Monday, October 19, 2009

Passing the reigns

Where does the time go? Its amazing how far we have come. Last year at this time, Liam was finally doing his first site changes. As you may remember, his doctor had ordered him to be doing this by his fall visit. The day before the said visit, he finally changed his site by himself. Now its old hat unless trying to insert in certain parts of his arms. At that point he tends to yell for Mom. He also tends to ask before jabbing a well used area.

At Liam's fall visit, his doctor said that he had to take more control of his diabetes. He had to begin logging and looking at what is going on. Mom was terrified. He is so young to have all of this responsibility. What was the doctor thinking? He was thinking that it is better for Liam to make mistakes and learn now while Mom is there to hover over him than to make those same mistakes when he is off at university and Mom is nowhere to be seen. It made sense.

I am amazed and impressed at how well he is doing. Liam is not a big logger and I am sure that when this is completely up to him, he will never log another thing again. Mom is a big logger so until he is on his own he will log. Ah the power!

It is interesting to see him log though because I am seeing how much he has learned and understands. His log from this weekend for instance shows some major highs after a meal. He went up to the 20s (360+) and there is a note that says "forgot to add in syrup for pancakes". I loved that he took the initiative to look around and see "why" was he so high and found a solution! My baby is growing up.

Before making any changes now, I also have him sit down with me. I try to do this at least once a week. We sit out his charts, I highlight the highs or lows, and then I ask Liam what he thinks. Do we adjust a basal rate or should we make a bolus change? He is usually pretty good about knowing what to do. We are even getting to the point of learning when the basal rate needs to be changed.

This entire concept still blows my mind--having a twelve year old responsible for so much. It scares me and then I realize that he has been watching all of this for almost ten years now. This has been his life. He has been learning for years. He has known since he was toddling around and trying to steal strawberries from the fridge that all of his food needed to be weighed and measured. He knows the carb factors for many foods and now has the scale and calculator handy every time he steals a cookie off of the counter.

We have come a long way. I never thought we would see a day when he could steal a cookie at anytime and eat it. Thank heavens for rapid acting insulin! He is in many ways a normal pre-teen. He is forgetful. He eats me out of house and home. He is special in many ways however. He has a lot to remember in his forgetfulness. He has to take over where his body has failed him. He must provide his cells with insulin. He must remember to test to keep himself in good shape. It is not an easy life but to watch him for the most part its nothing. Its amazing.

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