Monday, August 5, 2019

Diabetes Camp - Year 10!

When Grace was 7 years old and went to diabetes camp for the first time, I remember her telling me something on the ride home from camp. "Mom, I want to be a counselor when I grow up!" and I smiled. I was just worried about one more year of camp, and here was Grace, telling me the future.







It's all come true. Grace is now a diabetes camp counselor! This year was her 10th year going to camp, and she went through the CIT 1 and the CIT II program last year and the beginning of this year at camp. She completed both and was promoted to Jr. Counselor, with an invitation to interview for a counselor position at next year's camp. I am so very proud of her.



It was her 17th birthday while she was away at camp. That was bittersweet. I was reassured that she was spending her birthday exactly where she wanted to, at her favorite place to be, among friends. Her fellow counselors decorated her bunk so she woke up to lights and signs for her birthday. It was incredibly sweet.


Diabetes camp looks different when you are older. There is so much more independence. There is so much more autonomy. There is so much more responsibility. There is so much more caring for others. Grace likes the younger campers more than the older teen campers. She likes to keep busy. She's responsible for helping with 12 am and 3 am blood glucose checks on the campers. She's responsible for helping plan activities and run them.



Camp looks different for me as her mom too. She's solo on her management. She actually let me follow her on Dexcom while she was away at camp! She texted once or twice about it, but otherwise it was all hers. And I didn't say one thing about it all week. She got through it amongst her people. She managed it all. Was it 'pretty?' I don't really care. I don't. I am done with the illusion that if we just get the right A1C, we have the perfect diabetic and the perfect life. And I am saying it very clearly, this is HER diabetes, NOT MINE.



Diabetes camp, for Grace, has saved her soul. And I don't say that lightly. She is more herself at camp. She is comfortable, in ways that are not possible even among her close friends at home. She is understood. She is incredibly happy to meet others and share her life. Onward she goes.





You can visit her past years at diabetes camp here:

Wednesday, January 9, 2019

Year 10

Grace was diagnosed with Type 1 diabetes on January 9, 2009. Today marks 10 years.

I remember thinking about milestones like this when I was in the hospital with her. I thought, what will it be like for her to live 5 years, 10 years, 25 years with diabetes? They were thoughts I entertained as other, more devastating thoughts lurked in the background. It was quite a shock, to find ourselves with a 6 year old with diabetes. It still is sometimes. The memory never quite leaves you of the day.

It was such a strange thing, to have her diagnosed. The moments themselves are clear in my mind, as if it happened yesterday. The parking outside the ER entrance, getting her out of her carseat, the walk in to the ER, the sheets on her hospital bed, her stuffed elephant she brought with her. I can make it all out in my mind. The hospital is close to us, and it's our go-to hospital for sickness and for visiting loved ones. I could lead a path right where we walked. I feel a rush of it all as I enter the hospital, each and every time.

Wouldn't it be something for me to have seen where she is now? I didn't know what 10 years with diabetes would do to someone, and do to a family. In some ways, it shattered us and forced us to rebuild. In many ways, it brought our love for Grace to the forefront, in fighting the battles she was at times too young to understand. It has led us to meet people we would not have otherwise met, and have the grandest times. I wish someone would have told me 10 years ago about those parts. I would have loved to hear it.

Grace is 16 now, and a teenager, and all it entails. She is girl-on-her-own, with a social life that rivals a pop star. She dances competitively on a dance team. She rocks the 11th grade. She has her sights set on college. She manages her diabetes with a pose that I surely would not have had. She gets ticked off with diabetes, and she also rolls with it. I marvel at all the times she packs up her diabetes kit, grabs a juice and a snack, and tells me where she is going and what time she will be back, not mentioning her diabetes once.

So, to the 6 year old Grace, who I thought was shattered by this diagnosis and would never do the things she wanted to, because it would hold her back, I want to say something.

You should see her now. She's glorious.

