Wednesday, July 14, 2021

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 An sudden increase in fluid intake, accompanied by heavy urine output and more diaper changes than normal over the course of 3-4 days could be the first symptoms of Type I diabetes. If those changes are present, the child must be seen by a doctor ASAP [As Soon As Possible], or even taken to the E.R.

My wife and I cared for our now five year old grandson for nine hours a day, Monday through Friday from six weeks of age until the February before his Fifth birthday in July while our daughter and son-in-law worked. When learning to talk, he called both his parents and us Mom and Dad. He eventually learned how to pronounce Ouma [oh-ma, lit. Old Mother] and Oupa [Oh-pa, lit. Old Father]. (My South African wife speaks fluent Afrikaans.)

We, and his parents, began encouraging potty training at about 2½-2¾. About six weeks before his third birthday, he lost his appetite, began drinking lots of water both at our house and at his home, and started blowing out diapers with a suddenly increased urine volume and frequency. Our daughter and son-in-law were just as concerned as we were. About seven days into this, my wife texted our daughter at work daughter not allowed incoming phone calls]. Our daughter contacted the pediatrician's office and my wife took our grandson in for a blood test. He was diagnosed with Type I Diabetes and admitted to the Children's Hospital about 40 miles away. Most children his age end up unconscious in the ER in severe Diabetic Ketoacidosis, or DKA. We caught it before that happened so the usual five to seven day hospital stay was just two and a half. What's ironic is this daughter is the only one of our four children who struggled with simple math. She now finds herself counting carbohydrates and using various insulin to carb ratios to calculate how much insulin to give him. He turns five the third week in July and is FINALLY figuring out the toileting thing. Every time his blood glucose goes high, [sometimes several times a day] his urine output doubles. And that's with the grownups in his life closely monitoring his blood glucose and encouraging [we've changed to demanding] that he toilet.

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