All things frustrating and encouraging about Type 1 Diabetes