Happy 10th Diaversary, sweet Grace!
oxo




Tuesday, January 1, 2019

2018 Insulin - The Cost

Grace is 16 now. There is less to write about regarding mothering her with diabetes, mainly because it is HER diabetes, not mine. I do my mothering in the background now, not so much in the forefront. She is a teen and manages on her own, with occasional help from me. The part I do still manage is everything associated with insurance. It's almost a full-time job in and of itself.

I saved Grace's vials of insulin in 2018. I wanted to see what it looked like for a number of reasons. One, to visualize it and two, to get at the cost of it all. Grace uses Novolog in her OmniPod pump, and has Lantus in the refrigerator as a back-up should the pump fail and she needed to do shots. Her prescription is for three vials a month of Novolog and one vial a month of Lantus.

Grace is not on private health insurance. In Pennsylvania where we live, she was eligible for Medicaid, as she has Type 1 diabetes. When she was diagnosed in 2009, she originally was on our private health insurance, but it was at the time insurers could kick you off if you had a pre-existing condition. When she was diagnosed in January of 2009, my husband's company was switching health insurances, and we had to submit that Grace had Type 1 diabetes. The company was Aetna and they promptly denied her health insurance. The state then picked her up through their CHIP (Children's Health Insurance Program). It turns out, children with diabetes are very expensive (!!!) and CHIP removed her in 2011, sending her to the state Medicaid program. She has been on Medicaid since 2011.

Let me be very honest with you, Medicaid has saved our family from bankruptcy and losing our home. On either of our private health insurance plans, the co-pays for medicines range from $20-$40. Grace currently has nine medications that would qualify. Every month. If we take the midline of the co-pay, that is $270 a month for co-pays alone each month. Doctor visits would be $50, and she sees the endocrinologist four times a year, that's another $200. Medicaid has no co-pays for medicines and no co-pays for doctor visits. She can stay on Medicaid until the age of 19.

It what I fear she faces after age 19. At this rate, the cost of living with diabetes is unsustainable. It's not only the cost of insulin, it's everything that goes along with it, from pump supplies to glucose tabs, to blood ketone strips to adhesive removers.

The most concerning, for me as her mom, is the rising cost of insulin. There are some great articles about the cost of insulin and what is happening. Here is one from The New Yorker. Here is one from CBS News.  Time. U.S. News. WebMD. And on and on and on. Do a generic search for 'costs of insulin' and up pops hundreds if not thousands of pieces about it. The costs is literally killing people with Type 1 diabetes. Again and again. It is unacceptable to me and to others.

Grace used 35 vials of Novolog in 2018. At the 'market price' of $300 a vial, that is $10,500 worth of insulin if she had to buy it without insurance. Just for insulin to keep herself alive. That's not even paying for needles if she has to inject and not even paying for her insulin pump. That's not even paying for every other supply she needs, just to stay alive.



There is a movement afoot, and I encourage you to join in. The organization leading it is T1International. They are founded by people with Type 1 diabetes who work for the accessibility and affordability of insulin and diabetes supplies for people around the world. Their hashtag of #insulin4all advocates for affordable insulin for everyone. EVERYONE. Dr. Banting shared his patent for insulin for $1, so that it could be shared with everyone and keep them alive. Before his insulin, people with Type 1 diabetes died.

I fear we are coming full circle. If you cannot afford insulin, it's the same as not having access to it. What happens when her insulin costs continue to rise and she is not on Medicaid anymore? I'm not sure as a college student she would be able to afford her insulin. She has her family, but shouldn't she be able to access life-sustaining medicine at an affordable cost?

I urge you to become involved if you love someone with Type 1 diabetes. It truly is a matter of life and death.

Monday, July 23, 2018

Diabetes Camp - Year 9 - She's a CIT!

It's July and that can only mean one thing - it's time for diabetes camp! This is Grace's 9th year at camp. Since her very first year of camp when she was 8 years old, she has only ever wanted one thing, to be a Counselor In Training (CIT). She applied in January and went through an interview process and was selected to be a CIT. She was beyond thrilled. Being a CIT means you get to attend TWO weeks of diabetes camp. One week is training at camp, and the next week is putting to use all the skills you've learned at camp.

