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Transcript of Sick Day from November 3, 1999

On November 3, 1999, Diabetes Nurse Specialist Stephanie Schwartz hosted a special chat session about sick days. The transcript of that session is shown below.

Wed Nov 3 1999 20:50:08 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
The special chat about sick days will begin at 21:00 Eastern Time.

Wed Nov 3 1999 20:57:13 Eastern US
Steph Schwartz, RM, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
BRB

Wed Nov 3 1999 20:57:59 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Hi Steph.

Wed Nov 3 1999 20:59:20 Eastern US
Kelli (Michelle 11 dx'd 9-98) from 63.64.146.88
Hi Jeff

Wed Nov 3 1999 21:00:15 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
hi :-)

Wed Nov 3 1999 21:00:23 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Good evening everyone. Tonight we have Diabetes Nurse Specialist Steph Schwartz to lead a discussion about Sick Days.

Wed Nov 3 1999 21:01:04 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
hi steph

Wed Nov 3 1999 21:01:26 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Steph, are you back yet?

Wed Nov 3 1999 21:02:26 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Leann, how long has Alex been using a pump?

Wed Nov 3 1999 21:02:51 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
hello

Wed Nov 3 1999 21:02:52 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
hi Lann and Jeff

Wed Nov 3 1999 21:03:39 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
flu season is upon us hope everyone got flu shots

Wed Nov 3 1999 21:03:49 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
Alex has been pumping 3 months now, first a1c post pump yesterday 7.2!

Wed Nov 3 1999 21:04:01 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Everyone here did (except me)

Wed Nov 3 1999 21:04:05 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
we just got our but already had it

Wed Nov 3 1999 21:04:06 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
Alex got his flu shot in sept.

Wed Nov 3 1999 21:04:15 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
hi tracy

Wed Nov 3 1999 21:04:21 Eastern US
Jodi (Kevin 11, diagnosed 5/99) from 205.188.196.29
Kevin got his flue shot tonight. Should I expect any side effects from it?

Wed Nov 3 1999 21:04:22 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Leann: That's great! Does Alex use MiniMed or Disetronic?

Wed Nov 3 1999 21:04:43 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
do you recommend family members getting flu shots as well?

Wed Nov 3 1999 21:04:57 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
bright blue minimed 507c

Wed Nov 3 1999 21:04:58 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
hi Steph how are you doing

Wed Nov 3 1999 21:05:37 Eastern US
amy from 209.122.248.25
hey all. Steph, do you ever see coincidences with people getting sick in years they got the shot but not when they didn't? I'm holding off for now until they figure out what's up with my body before adding anything else to the equation

Wed Nov 3 1999 21:06:00 Eastern US
Maryann (Mi) (Jill 14 pumping 1 mo.) from 63.25.90.94
gee Jill had some high numbers over halloween, maybe it was because she got the flu shot, instead of eating candy.

Wed Nov 3 1999 21:06:15 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
yes they probably should -- Kevin may have a sore arm and fever

Wed Nov 3 1999 21:07:03 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
yes Amy but CEC says everyone with diabetes should get a flu shot

Wed Nov 3 1999 21:07:19 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
CDC

Wed Nov 3 1999 21:07:27 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Zachary's never had a flu shot - he's had diabetes for 10 years. He's not missed any school in for illness in a few years now. Maybe it's less necessary in south Florida?

Wed Nov 3 1999 21:08:29 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
can't answer that Ellen

Wed Nov 3 1999 21:08:44 Eastern US
amy from 209.122.248.25
I get the stomach flu and end up in hospital every year I get the flu shot....that's why I stopped getting it. All my friends would get the flu and i didn't want to so I chose to get the shot last year, sure enough i got the stomach flu again. I know it doesn't protect against it, but I find it a coinidence that I only get any real illness when I get it.

Wed Nov 3 1999 21:08:59 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Steph, what are the issues surrounding sick days that parents need to pay attention to?

Wed Nov 3 1999 21:09:49 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
blood sugar control and preventuon og severe hypoglycemia or DKA

Wed Nov 3 1999 21:10:26 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
you can also get severely dehydrated and become hyperosmolar like in Type 2

Wed Nov 3 1999 21:10:36 Eastern US
Donna from CT from 204.60.209.201
How soon should they have the flu shot? Drew has a check up in a few weeks. Can it wait or should we do it now?

Wed Nov 3 1999 21:10:47 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
What does "hyperosmolar" mean?

Wed Nov 3 1999 21:11:15 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Steph, I think parents need to know good hydrating techniques. We had one endo suggest sipping a spoonful of gingerale every 15 minutes

Wed Nov 3 1999 21:11:27 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
everyone should have a "Sick Day Plan" and keep things on hand in case of illness. What things do you think you need to have?

Wed Nov 3 1999 21:11:53 Eastern US
Donna from CT from 204.60.209.201
gatorade

Wed Nov 3 1999 21:12:06 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
fengren(sp?) suppositories

Wed Nov 3 1999 21:12:14 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
"hyperosmolar" means the blood becomes very thick and can't circulate properly

Wed Nov 3 1999 21:12:36 Eastern US
Donna from CT from 204.60.209.201
Keytone sticks to check urine

Wed Nov 3 1999 21:12:42 Eastern US
susanne from 207.89.168.13
Evening. Test strips for ketones.

