Wednesday, October 13, 2010
Home Church Continued
II KINGS
1. Elisha the Prophet
2. The fall and dispersion of Israel
3. The fall and captivity of Judah
I CHRONICLES
1. Genealogies
2. David organizes the kingdom
3. David prepares to build the temple
II CHRONICLES
1. Solomon is king
2. Kings of Judah
3. Decree of Cyrus
EZRA
1. Zerrubable's return
2. Ezra's ministry
3. Completion of the temple
NEHEMIAH
1. Rebuilding the wall
2. Reading the Law
3. Response of the people
ESTHER
1. Esther is queen
2. Haman tries to kill Jews
3. God uses Esther to save Jews
We are now reading through Job.
I have read through Job several times and thought I knew it pretty well. However, God is teaching us some marvelous things through Job. I am convinced Job is one of the greatest books in the Bible!
Tuesday, October 12, 2010
What we Learned Today
The first class was mainly about sick day care. I LOVED IT! The nurse that directed the class had been T1 since she was 11. The children picked up on that quickly and listened more intently than they would have done otherwise... so did the moms. Most of what was taught at that meeting was in my previous post. Today was about complications that might arise with prolonged highs and how to avoid them.
The nurse in charge today was another T1 (I'm sorry these lovely ladies have this but secretly I think they have it just so Mattie can get along better... sorry ladies :) I can't remember their names so I'm renaming them Nurse 1 and Nurse 2 in honor of the Cat in the Hat. Nurse 2 is older than Nurse 1. She was dxd at age 8 back in the 60s! Like Nurse 1 she is a beautiful woman in very good health, inspiring.
The first thing on the notepad says "#s on the frig". It was recommended that all important # are placed on the frig- Vandy, local Drs., school nurse (Ooo, ooo, that's me!) and pharmacy. Next is this ratio 90/10.
Of all the diabetics 90% are Type 2 and 10% are Type 1. When you see an info-mercial or commercial that says "diabetes" they are referring to T2.
The rest of the note pad is filled with dietary info: What fat and exercise do to bg; The type of foods we should ALL be eating and the ones to avoid; How to translate label % into grams.; And worst of all the terrible news that diet sodas remove calcium...
WHAT?... it's one thing to give the child info on what he is to eat but DON'T YOU MESS WITH MY DIET SUNKIST SISTER! I said you mean the diet stuff is weakening our bones? Yes.
Matt put his arm around me and lay his head on my shoulder. See I told you he was sensitive.
If Matt can do what he's doing then I can give up Sunkist.
Over all this was a very good class and I'm glad I went. I now have a better grasp of why foods we eat are not "good vs bad" but "better vs worse". And Yes, Virginia, there really is a magic food. It's called W A T E R.
Coolest diabetic thing today- fat is absorbed so slowly that several hrs after eating a high fat meal, even with the right carb/insulin ratio, it can look like the insulin did not work. That's why pizza can be a snafu.
Coolest non diabetic thing today- on the way home we passed the airport at the exact time a huge passenger jet was crossing over the highway. It was right in front of us. It was so low and close Matt said, "I can read the words!" As my brother would say we were EOR (end of runway)... WAY COOL!
Monday, October 11, 2010
Class #2
The last one was GREAT! I learned so much. The educator is also T1 and she had some very helpful info on dealing with sick days. This class, however, is about complications. I am not looking forward to this.
Matt is a very sensitive child. I'm smiling because I know what everyone thinks when you say your child is sensitive, it means they are an uncontrollable BRAT. But that is not what I mean. I mean that Matt FEELS things more than the rest of us. So I'm of German decent and a couch can sometimes feel more than me BUT really Matt does!
Matt will be the husband that brings his wife flowers just because he thinks she needs them. He gives hugs freely and always knows when things are not right. He wants to make everything better all the time. He is a huge sweety with a big heart. So I DO NOT want him to panic about long term complications. Now if I could stop worrying about him worrying :) ...oh bother.
Thursday, September 23, 2010
24 Hours, Then Reboot
Ever had something happen to you or your family and find your mind going to others who have it much worse? It's a good way of dealing in the here and now. "My situation is not as bad as..." "At least we don't have to go through..." You say these things thinking you can relax for a moment and maybe breathe.
