roller coaster

[Boo]

I feel like this summer/fall has been terrible for my son. We moved cross country to a new home which totally messed up any type of routine. He is 13years old has been very forgetful about bolusing (even when reminded!). It seems like he never stops eating! Even when we do bolus based on the carbs he eats, it often seems like we'll have unexplained highs later (occasionally lows too, but most often highs). I swear, I think we see a number in the 300's almost daily these days. (oh, how I long for those honeymoon days when we only saw a couple of 300s all month!)

We'll be going to a new endo in early Nov., and I am afraid she'll think we are terrible with his control. I don't want to use the move and the teenage hormones/forgetfulness as excuses, but I thought things would settle down once we were in the new house for a while. It hasn't seemed to. We've been here about 2 months now. I feel like we are losing control. Will it get better?

[TEXSONMOM]

I definately think it will get better. Most teens go through growth spurts, and hormone changes. And then you throw in the move!!!

I am sure the endo has seen people really who don't care - the fact that you do and will ask for help will be encouraging.

[Bassicmom]

Sounds very familiar. I couldn't get a handle on basal rates due to missed boluses and snacking with M (age 12). Luckily, when she went to diabetes camp this summer, they had a more regimented schedule. It confirmed that the basals were right (at that time, now we are tweaking them again). She had normal BG's at camp and then we went home and back to missed boluses and snacks and 200 and 300's. I am putting more lower carb snacks out and visible, since she is often hungry. There is always the question is she hungry because of high BG or growth or hormones or the moon or whatever. The doctors should be fine if you have lots of tests and maybe some semblance of a food log to show them and then they'd have something to work with. They'll probably just give advice if they have something to go on. Did you move to the Seattle area? We used to live there, now we are in the country a couple of counties away, but still travel to Seattle for Endo at Children's. T

[Boo]

Bassicmom, we did just relocate to the Seattle area. We are just outside of Issaquah, and will be going into Children's Hospital in the city in early Nov. I hope they are understanding about it and can help us to get back on track! We loved our old doctor, and her shoes will be hard to fill!

[OSUMom]

Hi Beth! Gosh it's really good to see you post though I'm sorry it's a challenging time. :cwds:

The 300s are stressful - I know they are for Dean even more so than for me so keep that in mind too even if your son may not verbalize or show it. He fluctuates too more than what seems to be the average on what I read on this board - why I'm not sure YDMV. Guess that's why we keep tabs on the endo appointments, A1Cs, tweaking individual plans/rates with the doctors, fine tuning carbs counts and guessing, etc...

I think it's great you see your new endo soon to maybe see if there are some ratios that need changed, etc... I bet there are some changes that can be made to definitely help. I'm sending positively vibes :D that the endo and whole office will be an excellent "fit" for you and your son.

[Bassicmom]

Children's seems to have everything. We are kind of dreading when Beth (our oldest daughter) gets to be too old to go there. They said they are able to see her until she is 21. We are very happy with our provider, who happens to be an ARNP. When we first went there in 2001, we did not have as good of luck with a particular Dr. that I don't think is there anymore. The appointment went very poorly bedside manner wise, so for a while we went to an Endo in private practice who was outstanding, but who I believe is near to or retired. We have now we been back at Children's for about 4 years. They regularly schedule a social worker with the diabetes appt too. I think its annually or more often if there is a special consideration.. like moving probably or new patient. Our social worker has been invaluable. She has helped especially with transitioning Beth to being away from home. She is not the one we were assigned by last name. She came in when ours was gone once and we clicked a thousand times better, so we try and make sure our appointments are always with her.

[Bassicmom]

I just noticed you listed the MM722. They are really good with pumps at Children's. It's been three years since we have had pump training, but I think one of the pump training nurses there uses the 722 for herself too. :)