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Thread: Scary low at school and no one noticed

  1. #1
    Join Date
    Jan 2010
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    Alberta, Canada
    Posts
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    Default Scary low at school and no one noticed

    Oscar had a severe low at school today that he didn't remember until he got home. He said it was the worst he had ever felt. He remembers feeling his pump vibrate and testing - don't know what it was because he left that tester at school - he knows he had a juice and thinks he had rockets too because he saw them scattered on the floor as he was leaving school and wondered how they got there. It wasn't until he got home that it started coming back to him. He says he couldn't hear anything and everything was blurry. Thank God for his sensor. No one noticed anything wrong. I've emailed his teacher but I don't know that we could do anything different to prevent this from happening again and getting him help sooner? He said he couldn't tell the teacher because "his brain wouldn't work" and by the time it did work he didn't remember anything.

    Has anyone else's child experienced this kind of blackout? I should probably lower his basal's and carb ratios for a few days?

    Thanks.
    Jacky
    Oscar, 13, dx 11/18/09, Pumping since 6/21/10
    Minimed VEO with integrated CGM, Apidra and Silhouettes

  2. #2

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    This is very scary. I'm very glad he is OK now.

    It sounds like he was acting very differently than he normally does at school. Rockets scattered all over the floor should have attracted some attention. Have you provided the school and teacher with some information about your son and set up some parameters of how they can help him? Also, perhaps he should have the CGMS on beep instead of vibrate.
    Last edited by Mom264; 09-27-2010 at 07:17 PM.
    Mom to:
    Dd, 15
    pumps Apidra with MM 530G

  3. #3

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    Quote Originally Posted by JackyH View Post
    Oscar had a severe low at school today that he didn't remember until he got home. He said it was the worst he had ever felt. He remembers feeling his pump vibrate and testing - don't know what it was because he left that tester at school - he knows he had a juice and thinks he had rockets too because he saw them scattered on the floor as he was leaving school and wondered how they got there. It wasn't until he got home that it started coming back to him. He says he couldn't hear anything and everything was blurry. Thank God for his sensor. No one noticed anything wrong. I've emailed his teacher but I don't know that we could do anything different to prevent this from happening again and getting him help sooner? He said he couldn't tell the teacher because "his brain wouldn't work" and by the time it did work he didn't remember anything.

    Has anyone else's child experienced this kind of blackout? I should probably lower his basal's and carb ratios for a few days?

    Thanks.
    Did the sensor beep? What number do you have the low set at?

  4. #4
    Join Date
    Jan 2010
    Location
    Alberta, Canada
    Posts
    378

    Default

    The teacher has everything she needs to know about Type 1. His pump is set to alarm at 4 (72) - it was set higher but we get too many false alarms. I'm looking forward to the Veo and predictive alarms as this was a short, sharp drop. He never hears/pays attention to the alarms and no one else heard it either - it's a very noisy classroom with too many kids - I'm not surprised the teacher didn't notice anything. It was only when it started vibrating that something was triggered in his fuzzy brain to react. I think we had a lucky escape - and dread to think where this would have gone had he not been wearing his CGM. He played quite a bit of rugby yesterday and then a football game at lunch recess. I'll have to wait until I can download the pump details tomorrow to see what really happened and maybe look at reducing basals the day after any strenuous activity.
    Jacky
    Oscar, 13, dx 11/18/09, Pumping since 6/21/10
    Minimed VEO with integrated CGM, Apidra and Silhouettes

  5. #5

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    OMG! As I read this it seems unclear whether he came around because he had self-treated or whether he just doesn't recall someone stepping in to help at some point. I really can't wait to hear what the school folks have to say...I can't believe your son had an incident so profound that went unreported to you by a school official.

    I'm glad he's well now but ohmygoodness. Oh. Are you OK?