Breathe. Relax. Smile. HEY! What did you just eat?!
Insulin. It's the ONLY hormone in the body that can turn food into energy. Insulin opens the body's cells and allows them to use food (in the form of sugar). Mattie doesn't have any so he must inject it or slowly starve to death. Unlike the much more common T2 (type 2) diabetes Matt's body will eat itself without his daily injections. He will loose weight and his body will produce Ketones.
Ketones. They are the bi-product of the body eating fat and muscle stores because it can not access the sugar in the blood stream. Ketones are deadly. They are the dread of every mother with a T1 child. If Mattie's bg (blood glucose) goes above 300 for 2 consecutive tests (he tests 5x daily) then we must test for ketones. If they are in the mild range we keep on testing. If they are in the mod-high range we call Vanderbilt and then head to the ER. If, God forbid, our child becomes sick then we must test for ketones every 2 hours.
Sickness. Sickness, in particular vomiting, can turn a healthy T1 into a very sick T1 in a matter of hours. Vanderbilt has given us a very strict sick day regimen. If Mattie throws up we are to call them asap. We then begin a 2-3 hr bg and ketone check. If his bg is below 150 we give him carbs in liquid form, anything he can hold down. If his bg goes above 200 we give insulin in half units for every 100 above 200... clear as mud right? If the ketones go above the moderate range we take him to the ER. We can not give him Phenergan- the lovely no throw up med- because it will make him too tired. If he is drugged he may not "feel" a low in time for it to be treated before he looses consciousness or has a seizure.
Lows. A low is any bg reading below 80. A bad low (like Rob Lowe :) is anything below 70. If the bg is below 70 we treat with "fast acting carbs"- anything sugar in liquid form- soda, juice, low fat milk (fat slow the absorption of sugar) or sugar tablets. The idea is to give 15 carbs then wait 10-15 minutes and retest. If the bg is still below 70 the process starts all over again. If it is above 70 then give "slow acting carbs"- food. If at any point Mattie should loose consciousness we are to test bg, call 911, then give Glucagon if bg is blow 70.
Glucagon- A hormone that will cause the liver to release stored sugar. We have 2 emergency glucagon kits. The kits contain glucagon in powder form and a water filled syringe. It is mixed then given in a large muscle. Once it is given the patient is rolled on their side because a common side effect is vomiting. One of the kits is in the kitchen and one is in Mattie's bag.
Matt's Bag. For now he has a green bag that we came home with him from the hospital. He carries it with him EVERYWHERE. Where he goes the bag goes, no exceptions. It contains: 1 juice box, 2 packages of glucose tablets, food bar, glucagin kit -these are for treating lows; bg monitor kit (monitor, lancet, and test strips); syringes; log book; Novolog.
Novolog/Lantus. Lantus if the slow acting insulin that Mattie injects every night. It provides a steady low dose throughout the day. Novolog is the faster acting insulin that he injects to cover the carbs he eats. Novolog acts fast and is gone a few hrs later.
Carbs. Carbohydrates are what they body uses as sugar. ALL carbs are turned into sugar. Simple, complex, doesn't matter, the body sees them in the same way, as sugar- energy. Complex carbs are broken down more slowly and therefore are a better choice. Because they do not hit the bloodstream as fast, complex carbs don't give big swings up. But they still must be accounted for with insulin. Every carb that goes into his mouth needs to be counted.
Carb Counting. IT STINKS! Well, okay, it doesn't stink if what he's eating came in a package with a label but what about homemade food. We eat at Gran's several times a week what about then. Do I stand next to her and quiz her about the Tbls of floor in her gravy or cups of flour in her biscuits? I tried guessing once and his bg went to 44! Now I'm low balling them. But you may ask what am I even talking about???
Carb Plan #1. For every 25 carbs that he eats we give 1 unit of insulin. If he eats 37 carbs he gets 1.5 units. I HATE 1/2 UNITS!
Carb Plan #2. The first one was not working well. His bg #s between breakfast and lunch were always high so here is the new plan. 1/20 carb ratio at breakfast and a 1/25 ratio the rest of the day. This is where we are right now but this will change.
