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!

How far away?

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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One of the questions I'm asked most often is, "How close does Ruby have to be to Faith in order to pick up on her blood sugar changes?"

After spending the year with Ruby and seeing many "long-distance" alerts, I've decided the best answer to that question is: just close enough for God to whisper in Ruby's ear that Faith needs my attention.

One of the most surprising things to me after we got Ruby, was just how well she could detect changes in Faith's blood sugar when she was not even in the same room.  One of the unsung (and unexpected) benefits of Ruby is that she allows me to let Faith run & play without worrying that she's going to fall out from a low.  Faith has no symptoms with her lows most of the time.  She can be running around the room with a blood sugar in the 30's with no symptoms at all.  For that reason, I never let her out of my sight before Ruby.  Now that we have Ruby I have been able to let Faith enjoy simple pleasures that we used to take for granted.  Things like children's church, playing with her siblings in the yard, or playing with the other children at support group.  Even when Ruby doesn't have to alert for a high or low, the shear comfort and peace of mind she gives me (and Faith, but more on that another time) is invaluable to me.

The first time I saw for myself that Ruby could (and would) alert long distance I was blown away.  I was babysitting for a friend with 3 children, so Ruby and I had spent the day in our cozy little house with 7 boisterous rowdy kiddos.  We both needed a breather.  So, when Chuck came home I asked him to take the kids outside to play while I cleaned up the kitchen.  I checked Faith's number and it was in the upper hundreds, so I thought it safe to send her out with the rest of them under the supervision of her daddy.  (She was barely 19 months old at the time.)

I kept Ruby inside with me to let her rest.  I went to the kitchen to start the dishes.  About 20 minutes later Ruby got up to alert.  I chuckled and told her to take a load off and relax.  I took the bringsel from her and put her back on her cot.

I went back to the dishes and a few minutes later Ruby got up to alert again.  I thought to myself that maybe Faith had snuck inside without me realizing it, so Ruby and I looked all around the house for her.  When I realized that Faith was still outside playing I put Ruby back on her place.

A very few minutes later Ruby got up to alert again.  One of the great things about Ruby is that she won't stop alerting until I fix whatever is wrong with Faith's blood sugar.  (This is also one of the most frustrating things when Faith is high, but more on that in another post.)  I knew I was going to have to take Ruby to Faith and check her before Ruby would calm down.

I walked outside and asked Chuck where Faith was.  He pointed out into the pasture, at least 30 yards away, where all the kids were playing happily.  I told him about Ruby alerting and that we needed to check Faith "to convince Ruby that Faith was fine".

We went to Faith and checked her blood sugar to discover that she was 100 and dropping fast!  She was low by the time we got her back to the house!  And not a low symptom in sight!

We couldn't believe it!  How had Ruby done that?  Faith was a LONG way from our house and Ruby and I were inside the house with all the windows closed and the a/c on!  Chuck and I were amazed and SO thankful!

I'd like to say that was the last time I doubted Ruby, but I'm a slow learner.  Someday I'll tell you about the time I doubted Ruby during a nighttime alert, only to find Faith in the beginning stages of a hypo seizure less than an hour later.

Good Save, Wuby the Wonder Dog!!

I know I still haven't finished typing our story about how the Lord blessed us with Ruby, please bear with me.  I have to tell you a story of how she saved Faith tonight, though.

Thank God for sending us Ruby.  What a blessing she is to me.  She allows me to treat lows conservatively, because I know that if Faith's bg doesn't come up (like it's not tonight) she will let me know.  

We had spaghetti and garlic bread for dinner.  Before the meal Faith's bg was 248 (too high).  Faith ate really well.  I was very careful to weigh and measure all her food.  I dosed her insulin AFTER her meal, and dosed conservatively.  I didn't give her an entire correction for the high and I treated her for 35 fewer carbs than she actually ate.  We've been having alot of lows overnight lately so I wanted to err on the side of caution and let her run a little bit high.

As Faith is getting down from the table, Ruby alerts.  I know Faith must be crazy high because of the fact that I bolused her AFTER she ate THREE servings of spaghetti and garlic bread, so I tell Ruby that we would check in a little bit.  We went about our evening routine of baths & pjs.  During Faith's bath I noticed that her pump site was looking a little red, so I decided to change it.  I took her to my room and Ruby alerted again.  She was being very persistent and intense so I decided to go ahead and check Faith.   Now, mind you, it had only been about 20ish minutes since I'd given Faith her insulin.  I check Faith's bg and she was 73!!  Wha??  Huh???  How??

The scary part - Faith has 1.66 units of insulin on board (in her bloodstream).  Let me put that into perspective for you.  That much insulin should theoretically bring Faith's bg down roughly 600 points!!!!  You know, just enough to kill her....a couple times...

Faith wasn't displaying any low symptoms at all (not that she always does), so I reasoned that maybe her body was breaking down the carbs a little slowly and she would surely be crazy high in a minute.  (She ate THREE servings of spaghetti, after all)  I decided to finish putting in her pump and watch to see how Ruby reacted.  Not quite 15 minutes later I hear Ruby whining from her place in the living room.  Faith and I were in a completely different part of the house finishing up her pump change.

I recheck Faith's bg and she'd dropped to 55!!  I grab a juicebox and have to force Faith to drink it.  (She was full from her THREE...T.H.R.E.E. servings of (carb loaded) SPAGHETTI and garlic bread.)

15 minutes later Ruby alerts again.  Recheck: 95.

Ok, she's coming up.  Good low, Ruby, we're gonna watch her.

10 minutes later, Ruby gets off place, walks across the living room to get the bringsel, comes to me, gives me the bringsel, goes back to grab the meter..

Ok, Ruby we'll recheck.

Faith's bg had dropped back down to 85, but now she is starting to get shaky.

3 pkgs of Smarties later and Ruby alerts yet again.  Recheck and Faith is only up to 97.

So, now Ruby and I sit here waiting to see what Faith's bg does.

Where did all those carbs go???  I have checked and double checked myself.  I have looked in her seat and under the table.  AAaaaaggghhh!!!

Good save, Ruby!  Good save!

Normally, after nights like tonight, I would sleep in the floor next to Faith's bed or be running to her bedside all night.  Tonight, I will not have to do that.  This is why...

Thank you, Jesus.