Pump or no pump

After our rollercoaster day, I made an appointment with the diabetic educator. It had been a few months since we last checked in. Her response to Nathanael's rollercoaster was we need to think about a pump. This of course made his day. She explained that a pump would better keep him regulated especially since he is heading into puberity. She explained that a pump would give him insulin continusously helping him to keep his blood suger more stable. I resumed my research on pumps. Trying to figure out costs and which was is the best for Nathanael. Insulin pumps are like anything else. There are so many models with a lot of features. The price range varies from $800 to $8,000. The cheapest I have found on the internet is the Omnipod. This is a tubeless system. The insulin goes in a pod which the person wears and carries a remote. The nice thing of this one is that its tubeless. The pods are $85 for a pack of 10. Our insurance does help cover the cost of a pump and supplies. Pumps are considered durable medical equipment. What that means is that we pay 100% of the cost until we reach our deductible. Then we pay 25% of the cost. Our cost per month is going to just about double each month if we choose to get a pump. I am struggeling with the idea of getting him a pump. Not just for the increased costs but I want to make sure Nathanael really truely knows how to manage his diabetes. This is still really new to us and I want him to manage on his own first. He tends to not think about what he is eating or isn't counting correctly (if he counts at all). He is too much of a free spirit. He figures he can correct later. This makes me crazy! Today he had been home by himself most of the day. By the time I got home and made supper, his blood sugar was in the 400's. He just doesn't realize what he is doing. Sometimes he needs constant supervision. This is our first Christmas with diabetes and so far it isn't going so well. He just doesn't have self control. It's hard to expect him to have self control when we adults don't have self control when it comes to food. The only difference is, is that our pancreas does its job. Nathanael's doesn't.

What a day!

Today has been the worst rollercoaster ever. Nathanael got up this morning not feeling well. His blood sugar was the lower today than it's been in awhile. He was 194. He was feeling sick to his stomach. He had 2 pieces of toast for breakfast. By 10 he was 284. It's normal for him to have his spike about 10 but he still wasn't feeling well. He ate a half peanut butter sandwich & took some insulin. After fourth period, which was gym today, he had dropped to 232 & still not feeling well. So I told him I would pick him up at lunch & take him home. For lunch he was 154. He had some soup & insulin. I sent him to bed. After an almost 2 hour nap, his blood sugar was 66. He had a glass of milk and a snack. His blood sugar 2 hours later was in the 300's! Supper tonight was a cheese omlet & more insulin. Then his blood sugar dropped to 150 in an hour. Then an hour later he is 69. I just gave him another glass of milk. Not sure what's going on but I do know this doesn't feel good for him. He had a hard time doing homework tonight. He just can't concentrate. I may be getting up during the night tonight to check his level.