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Arden's Day Blog

Arden's Day is a type I diabetes care giver blog written by author Scott Benner. Scott has been a stay-at-home dad since 2000, he is the author of the award winning parenting memoir, 'Life Is Short, Laundry Is Eternal'. Arden's Day is an honest and transparent look at life with diabetes - since 2007.

type I diabetes, parent of type I child, diabetes Blog, OmniPod, DexCom, insulin pump, CGM, continuous glucose monitor, Arden, Arden's Day, Scott Benner, JDRF, diabetes, juvenile diabetes, daddy blog, blog, stay at home parent, DOC, twitter, Facebook, @ardensday, 504 plan, Life Is Short, Laundry Is Eternal, Dexcom SHARE, 生命是短暂的,洗衣是永恒的, Shēngmìng shì duǎnzàn de, xǐyī shì yǒnghéng de

Filtering by Category: DexCom Blog

Helping Children With Diabetes Gain Independence

Scott Benner

Part 5: Taking It One Moment at a Time

The word independence literally means, “Freedom from outside control or support.” But when we use it to describe a child who lives with type 1 diabetes, the word takes on a much deeper meaning.

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I wanted to say, “Children struggle,” but in all honesty, all people struggle to be themselves every day. We are influenced by so many outside pressures that I often wonder if any of us are really being who we are. On any given day I can feel too short, too fat, too old or just not smart enough. I worry that my affections won’t be reciprocated, that I am not being a good parent, husband and son. In the past, my concern about loved ones’ reactions have stopped me from telling them how I truly feel. Yet if you asked me to describe myself and the level of independence that I felt during that time in my life, I would have told you that I was not bothered by what other people thought of me, that I didn’t feel the pressure – but of course I did.

As I sit here and write to you, I realize that I felt all of those things when I was younger and I wasn’t wearing an insulin pump or a continuous glucose monitor. I didn’t have to stop and check my blood glucose all day, people never felt obliged to tell me what to eat and I never once thought that I may pass out from not paying attention to my moment-to-moment health. Young Scott was living a pretty easy life, and yet he still felt the proverbial weight of the world.

So how the heck are we going to teach our children with diabetes to feel independent? I think the answer to that question is, one moment at a time.

I could have written a series of blog posts about helping children with diabetes gain independence through any number of experiences. I believe that people, young and old, have potential and that all they need is patient loving people to surround them with quiet strength and support. Sure, sometimes it feels good to be told that someone has your back, but often it feels better to just know. Then when life happens, alone or together, we have the inner strength to shoulder what’s coming our way. In time, with maturity and practice, we begin to believe in ourselves the way that our loved ones believe in us.

So does technology help to build independence for children with type 1 diabetes? Absolutely it does! Does it do it overnight or over the course of a single year? No. Independence is a form of maturity and the process towards becoming a fully realized person is a long one. That kind of firm base is built one experience at a time and not every step taken is a step in the correct direction. Each blood glucose check in public will build confidence. Every low blood glucose conquered is a step in the right direction. There will be moments that don’t go as planned, but don’t think of them as failures, think of them as perspective for the successes. You can’t appreciate success without knowing failure, at least not to the degree that it requires to build maturity, and none of this can happen if we are being sheltered. I know as well as you do that having a child with type 1 diabetes is different and at times scary. That’s why I added technology to our daily routine; so I could give Arden the personal space that she needs to grow while protecting, as best as the situation allows, her health and safety.


Read the series

part 1
part 2
part 3
part 4
Currently reading
part 6

This post is part of a six part series that I originally wrote for the Suite D Blog, which is operated by Insulet. Insulet is the company responsible for Arden's insulin pump, the Omnipod. Please know that I was compensated for my writing in an amount that would be considered standard for freelance blogging. My family pays for Arden's Omnipods with insurance and out of pocket cash. My writing for Insulet has no impact on my opinions or the information that I share here or anywhere online.


Dblog: Best of Arden's Day 2013

Scott Benner

2013.jpg

These are just some of my favorite blog pieces from 2013. Please let me know if I missed yours, and I'll add it to this list along with any words about the post that you have to share. I want to wish you all a safe and Happy New Year...