Wed Nov 3 1999 21:12:58 Eastern US
Kelli (Michelle 11 dx'd 9-98) from 63.64.146.88
I might be wrong in my thinking..but Michelle has never had the flu in her 11 yrs of life and I don't feel the need to make her take anymore shots than she already does

Wed Nov 3 1999 21:13:07 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
those r good Leann I think you mean Phenergan

Wed Nov 3 1999 21:13:44 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
yes thanks for the correction steph, only had to use them once a few years ago

Wed Nov 3 1999 21:13:44 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Steph, we were once told that kids shouldn't take Compazine for vomiting. Why is that?

Wed Nov 3 1999 21:13:48 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
Leann r you from KS

Wed Nov 3 1999 21:13:58 Eastern US
Mary from Ma. from 152.163.213.84
good evening.

Wed Nov 3 1999 21:14:06 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
Steph what is best to use as far as over the counter meds sugar free or does it matter?

Wed Nov 3 1999 21:14:06 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
no from Indiana

Wed Nov 3 1999 21:14:35 Eastern US
Donna from CT from 204.60.209.201
What is Phenergan

Wed Nov 3 1999 21:14:54 Eastern US
Mary from Ma. from 152.163.213.84
steph, how common is it for diabetics to become hyperosmolar?

Wed Nov 3 1999 21:15:03 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
Hi Mary

Wed Nov 3 1999 21:15:24 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Phenergan is a prescription medication that helps relieve nausea and vomiting -- should be part of your diabetes sick day kit.

Wed Nov 3 1999 21:15:28 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
vomitting can be a sign of something severely wrong like a head injuryand some docs don't want to mask any symptomtoms. I think Compazine, Tigan and Pherergan should be used as a last resort.

Wed Nov 3 1999 21:16:03 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
We had one endo that wanted to be called before giving the phenergan - why is that?

Wed Nov 3 1999 21:16:20 Eastern US
Donna from CT from 204.60.209.201
Jeff, can you get it over the counter or through prescription only? How come no one ever told me about it!!!???

Wed Nov 3 1999 21:16:23 Eastern US
Linda/So. Utah (Kim, 11, dx'd 12/96) from 216.190.28.33
Hi

Wed Nov 3 1999 21:16:33 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
anytime blood sugars stay high for a long period of time people with diabetes can become hyperosmolar fairly easily

Wed Nov 3 1999 21:16:40 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
hi Linda

Wed Nov 3 1999 21:17:20 Eastern US
susanne from 207.89.168.13
Steph-do you have any suggestions of when one should send a child with a cold and diabetes back to school. l. No ketones 2. Not feeling "awful" anymore 3. Eating 4. Bg's somewhat controlled. or should you keep them home until all symptoms have disappeared? She is 7

Wed Nov 3 1999 21:17:30 Eastern US
Linda/So. Utah (Kim, 11, dx'd 12/96) from 216.190.28.33
What are the symptoms of hyperosmolar?

Wed Nov 3 1999 21:18:00 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
your eno just wanted to make sure he/she wasn't looking at something ither than the "stomach flu"

Wed Nov 3 1999 21:18:05 Eastern US
Brenda H. from 10.0.1.3
I think Steph has come up with a new word to add to the site dictionary!

Wed Nov 3 1999 21:18:06 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Judith has mentioned Emetrol as an over the counter anti-emetic (sp?) - are there others?

Wed Nov 3 1999 21:18:31 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
severe thirst, dehydration (dry skin and mouth, sleepiness, etc

Wed Nov 3 1999 21:19:03 Eastern US
Brenda H. from 10.0.1.3
I have seen Emetrol, but I thought it was to be taken orally. If your child/you are vomiting, is this what you'd try?

Wed Nov 3 1999 21:19:20 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
For the "Diabetes Dictionary" definition of hyperosmolar, see:
http://www.childrenwithdiabetes.com/d_04_20n.htm#Nonketotic Coma

Wed Nov 3 1999 21:19:21 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
Ketones make people nauseated. If someone with diabetes has ketones, once they've cleared, the nausea will usually go away

Wed Nov 3 1999 21:20:03 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
Brenda I think the suppositories such as Compazine, Phergan, or Tigan are better

Wed Nov 3 1999 21:20:22 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Ellen: Emetrol is not as effective as Phenergan.

Wed Nov 3 1999 21:20:30 Eastern US
Kristy (Drew 6yrs dx @ 3) from 199.174.143.91
Hello..scared to come here..might catch a bug! Had first round of flu vac today..why is it that Drew will have to have 2 shots?

Wed Nov 3 1999 21:21:08 Eastern US
Donna from CT from 204.60.209.201
My Drew had two last year too, Kristy. His age I think

Wed Nov 3 1999 21:21:31 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
they've changed the dosing

Wed Nov 3 1999 21:21:55 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
Alex had only one this year, is he supposed to get another?

Wed Nov 3 1999 21:22:07 Eastern US
Brenda H. from 10.0.1.3
Kristy, all of us, but Jeff, had flu shots this year. My arm was sore for a mere 10 min. Kids did fine, too. Jeff had been ill and had to skip the first go round and we forgot about the next opportunity. I didn't know until a month ago that you should not get the shot until 14 days after an illness or a regimen of antibiotics.