    And by the way---I think it might be smart to lower his basal until you have a more clear idea how this happened...
    Last edited by KHM; 09-27-2010 at 08:26 PM.
    KHM
    Mom of 12- and 14-year old non-diabetic daughters and
    9 year old Lindsay, dx'd T1D Feb 23, 2010 (age 6 at dx), Celiac and Hashimoto's April 2010.
    Revel CGMS initiated October 4, 2010
    Pumping Novolog as of February 3, 2011.
    A1c at dx: 11.9
    A1c 8/22/10: 7.0
    A1c 4/26/10: 7.1


  6. #6
    Join Date
    Aug 2007
    Location
    Hamilton, Canada
    Posts
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    Default

    He had a pretty severe low , and you all were very lucky he managed to help himself.

    You should build into his plan that before he leaves school he tests, with someone else looking at the number and confirming he is ok.
    ________________________________________
    Wilf

    Proud Dad of Amy (17), diagnosed Aug. 2006 and getting MDI of Apidra, Regular, and Lantus..
    and Sylvie (12); very happy husband of Shirla!

  7. #7
    Join Date
    Aug 2007
    Location
    Hamilton, Canada
    Posts
    9,082

    Default

    Quote Originally Posted by JackyH View Post
    The teacher has everything she needs to know about Type 1. His pump is set to alarm at 4 (72) - it was set higher but we get too many false alarms. I'm looking forward to the Veo and predictive alarms as this was a short, sharp drop. He never hears/pays attention to the alarms and no one else heard it either - it's a very noisy classroom with too many kids - I'm not surprised the teacher didn't notice anything. It was only when it started vibrating that something was triggered in his fuzzy brain to react. I think we had a lucky escape - and dread to think where this would have gone had he not been wearing his CGM. He played quite a bit of rugby yesterday and then a football game at lunch recess. I'll have to wait until I can download the pump details tomorrow to see what really happened and maybe look at reducing basals the day after any strenuous activity.
    Did he have extra carbs to account for the extra activity?
    ________________________________________
    Wilf

    Proud Dad of Amy (17), diagnosed Aug. 2006 and getting MDI of Apidra, Regular, and Lantus..
    and Sylvie (12); very happy husband of Shirla!

  8. #8
    Join Date
    Jan 2010
    Location
    Alberta, Canada
    Posts
    378

    Default

    I was actually able to download today's pump info (must be a feature of the carelink upgrade as I could never get same day info before). Anyway, looks like he dropped fast from 6 (108) at 12:45 to 3.6 (65) at 1:05pm - he didn't react to the alarms until the pump started vibrating at 2.6 (46) - that was at 1:21pm.

    I wonder if I could ask the teacher to have the kids that sit on either side of him to get her attention if they notice him shaking - is that too much to ask 10 year olds?

    I have reduced the basals and will email our nurse as well. I was just wondering if that kind of memory loss is normal?
    Jacky
    Oscar, 13, dx 11/18/09, Pumping since 6/21/10
    Minimed VEO with integrated CGM, Apidra and Silhouettes

  9. #9
    Join Date
    Jan 2010
    Location
    Alberta, Canada
    Posts
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    Default

    Quote Originally Posted by wilf View Post
    Did he have extra carbs to account for the extra activity?
    Of course not. We make him sip Gatorade for activities where we are present but I can't get him to bring any D supplies or his tester out with him at recess - he thinks he is invincible and nothing will ever happen to him....
    Jacky
    Oscar, 13, dx 11/18/09, Pumping since 6/21/10
    Minimed VEO with integrated CGM, Apidra and Silhouettes

  10. #10

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    I'm sorry he had such a bad low. But I'm imagining that it must be really frustrating for you that he doesn't take a few carbs for serious exercise and that he ignored his alarms on his cgm. And if that's the case, I'd guess that he wouldn't want his peers to be acting as guardians.

    It sounds like a tough situation. I hope you can work out a better plan for the future ... who knows, maybe today's experience will make him a bit more responsive in the future?
    Sarah
    Mom to DD now 16, dx @4
    Cozmo pumper @6
    Minimed pumper @13
    G4 @ 15


    "Happy Birthday, Dr. Banting! Now... let's eat cake! Because, we CAN!" - MCS

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