I spent from one till almost five this evening at Sick Kids with a nutritionist, Nat's diabetes nurse, and my step-MiL, learning how to manage Nat's diabetes with a completely different method. We've been using Humulin N and Humalog, two injections total a day, and Nat's had a lot, a lot, of variability in his numbers. On Friday evening we switch over to multiple injections a day and using a peakless insulin called Lantus. We'll be giving Nat injections every time he eats more than fifteen grams of carbohydrate, probably five times a day. This should allow us to match his injections to his carb count instead of frantically trying to tailor his hunger to the injection schedule. It will probably be rocky for the first couple of weeks, but I think we're ready.
It will mean a lot stricter carb counting, but also allowing him to eat whatever he wants (more or less), with a lot more chance to explain. Like, "You can have an extra serving, but you'll need more insulin so you don't go high." It means more chance for Nat to be directly involved in his care, which is good. I'm still absorbing the details. We'll start over the long weekend, when Geoff will be home, and revisit all the numbers with his nurse on Tuesday.
I'm really tired, but not in a sleep-deprived way, which is weird. I realized I've been away from the house and very busy three days out of the last five. Normally I go out with a couple of kids or on my own less than once every two weeks. It's strange not being here to switch over the laundry, do the meal planning, or read aloud. I feel a little discombobulated.