Wed Nov 3 1999 21:22:11 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
flu vaccine is a live virus and they've changed the dosing to two smaller shots to prevent reactions to it

Wed Nov 3 1999 21:22:51 Eastern US
Kristy (Drew 6yrs dx @ 3) from 199.174.143.91
My 11 yr old will only have to take one dose..but the 5 and 6 yr olds will need two..boys not real happy about that:-(

Wed Nov 3 1999 21:22:56 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
I'm sorry did I miss if it's best to use sugar free over the counter meds or regular

Wed Nov 3 1999 21:23:11 Eastern US
Donna from CT from 204.60.209.201
Is that due to the age of the child, Steph, or should all recipients get two doses??

Wed Nov 3 1999 21:23:26 Eastern US
Brenda H. from 10.0.1.3
Timothy, age 5, had just one shot this year. Kathryn, 9, got hers in her thigh, after we expected it in her arm. She got 2 either last year or the year before.

Wed Nov 3 1999 21:23:47 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
Ashley is 4 and they gave her one thought it would have been 2 but guess I was wrong

Wed Nov 3 1999 21:24:25 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
regular meds are fine and kids are more likely to take them because they taste better. I don't think ther's enough sugar in a tsp of cough syrup to be worth worrying about

Wed Nov 3 1999 21:24:50 Eastern US
Mary from Ma. from 152.163.213.84
i beleive our ped's nurse said that they give two the first year and then one each subsequent year..

Wed Nov 3 1999 21:24:58 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
thank you I wasn't sure on that one they hate the sugar free one

Wed Nov 3 1999 21:25:04 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
and if they are sick they probably aren't eating much so a little sugar probably won't hurt

Wed Nov 3 1999 21:25:41 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
the recommendations are on the Centers for Disease Control website

Wed Nov 3 1999 21:25:48 Eastern US
Brenda H. from 10.0.1.3
Steph, if one is going to give reg. OTC meds, is it better to use the chewables vs. liquid. I have previously found Children's Sudafed, Pedia Care and Dimetapp in chewable form.

Wed Nov 3 1999 21:25:49 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
I've found if the regular over the counter meds made Z's bg go higher, we'd just give a little extra insulin along with it.

Wed Nov 3 1999 21:26:32 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
easier to do with the pump Ellen :-)

Wed Nov 3 1999 21:26:58 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
Brenda I'm not sure it makes much diffrence -- I'd go by whatver your child will take

Wed Nov 3 1999 21:27:33 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
when I was a kid, my parents used to have crush pills and give them to me in a tsp of grape jelly!!!

Wed Nov 3 1999 21:27:58 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
LOL Steph, my mom did the same thing

Wed Nov 3 1999 21:28:03 Eastern US
susanne from 207.89.168.13
Children's Tylenol Chewable tablets I believe have aspertaine but the liquid has corn syrup. A full day of liquid did add up to a couple of carb exchanges. So we now use the chewables.

Wed Nov 3 1999 21:28:13 Eastern US
Linda/So. Utah (Kim, 11, dx'd 12/96) from 216.190.28.33
I'm just glad that Kim likes pills...

Wed Nov 3 1999 21:28:34 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Steph, I remember that too!

Wed Nov 3 1999 21:28:36 Eastern US
Mary from Ma. from 152.163.213.84
Leann..its much easier with a pump..but just increasing or decreasing dosage when your child is sick is a good idea anyway..with lots of phone calls to the endo, of course:-)

Wed Nov 3 1999 21:28:45 Eastern US
Kelly from 152.163.213.74
Steph, I was just reading back to where you were talking about the flu vaccine. My pediatrician told me it was a "dead" virus?

Wed Nov 3 1999 21:28:49 Eastern US
Brenda H. from 10.0.1.3
Steph, back to vomiting: If give your child his/her regular a.m. dose and they being vomiting an hour later and proceed to do so for several hours and the blood sugars are hovering in the 30's, what is the best course of action, assuming you have no anti-nausea suppositories on hand?

Wed Nov 3 1999 21:28:59 Eastern US
Linda/So. Utah (Kim, 11, dx'd 12/96) from 216.190.28.33
We had ours mixed with honey...

Wed Nov 3 1999 21:29:26 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
Jeff did you find out the name of the Sick Day Video from Joyce?

Wed Nov 3 1999 21:29:55 Eastern US
Karen/IN (Darriane 6 dx'd 8/97) from 205.188.199.49
Hello..... am I too late?

Wed Nov 3 1999 21:30:50 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
When I was a kid we sipped coca cola syrup on crushed ice to get rid of nausea - got it from the pharmacist

Wed Nov 3 1999 21:30:51 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
hi Karen how things been going did Darriane get the pump yet

Wed Nov 3 1999 21:31:11 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Karen/IN: Not at all. Glad you made it.

Wed Nov 3 1999 21:31:26 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Steph: Brenda's looking for it now.

Wed Nov 3 1999 21:31:26 Eastern US
Kristy (Drew 6yrs dx @ 3) from 199.174.143.91
We had an experience with influenza with Drew last Feb..and as Judith said, it was not a home project..there just comes a point when you have to call it quits and go in for IV fluids..IMHO

Wed Nov 3 1999 21:31:33 Eastern US
Kelly (Marley, 19m, pumping next week) from 152.163.213.74
Mmmmm....coca-cola syrup over ice!! Sounds yummy!! :-)

Wed Nov 3 1999 21:32:06 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
Brenada I like to use good old fashoined coke syrup!!! or flat coke frozen into small icecubes if you can't get the syrup. Regualr popsicles work well too and now pedialyle and gatorade come in freezable form. Getting a child to "suck on" a popsicle is often easier than getting him/her to drink. You might also try loliipops. I like the coke because its high in potassium that's lost when vomitting.