New blog posts will begin to arrive in early January. Be well! Scott


The Diabetic Problem - A poem by Arden

I'll Have Two Eggs Poached, Toast and a Scoop of Maturity - Arden decides that she wants a lower A1c

Hoping vs Living - Talking honestly about a cure

What Lies Beyond My Understanding - The fight to figure out insulin

Sesame Chicken you Motherless $%&^@ - The best laid schemes of mice and men

Softball Aristotle - Arden gets thoughtful 

Holy @#%&*$% A1C - Celebrate

Number Thirty Seven - A scary low at the worst time

Arden's Hands are Growing - Something good has to come from all of this

The day I made Katie Couric laugh - Exciting day in an exciting year

When things go wrong, they go wrong - The title tells the tale

Helping Children with Diabetes Gain Independence Part 1 - Proud of this series

Dear Teacher: The DX - It needs to be said

Little People, Big Problems - Kids feel just like we do

What do you want to tell diabetes? - The one where you all cursed

Small World - Feel good

Fifteen-Year-Old type I told, "We are not a hospital or charity" - This is why we educate

49er

Scott Benner

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It's Monday night,  I'm up late working on the website and watching Monday Night Football. Not long after the San Francisco 49ers defeated the Atlanta Falcons, I heard Arden's CGM wailing away. Four beeps, not good.

This is what I found... Coincidence? 

I'm interested to see how the juice box that she drank will effect this number. Her lows have been stubborn lately. Hoping to get to bed around 1:30 am. Happy Christmas Eve!

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Follow up. The juice box brought Arden's BG to 102 by 1:00 am. This morning she woke to a finger stick of 137. She's spending the day with Kelly at work while I finish some super secret Christmas stuff.

Sports Induced Adrenaline

Scott Benner

Feed the adrenaline bolus.JPG

It that time of year, basketball and other indoor running sports are in full swing. Diabetes common sense dictates that an hour of running could and likely would cause a drop in your child's blood glucose level. Some of you, heck - most of you, probably have that exact situation going on. Basketball, soccer and other running based sports probably have you checking BGs, whipping out juice boxes and worrying during early morning games in gymnasiums all over the world. 

But if you have a very competitive child... you may be experiencing rising BGs that are impossible to trace. This is the case for Arden. During basketball practice last week her starting BG of 130, never moved throughout the almost ninety minute practice. Arden ran drills, shot the ball and played defense at practice speed (Slower than in a game) without experiencing a change in her BG. As it turns out, when the scoreboard lights up, Arden wants to win, and she wants to win enough for her fight or flight response to kick in. 

I've devised a plan in which we bolus at the beginning of her basketball games in the amount equivalent to what a juice box would require. Most games, I can keep her BG around 180, but last week it jumped up to over 200 and caused me to have to bolus again during the game. The problem we run into with covering adrenaline is this... As soon as the game is over, the adrenaline disappears, and Arden's BG quickly begins do drop.

Waffle.JPG

That's when the adrenaline bolus needs to be feed, luckily Arden is particularly hungry after she plays. This week she fed the bolus a waffle.

You can really see what I'm talking about in the DexCom image above. Arden woke up at 8 AM and I gave her a small correction that didn't do much by the time the game started at 9 am. By the end of the first quarter though, I had to give Arden a huge correction bolus (Big for her, 1 unit) to combat the significant rise (Her DexCom arrow was straight up). By the time the game ended and we sat down in a diner, Arden's CGM was reading 140 with an arrow straight down, I still bolused for half of the waffle, and as you can see Arden's BG was 101 and steady as we left the restaurant. Be aware that these mornings need to be tracked closely in the hours that follow, because after all of the insulin and food finishes, you never know which way BGs are going to go.

Please also keep in mind that the amount and severity of the adrenaline fueled rise will vary from person to person or it may not happen at all. It really does depend on the individual's level of competitiveness, for some children, basketball may react like other exercise. Arden's team lost on Saturday, but she scored all eight of her team's points. You should see her go, she definitely plays with adrenaline! 

Tech Note: Don't forget that the DexCom G4 signal seems to become amplified in some gymnasiums. You may be able to keep the receiver with you as your child runs up and down the floor without losing connectivity. It works for us. I even gave Arden a bolus with her OmniPod PDM this week while she was playing in the game.

Oh Canada... It's DexCom time!

Scott Benner

The DexCom G4 continuous glucose monitor is now available in the true north! I'm not exactly sure how DexCom got their device ready for sale in Canada. Perhaps the transmitter will be wearing a tiny little hockey sweater? Who knows...

Getting started looks pretty straightforward. Go to dexcom.com/en-ca and then click "Contact Distributor". The link takes you to www.animas.ca, the company that is handling the distribution for Canada. The Animas page doesn't have any DexCom specific links. I would use the "Contact Us" tab at the top right of the Animas page and ask how to get started.

I found this contact information for Animas Canada at the bottom of the Canadian DexCom page linked above.

 

Local Dexcom Distributor
Animas Canada
200 Whitehall Drive
Markham, Ontario
L3R0T5
General inquiries: 1-855-293-5083 or 
CustomerCare@Animas.ca
Product support: 1-866-406-4844

 

I'm so excited for my Canadian friends, you are going to love having a CGM!