On our Facebook page this week, I have been doing a series of screen captures of our CGM graph from overnight to show why we do night checks. In this graph above, you can clearly see that at 8pm she was low, at which point we gave her carbs. When we went to bed at 10 and checked her, she was sitting comfortably at 150, a good number for us for night time. My wife woke up at midnight to check her and she had gone up, a bounce back from the carbs administered at 8, she bolused her. Raven woke me up at 2, and Stella was hovering around 200 so I bolused again, and she woke up at a great 133 ready to start her day. A question came up though.
The simple answer is that she sleeps through everything now. Finger sticks, blood tests, bolusing. And when she is low, she can drink a juice box or eat crackers without waking up. As a parent, I am thankful that she can sleep through all of that. I’m thankful she wakes up in the morning not remembering anything. And as a parent, it breaks my heart that she has learned, out of necessity, to do this.
But here’s the thing. If you look closer, you can get a lot of information from watching your T1 sleep. You can learn a lot about what this horrible disease does to your child in their sleep. And you can learn why we find night time checks an absolute must.
When our daughter is fighting high blood sugar in her sleep, say over 250, she starts to grind her teeth. She sweats profusely. She tosses and turns. It is a very restless sleep. And the next day she pays a price for it. She will wake up tired and cranky, finding it difficult to focus. At which point we are expected to send her off to school to go sit in a classroom and be responsible for learning new things, possibly take a test, and interact with people that have no understanding of why they may bear the brunt of her shortness with them.
If she is low, say under 60,, she is clammy to the touch. Cold. But she appears to be in a deep sleep.It is a scary sleep, sometimes making it difficult to arouse her, get her to sit up to drink a juice. Since the lows tend to be fixed faster than the highs, her morning routine doesn’t often seem as affected by the lows. She seems to bounce back quickly from them.
This is why my wife and I are so diligent with the over nights. They are important to her mental well being. And they spill over into her day times.
Hope this helps