Wed Nov 3 1999 21:32:29 Eastern US
Mary from Ma. from 152.163.213.84
ellen..we sipped flat coke to settle our stomaches..i still do it with my kids.

Wed Nov 3 1999 21:32:44 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Before Marissa used the pump, vomiting was what always worried us the most. She would have a large NPH dose on board and then stop eating.

Wed Nov 3 1999 21:32:45 Eastern US
Karen/IN (Darriane 6 dx'd 8/97) from 205.188.199.49
Hi Tracey.... no, long story but she'll get hooked up Nov. 12th now..... tonight she was 358 at dinner, then 292 at bedtime..... she got herself so worked up that she vomitted what little she ate for dinner..... then at 9:00 she was 365!!

Wed Nov 3 1999 21:33:08 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
i always thought gingerale was best for upset stomaches

Wed Nov 3 1999 21:34:00 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
coke is better because it has lots of potassium

Wed Nov 3 1999 21:34:05 Eastern US
Karen/IN (Darriane 6 dx'd 8/97) from 205.188.199.49
I'm worried that since what little she ate at dinner she threw up..... but now her bg's are higher! what should I do?

Wed Nov 3 1999 21:34:11 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
I'm sorry

Wed Nov 3 1999 21:35:24 Eastern US
Karen/IN (Darriane 6 dx'd 8/97) from 205.188.199.49
thanx Tracey.....how's Ashley and the family doing?

Wed Nov 3 1999 21:35:31 Eastern US
Brenda H. from 10.0.1.3
Karen/IN - any ketones? Getting Marissa to check for them is virtually impossible.

Wed Nov 3 1999 21:35:43 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
don't do anything right now except to contiue checking BS every hour

Wed Nov 3 1999 21:36:14 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
there's a new meter from miles that checks ketones as well as BS

Wed Nov 3 1999 21:36:22 Eastern US
Linda/So. Utah (Kim, 11, dx'd 12/96) from 216.190.28.33
Kim hates checking for ketones too...always FORGETS when I ask her to check. sometimes I just pretend like she has them and give her extra insulin

Wed Nov 3 1999 21:36:38 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
we're doing good thanks did I tell you our first A1c was 7.1

Wed Nov 3 1999 21:36:54 Eastern US
Karen/IN (Darriane 6 dx'd 8/97) from 205.188.199.49
so far neg. keytones..... thank you Steph.... I'll keep checking her as planned

Wed Nov 3 1999 21:36:57 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
super!!!

Wed Nov 3 1999 21:37:00 Eastern US
Linda/So. Utah (Kim, 11, dx'd 12/96) from 216.190.28.33
Way to go Ashley!

Wed Nov 3 1999 21:37:23 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
did anyone see the "good control" cards at Bluemountainarts.com?

Wed Nov 3 1999 21:37:42 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
I know was really worried guess cuz it's all new

Wed Nov 3 1999 21:37:51 Eastern US
Karen/IN (Darriane 6 dx'd 8/97) from 205.188.199.49
That's great Tracey!!!

Wed Nov 3 1999 21:38:07 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
yes someone sent one to Ashley they're great

Wed Nov 3 1999 21:38:18 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Yes - I thought they needed some cards for the mothers of kids with diabetes to send to other mothers of kids with diabetes!!

Wed Nov 3 1999 21:38:56 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
I thought Jeff, Brenda, Bill and I seserved one from u guys!!!!

Wed Nov 3 1999 21:40:17 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
thuis week is diabetes education week -- say something nice to your educators

Wed Nov 3 1999 21:40:25 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
We would have needed one where the 4 of you were the engineers helping the passengers on the rollercoaster with diabetes - trying to smooth out the ride.

Wed Nov 3 1999 21:40:56 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
How does everyone handle insulin dosing on a "sick day"?

Wed Nov 3 1999 21:41:53 Eastern US
Brenda H. from 10.0.1.3
When Marissa was on injections we would usually do about 1/3 the normal amount of R and about 1/2 the normal amount of N.

Wed Nov 3 1999 21:42:12 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
our CDE is the best he just threw a halloween party for the kids got to meet a lot of familes

Wed Nov 3 1999 21:42:13 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
I was excited to see Diabetes REsearch Institute (http://www.drinet.org) linked to the cards at BlueMountain.com

Wed Nov 3 1999 21:43:20 Eastern US
Mary from Ma. from 152.163.213.84
sliding scale..agela would get 10% of dose without ketones, 20% with ketones to correct highs...chris is on a pump, so we just use his correction dosage

Wed Nov 3 1999 21:43:23 Eastern US
Karen/IN (Darriane 6 dx'd 8/97) from 205.188.199.49
I'm just now dealing with the sick day dosage....so far her normal dosage has been ok.... but I'm in CONSTANT contact with her endo to make any adjustments....so far so good

Wed Nov 3 1999 21:43:33 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
ok -- what wiould you do if your child was having teeth extracted and couldn't eat?