Change. As Matt grows his insulin needs will change. Right now he needs little compared to the other 2 children in our "class group" at Vandy. The thought is that his pancreas is still producing some small amounts of insulin. When it finally gives out his #s will go up. When he is a teen his needs will increase again.
Our day. It stats with a bg test at 3am to make sure he is not dropping while he sleeps. He tests before each meal and if he doesn't feel well- headache, stomach ache, dizzy, hot, cold, sweaty, shaky, anything "odd". He is allowed 15-20 carbs for snack twice daily with no injection. Any snack more than 20 carbs gets a shot. Every meal that is over 20 carbs gets a shot. He is a growing boy that needs carbs so he gets insulin for every meal.
Rinse and Repeat. No cure, no remission. A lifetime of serious just around the corner. One day at a time. "Day by day and with each passing moment strength I find to meet my trials here. Resting in my Father's wise bestowment I've no cause for worry or for fear"... but I do worry, I do fear.
Sunday, September 12, 2010
"Dxed" that's diabetic lingo for "diagnosed". There are others: bg- blood glucose, T1- type 1, and d- diabetes.
I hate that I know that! I want to scream GO AWAY!! How can such a sweet kid have to learn this? It is so incredibly unfair. Yes, God is with us. Yes, we lean on Him. But we still feel betrayed. Why us? Why our Mattie? And how will he feel? Will this toughen him... God I pray not. He is such a gentle soul.
Lean not on your own understanding... I have no place to lean. My life has been spent leaning on my wits, my logic. In all your ways acknowledge Him and He will direct your paths... I don't want to be on this path so how can He direct me?
Thursday, September 9, 2010
A New Way of Life
For almost as long as I have known my husband I have known that his brother and father had a rare disease. They were type 1 diabetics.
There are 2 main forms of diabetes, type 1 and type 2. By far the most common is type 2. T2 diabetics are almost always over 40 yrs of age and overweight. Their disease can be controlled to a large extent by the food they eat and by the amount of exercise they get. Many can go through life with little or even no medication as long as they stick to a low carbohydrate diet and drink plenty of fluids. T1 diabetics are not so blessed.
The body is an amazing machine created by God! After we eat, the pancreas measures the sugar in the blood and releases just the perfect amount of insulin to unlock the cells of our body so sugar can be let in and used. For T2 diabetics the pancreas functions very well and releases insulin but the cells have trouble unlocking. Sugar and insulin build up to dangerous levels. The cure is pills that help the cells unlock and limited amounts of sugar in the diet. T1 diabetics are at the opposite end... their pancreas is not working... there is no insulin. No insulin to unlock the cells so the sugar builds and builds. The body squeezes water out of cells to help flush the dangerous levels of sugar out of the body. This triggers the brain to tell the T1 to drink more water. They drink more causing them to spend increasing amounts of time in the bathroom.
So how did this happen? For T1s it is a destruction of the pancreas cells by the body. Yep, that's right, the body itself is doing the damage!
For some reason (many doctors believe it is triggered by a virus) the body's own immune system targets the pancreas as a foreign object. The immune system begins a slow destruction of what it thinks is the enemy... in short it is doing what it is meant to do but in this instance it is aiming at the wrong target! Because of this type 1 diabetes is classified as an "autoimmune disease". A disease that is the result of a malfunctioning immune system.
So why am I posting this? Why a post about a disease that has a 1 in 250 chance of effecting me? Because we are in the 1 and not the 249. Last week our oldest son, age 11, was diagnosed as T1 diabetic. He also was diagnosed as having another autoimmune called Hashimoto's disease. Hashimoto's attacks are focused on the thyroid glad. I have Hashimotos. With 2 parents having autoimmune genes the chances that our children will be T1 goes to 1 in 2o... sorry guys... we wish we could take it on ourselves!
What does all this mean? It means that our son must get his insulin from somewhere else. It means his parents, and at some point in the future himself, must become his pancreas. We must know how much sugar (carbs) are in every bite he eats and then inject the proper amount of insulin. We test his blood glucose (BG) a minimum of 5x/day and he gives himself insulin shots after every meal and at bedtime. the goal is to keep his BG from rising above 180 or falling below 80... that is our ideal.
Two weeks ago our ideal was a larger house and a newer truck. This week our ideal is what every parent longs for, a happy, healthy child.