And you know what else diabetes camp means? You are together again with your DBFF (Diabetes Best Friend Forever), the indomitable Lily! Lily also applied and was chosen to be a CIT too!

The mandatory 'exchanging of gifts' every time they see each other.
It was raining, so we did it in the back of the car!




And when diabetes camp starts on the day of your 16th birthday, well, that's even better. Why? Because the whole camp gets to sing 'Happy Birthday' to you at dinner time, and your DBFF makes you a 16th birthday crown, which you wear proudly.



As a CIT you get to do a lot of the 'grunt work' of the camp, as you are learning how to be a counselor. Everyone takes their turn being the lowest gal/guy in the ranks. We have all been there, done that. I told Grace to suck it up and do what is asked of her. She ended up liking all that was asked of her, even serving the campers meals appealed to her after a while. She also got certified in CPR while she was at camp, BONUS! She learned how to set up games and events, talk to campers about BGs, help others learn to carb count and watch counselors run groups and activities.

Lily, Emily and Grace (CITs) with Jon and Beca (Counselors)

As a CIT, you get to help check camper's BGs at 12 am and 3 am. I might have chuckled a little when she told me this on the drive home. She said 'OMG Mom, I am sooooooo tired!' My only comment was '10 years honey, 10 years' and she looked at me and said 'I know, I thought of that!' The night time checks are fewer now, but for years, my time was 2 am. I am still recovering from the sleep deprivation. 

She loved the younger campers. She said they reminded her of herself when she was 8 and 9 years old. She said 'Mom, one girl was just diagnosed 10 months ago, and here she was at a diabetes camp. She told me she LOVES it even more than Girl Scout camp. She said she finally had other friends who had diabetes!' Grace said she welled up. She remembers being that little girl. Not a soul did she know when she went at age 8. I remember dropping her off, thinking 'What have I just done?' I hope the mom of that young girl knows that she found her tribe here at camp.

Photo booth camp fun!
Camp pick up. Tired, grimy and happy.

Now that she learned all these skills, she goes back for the second week of camp! During the second week of camp, she puts all she learned to use, in a cabin with campers along with a counselor. She is home for a week, getting all things cleaned and getting lots of sleep right now. Then, she is back at a different camp run by Setebaid Services next week. I literally just wash it all up, then repack with Grace. 

I asked her if she had fun. She said she did. I asked about her friends. She said she was glad to see them. The most telling part was when we arrived at camp and entered through the camp sign.


'Ahhhhh, I'm home.'

And here's all you need to know about the friendship of Lily and Grace.




Camp Year 2
Camp Year 3
Camp Year 4
Camp Year 5
Camp Year 6
Camp Year 7
Camp Year 8



Tuesday, March 20, 2018

Sugar Medical Diabetes Bag & Discount Code!

You guys and gals out there know I love a good diabetes medical bag! They are hard to find, first of all. Stylish ones are exceptionally hard to find. Getting a bag that fits everything a 15 year old needs, and is willing to carry, even harder. Guess what? Found one!

I have written before about 'MacGyvering' medical bags out of makeup kits. A gal has to do what a gal has to do. Sugar Medical contacted me about a month ago and asked if I would be interested in reviewing a diabetes supply bag on my blog. I said sure, and Sugar Medical sent me an OmniPod diabetes supply bag for free to review (full disclosure here, folks).  I told them that Grace had a Sugar Medical bag from about five years ago. They replied that they've updated the OmniPod supply bag to make it even larger and more convenient. I was in.

This bag, however, needs no MacGyvering at all. It fits everything. It's stylish. It passes the muster of a 15 year old girl (maybe the most important part). It's small to fit into a purse, or it's large enough to carry on your own as a wristlet. The choice is yours.

Sugar Medical Supply Bag



I love the outside of the bag that leaves a place for ID. It can become a small wristlet if Grace likes. This could hold some money too, or a debit card. I always look for a diabetes kit that has some kind of place to hold information. If Grace loses her kit, her name card and contact information could be right there. The pouch is very sturdy and closes with Velcro. Thanks for thinking of how useful this could be, Sugar Medical!


