Showing posts with label Insulin pumps. Show all posts
Showing posts with label Insulin pumps. Show all posts

Wednesday, September 21, 2011

Still gets to me...

This post is part of a series called Where's Wuby? Wednesdays where I'll post a new story about Ruby, or diabetic alert dogs in general.  Ruby is a service dog trained to detect high and low blood sugars in Faith and notify me.  She has changed our lives and dramatically improved Faith's blood sugar control.  

If there was ever anything you wanted to know about these dogs, or how they work, ask away and I'll try to answer the best I can; or if you are just as amazed as me at how God created these animals, I hope you'll enjoy reading about the incredible experiences we've had so far with our Ruby.


In the meantime, you can follow Faith and Wuby on Facebook by clicking Here.

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Today I spoke at a local high school to a group of about 300 student council members from all over the area.  I loved being able to educate about type 1 and share Faith and Ruby's story.  I've told these stories so many times that I can usually get through them without getting too emotional.  There's one story that still gets to me every time, though...

It was early one morning, we were all still in bed - and would be for a few more hours.  I had just checked Faith and she was a little on the high side, but good.  

A short while later, Ruby jumps in my bed to alert.  I remember thinking, UGH, Ruby just let me sleep!, but realized that she seemed VERY agitated.  Much more so than a normal alert.  The next second I hear JC screaming for me to come.  I was in the middle of repainting the boys room so I had all four kids bunked in the girls room.  

At this time, Faith was on the Animas Ping insulin pump.  If you're not familiar with how these work, it has an insulin cartridge inside of it that is similar to a syringe.  A piston inside the pump depresses the syringe to administer the insulin.  That cartridge is held in place by a screw cap.  

A screw cap is NO match for a very meddlesome two year old.

We could lock the buttons so that Faith could not program the pump to give her extra insulin - but we never dreamed she'd disassemble the darn thing!

I ran to JC to find him standing there holding the CARTRIDGE from Faith's pump!  When Ruby had left the room to come wake me, it woke JC.  He looked up and realized that Faith had pulled her insulin cartridge OUT of her pump and was squeezing it - pushing a VERY lethal amount of insulin into her body!  

I snatched Faith up out of her crib and checked her blood sugar.  She was still at a good number.  I couldn't tell how much insulin Faith had given herself, so I put the cartridge back in and reloaded it to find that she'd squeezed at least TWO units into her little body.  Two units was enough to kill her several times.  

Ruby was still acting very bothered.  Now knowing that Faith had shot herself with insulin, I began to push juice down her.  I checked her again - and even though only a few minutes had passed, Faith was getting VERY low.  I couldn't get sugar in her quickly enough.  I was having to give her such a large amount in such a short period of time and it seemed that it was about to come right back up.  

I had no choice.

I grabbed the glucagon and gave it to her in small doses.

A few minutes later her blood sugar stopped plummeting.  

Eventually, her blood sugar started to come back up.

Tragedy prevented thanks to Ruby and JC.  If Faith had finished squeezing that cartridge there would have been NOTHING I could do to counteract that much insulin.

If Ruby hadn't woken us...

It's terrifying to think of this scenario without Ruby, and this is the one story that I still can not tell without getting choked up.  Praise the Lord for sending us this miracle of a dog!

Sunday, August 7, 2011

Making The Switch...

Well, I jinxed us in one of my last posts, I think.  Just a few days after I mentioned that we hadn't been on MDI (multiple daily injections) for over a year, we found ourselves having to go back on MDI.

Last Sunday we spent the day at a friends birthday pool party.  Faith is on the Animas One Touch Ping insulin pump.  One of the reasons we went with this pump is the fact that it is waterproof.  People (myself included) are always amazed that she can bathe and swim with it on (or drop it in the toilet) without ruining it, but she really can.

That is, when she hasn't messed with it.

Like the first time, when she had somehow popped the audio bolus button off - and I didn't find out until we'd spent the ENTIRE day at the spray park.  Oh, yeah and that was late in the evening, so Animas couldn't overnight it until the next day - leaving us on MDI for a couple days.  With full strength insulin. And a baby with a correction factor of something like 1:375.  Fun times.

Or the next time, just a few days later when she was teething...on her insulin pump...and chewed off the front buttons.  Seriously, she was out of my sight for like 20 minutes.

Or the 100 times that she's pulled off (and lost) the audio bolus button, which causes it to no longer be waterproof - which causes us to have no choice to order a replacement.

Or the times she's played with the cartridge and loosened it enough for it to lose prime.

Or the scariest times when she's twisted off the cartridge cap and played with a cartridge full of (life-saving, yet lethal in the wrong dose) insulin - squeezing enough insulin into her body to kill her within minutes.  Thank God for Ruby alerting us to that and saving Faith's life.  That's a story I'll tell yall on one of the Where's Wuby? Wednesdays.

This latest time, last weekend, there was a pinhole in that darn audio bolus button.  She got out of the pool to eat some birthday cake, and when I grabbed her pump to bolus her I couldn't get the buttons to unlock.  And then I noticed water bubbling up out of the middle of the audio bolus button.  And then the screen went black.  Ugh.

I think we're on our 6th (ish, I've lost count) replacement pump.  In a year.

I have to say, Animas' customer service has been GREAT.

Every time Faith breaks her pump I call and explain, and expect them to give me grief, but they never have.  They just overnight us a new one.

And we've tried EVERYTHING to limit her access to her pump.  We've put her pump in a pocket on her back, locked the pump in a pump belt, scolded her - you name it.  Nothing has worked consistently to prevent her from meddling with her pump.  Imagine tying a cell phone to your toddler and telling them not to touch it.

At this point, it feels about like handing her a loaded gun to play with and asking her to not pull the trigger.  She doesn't have any idea how much power (or danger) she holds in her hand.

After much prayerful consideration we have decided to switch to the OmniPod insulin pump.  It has its own set of challenges, but it solves our immediate (and major) problems by eliminating buttons and insulin cartridges from the equation.

We were incredibly blessed to have an anonymous donor step forward to pay for the entire thing.  We are so thankful.

So in the next week or so we will be making the switch.  We'll keep you posted.
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