Wed Nov 3 1999 21:44:12 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
On the pump we just raise or lower the basals depending on how the bgs are doing, and then bolus for highs ...it's quite simple compared to injection therapy on sick days.

Wed Nov 3 1999 21:44:34 Eastern US
Brenda H. from 10.0.1.3
Hey, you're supposed to be answering, not ASKING questions!

Wed Nov 3 1999 21:45:04 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
I want people to share

Wed Nov 3 1999 21:45:13 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
could they drink, steph?

Wed Nov 3 1999 21:45:18 Eastern US
Brenda H. from 10.0.1.3
I'd probably do the same kind of thing, reduce both by 50%.

Wed Nov 3 1999 21:45:52 Eastern US
Carole (Evangeline 3 dx @ 2) from 205.188.198.37
Hi everyone! I was wanting to see the Good control cards but cant find them at the site, can anyone tell me the exact address?

Wed Nov 3 1999 21:45:55 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
maybe, maybe not

Wed Nov 3 1999 21:46:13 Eastern US
Brenda H. from 10.0.1.3
Steph, can we cheat and look for an answer under Ask the Diabetes Team?

Wed Nov 3 1999 21:46:28 Eastern US
Mary from Ma. from 152.163.213.84
steph..done the teeth thing too...our endo gave us a reduced rate of nph for that morning..and we skipped her H altogether..

Wed Nov 3 1999 21:46:38 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
i would call CDE and ask what we should do :-)

Wed Nov 3 1999 21:46:44 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
How do you know that the ER personnel know how to handle DKA?

Wed Nov 3 1999 21:46:50 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
always Brenda!!!

Wed Nov 3 1999 21:46:59 Eastern US
Karen/IN (Darriane 6 dx'd 8/97) from 205.188.199.49
high protein drinks, check for keytones, keep checking bg's and keep in contact with your endo.... adjust insulin as needed

Wed Nov 3 1999 21:47:04 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
Hello, am I late (again?)

Wed Nov 3 1999 21:48:00 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Marcia: No, welcome to the chat.

Wed Nov 3 1999 21:48:10 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
Ellen, i am on diabetes advisory committe at our local hospital and we are asking for a written protocol and flowchart for DKA for ER

Wed Nov 3 1999 21:48:14 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
problems I've seen is when a child in DKA is brought to an adult ER. If your child is brought to a hodsspital other tha the one you're comfortable with. DO NOT let them do ANYTHING until they've talked with your diabetes doc

Wed Nov 3 1999 21:48:18 Eastern US
Tracey...Idaho (Ashley 4 dx'd 7/99) from 207.205.174.4
hi Marcia

Wed Nov 3 1999 21:48:25 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
Ellen, you don't!! Trust me on this.. I have written up several "incident reports".. at our hospital we do have a DKA protocal that is based on Kg weight. (most of them know to use it or they will hear from me)

Wed Nov 3 1999 21:48:40 Eastern US
joanne (Kathryn (6) dx'd 3/99) from 24.112.229.252
Hi everybody!

Wed Nov 3 1999 21:49:09 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
Lewann there's a great slide show with protocols for professionals at DiabetesMonitor.com

Wed Nov 3 1999 21:49:18 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
I carry a copy of the protocol in my wallet, calculated to Steph's wt.

Wed Nov 3 1999 21:49:29 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
and a protocal for peds too, heard a horror story from a dr about how a DKA was treated at the hospital

Wed Nov 3 1999 21:49:34 Eastern US
Brenda H. from 10.0.1.3
Recently, I read an article about taking kids to the ER and it made me rethink going to anywhere but the local Children's Hospital. Biggest problems were nurses (no offense intended Marcia!) trying to use adult size equipment on children.

Wed Nov 3 1999 21:49:41 Eastern US
WANDA (Kaitlyn 5) from 152.163.207.67
Hi Sorry I'm late:-)

Wed Nov 3 1999 21:50:02 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
thanks steph, i will take a peek at them

Wed Nov 3 1999 21:50:16 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
I copy the protocol from http://www.ispad.org/articles.html - scroll down for dka guidelines

Wed Nov 3 1999 21:51:03 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
Leann, good for you. I think adults should also follow some sort of protocol.. My friend knew we had a protocol, asked for it and was told her son "wasn't really a peds anymore"..(he was 14.

Wed Nov 3 1999 21:51:06 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
same guidelines Ellen -- I helped write them

Wed Nov 3 1999 21:52:43 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
That's okay Ellen..as a peds nurse I know better. the problem I see is bolusing IV insulin and bringing the bg down too fast..and staff not checking the bg often enough.. should be every 30-60 minutes.

Wed Nov 3 1999 21:53:01 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
should we post a DKA protocol that can be filled in for people to carry ??

Wed Nov 3 1999 21:54:02 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Right and there's a lot more to balance than just the bgs when treating a kid for DKA.

Wed Nov 3 1999 21:54:02 Eastern US
Carole (Evangeline 3 dx @ 2) from 205.188.198.37
That sounds like a good idea!

Wed Nov 3 1999 21:54:41 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
Jeff, Brenda???

Wed Nov 3 1999 21:54:42 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Yes Steph. And a letter to ER personnel re the pump and why it shouldn't be the first thing they think to remove.

Wed Nov 3 1999 21:54:50 Eastern US
Brenda H. from 10.0.1.3
What is the nature of the problem if you bring down the BG too quickly? Marissa will do a correction for a high and sometimes is back to "normal" range in about 2-3 hours. Once she went from about 320 to 105 in an hour with 1 unit or so.