Grace chose the 'Cora' print bag. She's a fan of flowers and prints. She also rocks the OmniPod, and this case is made for it. There are many other prints too for the OmniPod. Sugar Medical also has travel bags, backpacks, purses, OmniPod gel skins, and insulin cooling cases.

Let's look at how pretty the Cora bag is...


Ahhhhhhhhhhh. You would totally carry that too, right?! Right.

You see that little pouch on the outside of the bag? The one that is discreet? Well, you can slide your diabetes-trash like used test strips into the hole inside the kit, and they end up here, in this pouch! See the oval metal slot there, the one just under the Velcro tabs in the first picture, then clear in the second picture? That's where you slide in the used test strips and they fall through to the pouch. Magical, Sugar Medical, magical!





Now, for what's inside. The most important thing for Grace is that it holds everything she needs. She likes to have everything handy, in one place. No fishing for this and that in another bag and no separate bags. Everything contained. Sugar Medical bag does!

Grace has in her supply bag...

  • OmniPod PDM
  • Freestyle test strips
  • Delica lancing device
  • Novolog insulin
  • Extra OmniPod
  • Glucose tabs
  • Unisolve wipes
  • Skintac wipes
  • Extra Delica lancets
  • Two needles (just in case)
  • Alcohol wipes

It holds everything she needs for a complete Pod change should she need. That's really important to me. She just needs to grab and go. No thinking about packing another Pod, or if she has Unisolve or SkinTac. She reloads her kit as needed. 

This is the great part about the bag - it has the mesh pocket on the right side of the bag that lets you see everything you have. None of this hidden mumbo jumbo where you have to guess what you have. The mesh side bag was able to hold the extra OmniPod, a tube of glucose tabs, two needles, several packs of Unisolve, several packs of SkinTac, several alcohol wipes and a few extra Delica lancets.



Grace likes the silicone cover (the pink one that's on there now in the picture) on her PDM at all times. If you choose not to have the silicone cover on, Sugar Medical supplies Velcro strips to stick on the back of your PDM, so that the PDM stays secure within the kit. Neat idea!

Grace has used this bag for the past two weeks. She got compliments on the print and some of her friends noticed she 'switched kits.' It fits great in her backpack at school and fits right into her purse when she is home. 

You know the best part of this review? 

YOU get a discount code for purchasing your own Sugar Medical diabetes supply bag! Sugar Medical was kind enough to provide a code for 15% off your purchase. Just use code ASWEETGRACE15 for 15% off your purchase at Sugar Medical. The code expires on 4/21/18.


Thanks Sugar Medical for the OmniPod diabetes supply bag for Grace to review! You make great bags that make having diabetes just a wee bit better and certainly more stylish!




Monday, January 29, 2018

Grape Glucose Tabs: A Love Story

This is a love story, I guarantee you. There are some things that you should know first.

Grace only uses CVS Grape Glucose Tabs when she has a low blood sugar. It's the only flavor she likes and they are not chalky (yeah CVS!). If you are new to the Type 1 diabetes game, glucose tabs are like quick shots of pure sugar. They raise a person's blood glucose levels quite quickly. Along with Juicy Juice and granola bars, they are Grace's 'go to' when she finds herself having a low blood sugar. Low blood sugars are dangerous. Your body and mine all depend on glucose to run all the cells in our body. Low blood sugars are your cells slowing down, trying to conserve glucose to keep you going. Lows are more dangerous than highs, in my opinion. Lows lead to passing out if you don't give your body some glucose in order to run.

Grace uses about a bottle and a half a month. Wow, that's a lot you might say. I don't compare her to anyone else, so I wouldn't really know. Is it? Who the hell cares anyway, she uses what she uses. And no, she doesn't experience 'a lot' of lows. Thank you for your advice you are about to give, but no thanks. She's got this.