Tuesday, August 17, 2010
Home School Mom aka:Doberman Pinscher
She is forced to deal bravely with the daily chores of teaching her children and keeping her house. No one sets her schedule, no one chooses her path, so she must be disciplined. Her work is most definitely stressful and can be, depending on her adventurous spirit, dangerous! But it is her heart that keeps it all running smoothly... a heart devoted to her Master.
"To understand the Doberman, or any dog, one must understand certain deeply ingrained instincts. One of these core instincts is the Pack Mentality. Dogs run in packs. This is necessary for their survival. In nature, dogs and wolves live in highly organized communities usually consisting of family members. This community we call a pack." I love this quote for it sums up a home school mom's need for other home school moms very well. It is necessary for our survival!
At some point every parent asks themselves, "Am I the only one going through this?" The answer is always a loud "NO!" but it usually feels like a sobbing "yes". Add to this that home school moms are very often alone with just their immediate family and you multiply this feeling. So like birds of a feather we congregate together... for survival.
We reach out to one another and find relationships. We find friendships for ourselves and for our children. We find other mothers who have "been there and done that". We find comfort for our doubts and hope for our failures. We find God in others and we are comforted!
"We have encountered many false notions concerning the Doberman’s temperament. Two of the most destructive are “the Doberman is just like any other dog” and “Dobermans are stubborn and can be vicious.”
It is true, any dog not properly cared for can become dangerous and all dogs need to be respected. The Doberman is unique in that it owns an extremely powerful set of tools that it should not be held responsible for. The Doberman owner must harness these tools reliably under all conditions, with thorough training. One must understand that viciousness is a behavior, and all behavior is a result of instinct and conditioning. Viciousness in a dog is a reaction to a situation where it feels threatened." The home school mom is this to a tee. She is often, if not frequently, misunderstood and she must be properly trained.
How many times has the HS mom heard slurs about home education while waiting in line at Wally World or had to endure what should have bee a relaxing visit with the family only to be berated with "well meaning" comments on how much "better off" they all would be if they were in the government system. The world looks at what they believe to be truth and then wrongly judges those who stand in a different place. Many believe home school parents MUST be religious zealots or that they just think they are better than everyone else. What ever the misconception it comes down to them against us, thus forcing the HS parent into a corner... not a good place to confront either a Doberman or a HS mom!
So how does the HS mom handle these situations? With proper training. Training only found at the feet of Jesus! Daily must she go to her heavenly Father and seek His guidance. And most importantly, like all well trained dogs, when out in public the HS mom must always be aware of her Lord and constantly be casting her eyes upon Him. Asking "What? Where? How?" Looking to Him for our path.
"Dobermans are bred to have sure confident temperaments, so they do not often feel a threat unwarranted, and are in fact less likely to over react with viciousness or biting." Here is a wonderful thing about HS MOMS. They are confident! Not so much in the how but in the why of what they have taken on. This confidence is not placed in their ability to accomplish some great goal of raising NASA scientists but in the great task of raising Christians. Children that know God. Not the god of the school teacher but their God. This confidence is placed in His work and His power. It adds beauty to the HS moms countenance but makes leading her a bit like leading a Doberman, intimidating.
The pack is capable of amazing cooperation. As is the home school co-op as long as the leader is not easily intimidated... or at least doesn't look like she is!The Doberman tends to treat the children of the home as he would puppies. Puppies are valuable in the dog's mind. The Doberman can also sense the children's vulnerability and their importance to the family. Because of this, the Doberman is highly protective of the children. Highly protective is putting it mildly when talking about HS moms. Just attend a HS meeting and watch the faces as soon as a man enters the room! Moms go on high alert. Locating their own in the mass of playing children within seconds and then watching the man to see if he is greeted by anyone. Once his family has been identified and he has been welcomed into the pack (a hugs as good as a sniff!) then all goes back to normal, poor guy. But as in the dog world new comers, especially those who may pose a threat, need to be put into place before harmony can be established.
For the most part HS moms are like any other mom. They have a need to be welcomed, a need for security and a need for guidance but the HS mom rarely finds these needs nearby. Thus forcing her to go in search of her pack.
May God lead us each to the place we can best serve Him.