Wed Nov 3 1999 21:54:56 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Yes Steph.

Wed Nov 3 1999 21:55:16 Eastern US
Brenda H. from 10.0.1.3
Jeff's the boss! He's been on the phone for a while. Sounds good to me.

Wed Nov 3 1999 21:55:21 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
That's a good idea Steph..maybe people should have it reviewed and signed by their Dr.. it is hard for some people to be assertive in a medical situation.. (not so hard for others :-)

Wed Nov 3 1999 21:55:55 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Steph, get me the text and I'll post it in conjunction with the hyperglycemia page:
http://www.childrenwithdiabetes.com/d_0n_030.htm

Wed Nov 3 1999 21:56:10 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
if the BS is brought down too quickly it causing a fluid shift and brain sweeling with can cause severe brain damage even death

Wed Nov 3 1999 21:56:19 Eastern US
WANDA (Kaitlyn 5) from 152.163.207.67
Brenda..Kaitlyn does that quite often.
Is that hurting her little body?

Wed Nov 3 1999 21:56:19 Eastern US
Brenda H. from 10.0.1.3
Ellen, I had to take Marissa to the ped. for a physical in August and the nurse practioner who examined her didn't even know what the pump was! She thought it was a pager. Sheesh!

Wed Nov 3 1999 21:57:16 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
BS should fall at a rate of about 100/hr to be safe

Wed Nov 3 1999 21:57:18 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
Good reminder, Ellen.. I make sure that instruction is written in red on the info I give out if we leave town. and the person in charge of Steph knows not to let them unplug her without another source of insulin.

Wed Nov 3 1999 21:57:43 Eastern US
Brenda H. from 10.0.1.3
So, how fast is too fast? And how much? Are we talking 100-200 mg/dl or 500mg/dl?

Wed Nov 3 1999 21:57:50 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Brenda when (s)he learned it was an insulin pump - were you asked how it was implanted?????

Wed Nov 3 1999 21:57:51 Eastern US
Linda/So. Utah from 216.190.28.33
no wonder Kim gets a headache when her bgs come down fast...

Wed Nov 3 1999 21:58:36 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197

Steph is that true even if it's just the bg is high WITHOUT ketones?

Wed Nov 3 1999 21:58:40 Eastern US
Brenda H. from 10.0.1.3
Ellen, I can't remember. My brain cells are diminishing more and more!

Wed Nov 3 1999 21:59:50 Eastern US
Mary from Ma. from 152.163.213.84
brenda..that's a good time to educate!! besides, most pediatric nurses aren't going to run across a pump unless they live in florida:-)

Wed Nov 3 1999 21:59:59 Eastern US
WANDA (Kaitlyn 5) from 152.163.207.67
Kaitlyn has been complaining of a belly ache lately, I was wondering if it had anything to do with high blood sugars? Does any one know?

Wed Nov 3 1999 22:00:07 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
that's right Lind probably has a little sweeling. The brain doesn't need insulin. It uses sugar by osmosis from the spinal fluid. If there's a big shift in BG -- the psinal fluid can't catch up and sucks up more fluid going to the brain

Wed Nov 3 1999 22:00:08 Eastern US
Carole (Evangeline 3 dx @ 2) from 205.188.209.69
My daughter doesn't go High when she is sick she goes low, maybe you have already covered this & I missed it, but why do some kids go high when they are throwing up?

Wed Nov 3 1999 22:00:37 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
Wanda the bellyache may be from ketones

Wed Nov 3 1999 22:01:08 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
Cartole I guess it's from stress hormones and dehydration

Wed Nov 3 1999 22:01:35 Eastern US
Karen/IN (Darriane 6 dx'd 8/97) from 205.188.199.49
Darriane was 297 so she's coming down!

Wed Nov 3 1999 22:01:50 Eastern US
WANDA (Kaitlyn 5) from 152.163.207.67
She hasn't had any ketones. Her blood sugar at dinner could go as high as 500

Wed Nov 3 1999 22:02:39 Eastern US
Carole (Evangeline 3 dx @ 2) from 205.188.198.37
My daughter always complains of a stomach ache, we had her tested for everything & all test were negative, she never had keytones when complaining so we figured it must just be anytimes she is like over 200 or so.

Wed Nov 3 1999 22:03:25 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
sorry that's the only explanation I can think of

Wed Nov 3 1999 22:04:02 Eastern US
Brenda H. from 10.0.1.3
Carole--that's another subject to search in the Ask the Diabetes Team database. I think many parents have previously commented/asked about stomach aches their D children have as compared to the fewer complaints from their non-D children.

Wed Nov 3 1999 22:05:11 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
Any advice if your child is hospitalized for something other than diabetes.. trauma, planned or unplanned surgery or illness.

Wed Nov 3 1999 22:05:30 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
maybe its hyperacitiy due to the stress on the body of the high sugar

Wed Nov 3 1999 22:05:38 Eastern US
Carole (Evangeline 3 dx @ 2) from 205.188.198.37
After all the test & watching when she complains, it is usually when she has been hi for a day or two, not High enough for keytones but high enough to make her tummy hurt.

Wed Nov 3 1999 22:05:38 Eastern US
Mary from Ma. from 152.163.213.84
steph..so the sugar alone will cause the osmotic imbalance? without the ketone or elctrolytes being off too?

