Picture it: Alaska, 2011; first Monday of summer vacation, 5:09pm
Not really the scene for a 'teachable moment' because isn't all of the learning supposed to be done for the next three months?
Oh, but I forgot....D doesn't take a vaca, ever!!
So, there Bean sat. Eyeballing her yummy cheese tortellini (a huge fav of hers), practically drooling while she's testing her BG.
A lovely 94 pops up and she asks a question that gets asked A LOT each day around here "how many carbs?"
I answer 76...tortellini, sauce, milk and 2 dark chocolate kisses for dessert (another huge fav). She enters the carbs, and tells me that it wants to give her 2.00units. I say OK because I totally trust the calculations of her PDM, but she hesitates. Something she rarely does.
She asks if she should lower it and I ask why and she says because of the 94. (Um, hello? When did my 7yr old, dx for 14 days shy of a year start wondering if she should lower her dose based on her BG?!?!?)
I try to explain that the PDM already calculated for her number but all I get is a relatively blank stare. I tell her to go ahead and dose and I'll show her when it's done.
When the 'beep' sounds that lets us know that the bolus has been delivered, I go into the screen to show her why 2.00units was the correct dose. In case you haven't seen and OmniPod PDM, here's what it looks like:
Based on Bean's settings, the PDM calculates the coverage for her meal, then subtracts for what we've put in for her target BG if she's lower than that target (adds if she's higher) and subtracts any insulin on board (IOB) from a previous correction within 3 hours (another setting for how long the insulin 'lasts' for her).
So, talking her through each line...she's a visual learner like her mother..she says "oh, that's why 2.00units is right...cool."
I love the fact that she's cluing into how her insulin is calculated. I hate that she has to know something that should be just done for her by her body!!
It's amazing that she's starting to understand that how much insulin she gets should be effected by her BG number.
It is normal to be proud and utterly sad at the same time? It was a weird mix of emotions as we chatted about I:C ratios, IOB, and target BG as she scarfed her tortellini tonight.
I wonder what the rest of the summer will hold.....