Sometimes, diabetes will not play fairly. In life in general, things tend to pop up that we may not expect. When dealing with a medical condition that must be monitored and cared for like an additional child, things WILL go wrong. It is inevitable. The important thing is to know when to seek help, what kind of help to seek, and what to do in the interim.
Sustained high blood sugars:
If correction blood sugars are not working as they should, an injection should be given if usually a pumper, or if usually on multiple daily injections, a new vial of insulin or pen should be opened and used for the correction. Call the primary caregiver after a set amount of time that you decide with them, and in the interim, push non-carbohydrate containing fluids such as water, Crystal Light, sugar free Koolaid. Continue to monitor glucose levels every hour or more frequently.
Sustained low blood sugars:
If blood sugars are running low over a long period of time, if on a pump either disconnect or suspend insulin delivery in the pump. Push glucose per primary caregiver guidelines, and continue to monitor glucose levels every hour or more frequently.
If vomiting, call primary caregiver IMMEDIATELY and if blood sugar is running somewhat low (ask primary caregiver what this number would be), suspend or disconnect insulin pump if this method of insulin delivery is used. If running high, continue insulin delivery as normal. In this situation, care is often on a case-by-case basis, so follow primary caregivers’ instructions and continue to monitor glucose levels every hour or more frequently.
Insulin pump falls off:
If the insulin pump falls off, you may end up using shots for insulin delivery until the primary caregiver returns and can insert a new pump site. Please check with primary caregiver BEFORE this happens to make a plan of action specific to that child.
With children, random things happen. With diabetes, random things happen. If anything unusual or out of the ordinary happens, do not hesitate to call the primary caregiver or another designated person who can help with the unusual diabetes circumstances