Wed Nov 3 1999 22:06:22 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
yes -- get your doc to let you decide the insulin doses!!!

Wed Nov 3 1999 22:07:14 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
My advice is don't turn your back for a second. When Z was first diagnosed, a respiratory therapist came in in the middle of the night to administer therapy - had the wrong patient, didn't bother to check the chart. I was asleep on the floor but got up VERY FAST

Wed Nov 3 1999 22:07:23 Eastern US
dee (Jesse 4 dx'd 9-99) from 204.94.53.113
I have a ped.endo that does not endorse flu shots for my son. I need to discuss this further with him but Im thinking that maybe since hes only 4, he would like to see him develop immunities on his own. Any comments? I feel like we are jumping from the frying pan into the fire here.

Wed Nov 3 1999 22:07:38 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
yes Mary -- people wit Type 2 can get non-ketotic hyperosmolar synraome with has a fatality rate of 80%

Wed Nov 3 1999 22:08:02 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Carole, does your daughter drink much apple juice? That can be irritating too.

Wed Nov 3 1999 22:08:18 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Ellen: A hospital is no place for a sick person.

Wed Nov 3 1999 22:08:30 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
we're only quoting the CDC recommendations for people with diabetes. You might show them to your doc

Wed Nov 3 1999 22:08:48 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
I would also advise to bring your own meter so you can check the bg if you want to.. (I would be the mother from #@$ that all the nurses talked about)

Wed Nov 3 1999 22:09:05 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Dee - I may be the odd one here, but my son has had diabetes for 10 years and has never had a flu shot.

Wed Nov 3 1999 22:09:18 Eastern US
WANDA (Kaitlyn 5) from 152.163.207.67
Just to share this story with everyone.....While I was at the food store this morning, the guy in front of me told the cashier, "kids get diabetes from drinking chocolate milk, I know cuz I have diabetes"
Well, I dont think any one here wants to here my response to him:-)

Wed Nov 3 1999 22:09:58 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
the kids themselves probably know more about adjusting insulin doses than the residents in hospitals

Wed Nov 3 1999 22:10:51 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Wanda, I WANT TO HEAR IT IN DETAIL!

Wed Nov 3 1999 22:11:12 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
I second that

Wed Nov 3 1999 22:11:26 Eastern US
Linda/So. Utah from 216.190.28.33
LOL I think we all do...

Wed Nov 3 1999 22:11:31 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
I've always had Steph get a flu shot.. couldn't live with myself if she got the flu and something happened.. it is a different strain that comes through each year so no way to build up an immunity.

Wed Nov 3 1999 22:12:51 Eastern US
Kelli (Michelle 11 dx'd 9-98) from 63.64.146.88
Ellen, your not the only 1 ,Michelle is not getting 1 either

Wed Nov 3 1999 22:13:58 Eastern US
Mary from Ma. from 152.163.213.84
wanda we ALL wnat to hear what you had to say!!

Wed Nov 3 1999 22:14:50 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
what do you do about food on "sick days"?

Wed Nov 3 1999 22:16:10 Eastern US
Brenda H. from 10.0.1.3
I try to whip up some sugar-free jello, reg. jello and borrow Gatorade from the neighbor because I don't have it very often. I now have Powdered Gatroade mix.

Wed Nov 3 1999 22:16:11 Eastern US
WANDA (Kaitlyn 5) from 152.163.207.67
Hold on....It got lost
Let me retype

Wed Nov 3 1999 22:16:52 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
and how you teplace calories Bren

Wed Nov 3 1999 22:17:32 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
I had a guideline from Joslin about giving insulin with illnesses that was so helpful when Steph was little.. (because she was one of those kids who went way low when ill).. it was the only guidlines I could find that gave guidelines for decreasing the insulin if below 80.. how much to increase if high (both %'s for with ketones and without) It was a lifesaver at the time.

Wed Nov 3 1999 22:18:34 Eastern US
Brenda H. from 10.0.1.3
I try to have Apple Juice, too, and that is often the only thing Marissa will consume when she's low and her stomach hurts a bit.
Calories? Beats me, Steph. We just struggle along with many blood tests and hope the numbers are acceptable and there are no ketones.

Wed Nov 3 1999 22:20:45 Eastern US
WANDA (Kaitlyn 5) from 152.163.207.67
Well, I simply told this elderly man that he really didnt know what he was talking about, he looked at me as though I didnt know...So He said," I think I know, I got diabetes when I was 60 years old" I said yeah well my daughter was 4 when she was dx., and I really dont think drinking ch. milk caused it, she never drank ch. milk. He just kept looking at me like I was crazy.....I dont think he belived me, but I really dont care...I dont like it when people say Kaitlyn got diabetes from "sugar" Kaitlyn never even liked cookies before she was dx.
So, I wasnt that mean to him, I just dont like ignorant people!!!!

Wed Nov 3 1999 22:20:49 Eastern US
Linda/So. Utah from 216.190.28.33
Kim likes Lipton's chicken noodle soup...not many carbs but makes her feel better.

Wed Nov 3 1999 22:21:12 Eastern US
Mary from Ma. from 152.163.213.84
we keep both sugar and sugar-free jello in the house and if the kids are sick we pull out the appropriate kind...if they're high, the sugar free, if they're low the sugared one..

