Has this happened to you? I'm on my way home from work last night and I call the house - "how's Kayla's numbers?" I ask. " Very high today," my wife says. Hmmm, I wonder why. I come in the door, take my daughter into her room and we sit down. I said let's go through your day and figure out what happened. "Did you bolus for breakfast?" She says yes. I said, "show me." Geeez, that's interesting - she forgot! Okay, so that would explain the pre-lunchtime 215 number. "Did you bolus for lunch?" Yes, she said. And did you remember to tell your pump that you were 215? "I forgot." Okay, so according to your meter, you were 285 after school, then what happened? I ate an apple muffin. You're not supposed to eat carbs when your numbers are high. But, did you bolus for that? "Yes." Okay, did you tell your pump you were 285? "I forgot." Okay, so let's test now (6:00pm). Hmmm. . .355. Not so good. Let's give you a shot and get outside and go for a brisk walk (helps the insulin work much, much faster.)
Finally by 8:00pm, we had her numbers in normal range. The point here is that my beautiful, straight-A daughter "just forgot" to bolus for breakfast and "just forgot" to tell her pump her actual numbers, which in turn caused an entire day of high numbers, stomach pains, irritability, an argument with my wife and the inability to focus on school and on homework. I wish kids had the same common sense and wisdom as adults do, but they are just kids. Anyone else want to chime in here??