This is why she uses a lot of them. She stores them various places in little easy-to-carry tubes.
She has glucose tab tubes:

  • in her diabetes kit that goes wherever she goes
  • in her school backpack
  • in her purse
  • in her dance bag for dance class
  • in her dance backpack that she takes to dance class
  • in the glove compartment of each car
  • at the nurse's office at school, in her care kit for emergencies
  • in my purse
  • two spare tubes on the diabetes shelf in the kitchen, for 'grab and go' needs
  • in her bedroom next to her bed
  • there are other hidden places she probably doesn't even tell me
  • she might have some at a friend's house, I don't even know
  • there may be some in her coat pocket
And we reload them from the large tab containers.

I went to CVS to buy them as she was out. Hmmm I thought, none at our local CVS, that's odd. I'll hit the next CVS down the road. Hmmm, empty shelf there too. Checked yet another CVS. Empty shelf. Little bit of panic set in. No problem, the wonders of the internet, right? CVS.com will have them. Nope, they don't. The tabs don't even appear on their website.

Noooooooooooooo.

So I did what any mom would do, I posted on Facebook with a picture of the tabs.
All hands on deck in a time of crisis.


And my friends responded, from far and wide. They encountered empty shelves, and texted me pictures of empty shelves, and said they were going to the next CVS to try and find them. They named the stores they had been to, so others would know they didn't have them there. They sent me texts of 'Score!' and 'I got 'em!' Bottles were handed to me as I entered work today, and more were promised tomorrow, bottle are coming in the mail, and bottles are being dropped off at my door.



I have bottles of CVS Grape Glucose Tabs from Minnesota, Seattle, Northern NJ, Pennsauken, New York, Collegeville, Lansdale, Center City, Pittsburgh and beyond.

To my friends who responded to my call to action so splendidly, thank you. You came through in spades. Grace and I are indeed very lucky to call all of you friends. There is a saying that it's the friends you can call up at 3 AM that matter. You are my 3 AM friends.

Thank you, my village, for making something that at times is so awful, so very wonderful.






Tuesday, January 9, 2018

Year 9

Grace was diagnosed with Type 1 diabetes on January 9, 2009. This year, 2018, makes NINE years of living with Type 1. Nine years is so very close to the big TEN. That reminds me, I have to apply for Grace's 10 year medal from Joslin. Imagine that, ten years. At times, it seems like ten minutes, then there are times that it feels like every minute of those ten years.

Here are the past years if you care to take a look.

Year 8
Year 7
Year 6
Year 5
Year 4
Year 3
Year 2
Year 1

Grace is pretty much on her own. I am still involved with changing basal rates but everything else is all hers. Carb ratios are hers. There are days, sometimes multiple days, that go by and I don't know a BG. I take a look in her OmniPod PDM and sure enough, all the testing is there. Every single day. She remembers to test before lunch at school. She remembers to test when she walks somewhere after school with a friend to get Starbucks. She remembers when she is at her friend's house at a late night party. She stays up later at night if she is high, checking herself. She writes down on our shopping list to please grab some more juice boxes for her and some granola bars, please.

I always tell Grace as she leaves for whatever event she is going to - 'Text me if you need help on any foods' - but frankly, she never does. She may relate later that she had a couple slices of pizza and some chips and dosed 50, and sure enough, there she stands later at a prime 106 BG.

This is a sample text from her about our life right now:







I try not to judge others and their management of their kids and teens, I really do. All I know is that I have learned that this is not MY diabetes. As much as I want to take it from her, I can't. All I can do is promote independence while teaching her what I know. I am not in this to get the perfect A1C. I am not in this to win at who can stay in range the longest and the tightest. I am not in this to prove I can rock a pancake breakfast and see no spike at all. I am not in this to watch her BG 24/7/365.

I am in this to create a young woman who manages her diabetes and is emotionally healthy and owns it. If I died tomorrow, she would be good to go on her diabetes. She knows what to do and is allowed to do it. It took years to get here. She's going to be 16. Soon she will be done High School and off to college. I'm just backup right now, then soon I will fade away. And this kid's gonna be alright.

Happy 9th Diaversary, sweet Grace, you are awesome.

I asked Grace to send me a picture that she would like on this blog post. True to form, she sent me these two.