Wed Nov 3 1999 22:22:05 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
I divide the fridge.. one side sugar free stuff and the other sugared.. powdered gatorade is great to have on hand. popsicles of both kinds.. puddings.. soups.. I used to have to bag stuff up with big "KEEP OUT" signs so the older kids didn't eat/drink it up.

Wed Nov 3 1999 22:22:53 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Good job Wanda - even if he didn't hear you, I bet someone else within earshot did and they got an education. I was ignorant about diabetes until my son got diabetes.

Wed Nov 3 1999 22:23:00 Eastern US
Brenda H. from 10.0.1.3
Mary/Marcia--do your non-D kids eat the sugar-free stuff as well?

Wed Nov 3 1999 22:23:15 Eastern US
dee (Jesse 4 dx'd 9-99) from 204.94.53.113
Being so new to all this Im wondering if you agree that with the right home care, hospitals can usually be avoided with illnesses.

Wed Nov 3 1999 22:25:07 Eastern US
Mary from Ma. from 152.163.213.84
brenda...we don't limit foods to anyone here..if they wnat it they can have it...same goes with the occsional goody, too:-)..that way noone feels left out or deprived, but my older two kids don't really like the sugar free stuff anywya, so its npt a problem.

Wed Nov 3 1999 22:25:30 Eastern US
Brenda H. from 10.0.1.3
Marissa has had D for over 10 yrs. and has never been admitted to the hospital. We have gone to ER about 10 times over the years--mainly worry about dehydration and our inability to keep her BG's about 40. Now, sometimes she even says, "Just take me to the hospital so I can feel better." Usually there no more than 4 hours.

Wed Nov 3 1999 22:25:33 Eastern US
WANDA (Kaitlyn 5) from 152.163.207.67
Well Kaitlyn's Blood sugar now is 266....Guess it is time for her insulin...Good night to all...Lets all dream of "perfect" or good blood sugars:-)

Wed Nov 3 1999 22:26:12 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Dee, my son hasn't had to be hospitalized since diagnosis 10 years ago...but I'd take him there in a heartbeat if I felt he needed to go and he had something I couldn't manage properly at home.

Wed Nov 3 1999 22:26:41 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.70
My son would eat anything!! (he is 6' 4"--is on his own now) I was careful with juices, too much can cause diarrhea.. Steph has had D for over 13 years.. has never been in the hospital, even at dx. (knocking wood here)

Wed Nov 3 1999 22:26:54 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
Alex diagnosed for 5 years has never been back to the hospital(knock on wood)

Wed Nov 3 1999 22:27:18 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Wanda - I like to aim for target bgs.

Wed Nov 3 1999 22:27:21 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Steph, are we about ready to wind down our special Sick Day chat?

Wed Nov 3 1999 22:27:34 Eastern US
Mary from Ma. from 152.163.213.84
dee, we've never taken either of our children to the hospital when they've been sick. except when chris was diagnosed..angela was diagnosed in the office and she was never admitted to the hospital even for that.

Wed Nov 3 1999 22:27:54 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
think so

Wed Nov 3 1999 22:28:07 Eastern US
Brenda H. from 10.0.1.3
I'm heading out to do some stuff in the kitchen. See you all later.

Wed Nov 3 1999 22:28:59 Eastern US
Steph Schwartz, RN, MPH, CDE (stephs@childrenwith diabetes.com) from 24.131.13.45
night all don't forget ideas for chats

Wed Nov 3 1999 22:29:00 Eastern US
WANDA (Kaitlyn 5) from 152.163.207.67
I am aming for b.s. under 200 at this point....Ellen..I said DREAMING!!!

Wed Nov 3 1999 22:29:02 Eastern US
dee (Jesse 4 dx'd 9-99) from 204.94.53.113
Thanks everyone.......

Wed Nov 3 1999 22:29:33 Eastern US
Ellen (Zachary 11, dx'd 2/89) from 152.163.201.197
Thanks to Brenda and Jeff and Steph. Wishing everyone healthy children and not needing to implement all of this very vital information

Wed Nov 3 1999 22:29:49 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
Thanks Steph for hosting, and everyone for stopping by. I'll have a transcript up first thing in the morning.

Wed Nov 3 1999 22:29:54 Eastern US
WANDA (Kaitlyn 5) from 152.163.207.67
Bye everyone

Wed Nov 3 1999 22:30:02 Eastern US
Leann (son Alex(10) pumper) from 216.176.149.71
goodnight, thanks steph, jeff & brenda

Wed Nov 3 1999 22:30:21 Eastern US
Jeff Hitchcock (Marissa, 12, dx'd at 24 mo.) from 206.112.197.133
I suggest everyone head to the Parents room if they want to continue chatting. I'll be shutting down this room in about five minutes.

Wed Nov 3 1999 22:30:38 Eastern US
Mary from Ma. from 152.163.213.84
yes..thank you jeff, brenda and steph..

Wed Nov 3 1999 22:30:48 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.21
It was only Steph's sick day stash that I put the keep out sign on.. I certainly didn't deprive Philip or he wouldn't have grown so big!!LOL

Wed Nov 3 1999 22:31:20 Eastern US
Marcia...WA (Stephanie, 16 dx'd @ 2 1/2) from 206.190.132.21
Thank you Steph..and Jeff and Brenda!!



                 
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