Our family's "white elephant in the room" is really pink. Our 3 year old daughter was diagnosed with Type 1 Diabetes in January 2011 at the age of 2 1/2 years old, and it has changed our lives forever. Every month, I post a little update on how we are coping with her condition.
The last time I checked in with the Pink Elephant, we had just gotten Sunshine hooked up with her insulin pump. Fast forward eight weeks and we now have a better idea of what to expect with this little piece of machinery we have become completely reliant on.
Friends, this has not been an easy road. We were not expecting to throw our toddler back into the throes of the days leading up to diagnosis. Our so-called "diabetic team" wanted to start Sunshine on really conservative doses of insulin. A good idea in theory, but the really conservative doses were so, um, conservative, that she went back into DKA a few times. This is diabetic keto-acidosis in which her body fails to synthesize the sugars inside of her, and basically poisons her system. The result is a lethargic, miserable, complaining, aggressive, sick little three year old...24 hours a day.
Sunshine sleeps in a "side-car" bed beside me, and we were waking several times a night to screaming, sobbing, and nightmares. In addition, she was waking to pee and drink water. This is unusual as Sunshine is normally a very peaceful, calm sleeper who will take forever to fall asleep, and then stay asleep until morning. This dragged on for five and a half weeks! Absolutely, positively, guaranteed the most difficult weeks of my life. Needless to say, it has not been the happiest of homes in these here parts.
At one point, I called the aforementioned "diabetic team" in frustration and said that a BG reading of 29 with 5.6 ketones doesn't seem right at 5 weeks into the pump. (To put this into perspective, her BG target is between 6 and 10 and there should most definately not be ANY ketones). I was told, in a very intolerant, put-out tone that I should not be expecting perfection. Hmmmm...both Josh and I feel, well, why not? This is our daughter. Our main parent support is with Mark and Shelly whose five year old daughter was diagnosed at 14 months. Mark, a former Olympic snowboarder and now the Canadian Olympic snowboarding coach, really believes that because we are basically our child's pancreas, we should always aim to mimic a normal functioning pancreas. Only then will our child feel good, be healthy, and not think about her condition.
Well, the turning point came at six weeks when Josh sat down and spent hours figuring out Sunshine's insulin needs. He set her up with five different insulin rates each day and we ignored the "team" and began to bring her into range on our own. Finally, life became bearable again. Finally, our child began to smile again. Finally, I wasn't thinking about insulin and BGs and DKA and kidney failure and blindness every moment of the day. Finally.
The pump is a pretty amazing piece of machinery. I was reluctant before we got Sunshine hooked up for many reasons, but now, I can see there is no turning back. Our rigid meal schedule is more flexible...within half an hour. It seems more than that and there can be setbacks with high readings resulting in the reappearance of the ornery girl who is angry at the world. I don't blame her! So we keep to regular mealtimes and snacktimes (we skipped a snack once and again, not fun!) but we can give her homemade popsicles without worrying too much. The pump also allows her to eat more of how she feels rather than how much insulin is in her.
When Sunshine wants to swim or bathe, we simply detach the pump and insert a lock on the opening in her tube. We usually leave it detached for no more than half an hour, though we are told it can be up to an hour. The top left circle is her "sticker" which acts as a safety in case her pump falls, it won't rip out of her body. Although, that has happened twice already. The bottom right circle is where her needle is inserted, into the fleshy part of her love handles. We tried putting the needles on her belly, too, but she says she feels them when she bends over.
A big struggle for me is the visibility of her diabetes. Suddenly, tubes and the pump are visible to the world. Before, injections could be handled discreetly. Twice we've heard some forward comments, both by innocent children, and each time they felt like a physical blow. But I smile, and explain Sunshine's condition, pointing out that she is really a very normal little girl. It is a good lesson for me as we want people to ask questions, we want our daughter (and sons) see us handling the well-intentioned queries with a positive, informative response. We want them to see how normal it all is. One day I hope I'll see it, too.
We were concerned about Sunshine sleeping with her pump connected, which it must be. How will she sleep with that little computer attached to her? Also, how will we be able to cuddle or rough-house with her? Well, actually, it has never been an issue. Sometimes she will mention that it needs to be moved, "Mama, my pump!"
As for our little Sunshine, she continues to move forward, refusing to let anything stop her. Not her brothers, not her parents, and certainly not her diabetes! Now that life is balancing out (in some respects) it's allowing us a little more freedom to do more things, to be more adventurous. And with baby steps, or rather, with three year old steps, we are learning to integrate all this change.
I'm certain there will be struggles ahead, as there are for everyone, but with each struggle we overcome, I swear we are getting stronger! As a family, we are working through this tough time, one day at a time. And to see her smile again...it brings a little peace to my heart!