My son! Sigh!! Up to his old tricks again.
I have really taken a big step back from his diabetes now, seemingly all the family (in-laws too) told me to just let him get on with it. I have pleaded my case of never forgiving myself when any complications occur, as I will see it as my own failing, but I have agreed and stepped right back from it all, of course telling my son that was my intention.
Well...... I did become increasingly aware that the new box of Lantus had remained unopened for quite some time - he has 30 units a day, so with the 2u airshots he was told to do, one pen is only going to last 9 days max. I could not remember when the last box was finished, but quite a while ago. So, I sneaked a look in his room on Saturday. His Lantus pen was below 20u. His Novorapid too was below the bottom line. I tried to shoot a little out, but it jammed, so that too was definitely finished.
On Sunday both pens still sat there untouched and unreplaced. And Monday, and Tuesday. I reminded him last night he had a meeting this morning with his DSN and dietician, and just like magic, a Lantus pen and Novorapid cartridge disappeared rapidly from the fridge and both have now been used. It seems the last few days (at least) he has been surviving on his Humilin M3 morning dose on its own (I am fairly confident he carried on using that). I knew things were not so good given how tired he became and yesterday he slept after school for 2 hours.
So, today we saw his DSN and dietician. I asked if he wanted to go in alone but he was fine with me there. I had pre-warned his DSN of what was going on. He did admit to not using his Novorapid much, saying once you 'forgot' one dose it was easy to carry on skipping the odd one. He did say he never skips his Lantus, I didn't like to challenge that as I don't want him knowing that I know! They did weigh him, and he has lost a bit of weight - doesn't tie in with his appetite - so that all points to the same thing. They also asked him if he thought his HbA1c would have come down since last clinic in February (11.2) but he said no, he expects it to have gone up! So they did take a blood sample there and then, but we will have to wait for the results.
They then asked him why he 'forgets' his Novorapid, and he has blamed school holidays again and lack of routine. I think a lot of it is just excuses myself, but I feel powerless to do anything.
They discussed various options with him, and though he is already on quite a strange combination of Humilin M3, Novorapid and Lantus, they have now come up with a plan of carrying on with the M3 at breakfast to cover his day at school, then a fixed dose of Huminin S to cover afternoon snacks and evening meal, then Lantus as normal at bedtime. At weekends though, he can revert back to Humilin M3 first thing, then Novorapid for meals later in the day if he hasn't got up until late morning, and Lantus as normal for bed and the same for school holidays too.
So now I have to head back to our GP with yet another revised list of prescription items, and in a few days start with this new routine! I wonder how long this one will lastl! Oh well, I will try and think positive!
Tina
I have really taken a big step back from his diabetes now, seemingly all the family (in-laws too) told me to just let him get on with it. I have pleaded my case of never forgiving myself when any complications occur, as I will see it as my own failing, but I have agreed and stepped right back from it all, of course telling my son that was my intention.
Well...... I did become increasingly aware that the new box of Lantus had remained unopened for quite some time - he has 30 units a day, so with the 2u airshots he was told to do, one pen is only going to last 9 days max. I could not remember when the last box was finished, but quite a while ago. So, I sneaked a look in his room on Saturday. His Lantus pen was below 20u. His Novorapid too was below the bottom line. I tried to shoot a little out, but it jammed, so that too was definitely finished.
On Sunday both pens still sat there untouched and unreplaced. And Monday, and Tuesday. I reminded him last night he had a meeting this morning with his DSN and dietician, and just like magic, a Lantus pen and Novorapid cartridge disappeared rapidly from the fridge and both have now been used. It seems the last few days (at least) he has been surviving on his Humilin M3 morning dose on its own (I am fairly confident he carried on using that). I knew things were not so good given how tired he became and yesterday he slept after school for 2 hours.
So, today we saw his DSN and dietician. I asked if he wanted to go in alone but he was fine with me there. I had pre-warned his DSN of what was going on. He did admit to not using his Novorapid much, saying once you 'forgot' one dose it was easy to carry on skipping the odd one. He did say he never skips his Lantus, I didn't like to challenge that as I don't want him knowing that I know! They did weigh him, and he has lost a bit of weight - doesn't tie in with his appetite - so that all points to the same thing. They also asked him if he thought his HbA1c would have come down since last clinic in February (11.2) but he said no, he expects it to have gone up! So they did take a blood sample there and then, but we will have to wait for the results.
They then asked him why he 'forgets' his Novorapid, and he has blamed school holidays again and lack of routine. I think a lot of it is just excuses myself, but I feel powerless to do anything.
They discussed various options with him, and though he is already on quite a strange combination of Humilin M3, Novorapid and Lantus, they have now come up with a plan of carrying on with the M3 at breakfast to cover his day at school, then a fixed dose of Huminin S to cover afternoon snacks and evening meal, then Lantus as normal at bedtime. At weekends though, he can revert back to Humilin M3 first thing, then Novorapid for meals later in the day if he hasn't got up until late morning, and Lantus as normal for bed and the same for school holidays too.
So now I have to head back to our GP with yet another revised list of prescription items, and in a few days start with this new routine! I wonder how long this one will lastl! Oh well, I will try and think positive!
Tina