What if?

At dinner with my parents tonight, we talked about how the only predictable thing about diabetes is its unpredictability.

We were at a local pizzeria, and when it came time to administer Jack's insulin, Gregg and I talked about how much to give him.

Recently, pizza has become a problem for Jack. As is the case for many with T1D, the high fat content causes a delayed spike in his blood sugar. We've found that if we give him all of his insulin upfront, he goes low, because the insulin peaks before his blood sugar level does. After we treat the low, with the extra carbs in his system, and with the insulin past its peak when the pizza carbs kick in, his blood sugar sky rockets.

So tonight, we decided to divide his dose. Based on what he ate and what his dinnertime carb-to-insulin ratio is, we figured he needed four units of insulin. We only gave him two.

(Well, actually, we measured two and Jack injected himself. He's now doing almost all of his shots! I'm so proud!)

After dinner, we went to my parents' house for a bit. While we were there, Jack said he felt low. I checked him immediately.

He was at 51.

51!!!

What if we had given him the full four units?

Thank goodness we didn't.

But what if?

What if????


Post edit:
It's now over three hours later. He's at 325. It's going to be a long night!