Hello! So I'm a new medical aide and I've been having an issue with a parent.
This child has type 1 diabetes and since the beginning of the school year, his BG has been ranging from 300 to 400, with no ketones trace in his urine. His teachers has expressed deep concerns about him, that he seems extremely lethargic and not responsive at times during class. I tried to explain to his mom about this concern, but she just brushed it off to "Just make him drink lots of water and walk around, give him his insulin (OmniPod)". It got really bad to the point where she had to call her doctor, I don't know what she told her, but she chewed me out that I need to get used to this because I will be with him the whole year. Which I understand, but 300? She seems to be really against me because I'm not the old medical aide.
Then it's gotten worse lately, the kid is still not getting better, and his BG was okay for a few days, but lately it's been going high again. I started to notice that his mom is sending him horrible lunch, mostly junk food and sugary drinks. Yesterday he had a donut, pizza, a sunny D and an orange. The teachers are seeing this too and expressed they want to call CPS on her because of this situation. I asked them that I do not want to be involved with the report, but if they come to ask me questions, I will answer them as honestly as possible.
I need advice on this situation, I am doing my job, just checking his BG, doing the proper Treatment and then sending him back to class. He is drinking his water and allowed to go to the restroom, but what else can I do for him? Should I bring his doctor in the loop? Anything would be great!
So I got in contact with his doctor, she basically said that there's no reason to call CPS. As long as his carb intake goes well with is insulin intake, then he can eat what he wants. And that she will follow up with the mom on the BG numbers she has gotten during the last two weeks and see if they have to change his medication to fix the numbers.
That is why I said don't call CPS at this point. More and more endos are fixing the insulin to the poor diet than asking for a change of diet that may be unrealistic. At some point you have to meet them were they are.
Specializes in Pediatrics, Women's Health, Education.
I would be interested to know what his A1c is.
Also, the pump might be faulty. I've seen times here in the hospital where they will take them off the pump and go back to syringes for a while and see if that helps.
SWEET! (literally) She probably never cooks a meal, have a few here, burning the candle at both end and the middle, just for good measure. Looks great, but their snowflakes are melting.
Specializes in Cardiology, School Nursing, General.
SWEET! (literally) She probably never cooks a meal, have a few here, burning the candle at both end and the middle, just for good measure. Looks great, but their snowflakes are melting.
Kid also has free lunch, and she refuses to let him eat from there because it's "unhealthy".
You don't want them eating from the cafeteria...lol
My cafe manager is so nosy about the diabetics lunches. She used to call me at least once a week wahwahing about the diabetic is eating pizza and fries and should she really be eating that! No, but were not the freaking food police.
Specializes in Cardiology, School Nursing, General.
You don't want them eating from the cafeteria...lol
My cafe manager is so nosy about the diabetics lunches. She used to call me at least once a week wahwahing about the diabetic is eating pizza and fries and should she really be eating that! No, but were not the freaking food police.
Well now I know he can eat anything, so it's like eh, go and eat your McDonald's. But if he can eat something, and she doesn't tell me he's bringing food or something, there's the lunch from school.
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MrNurse(x2), ADN
2,558 Posts
That is why I said don't call CPS at this point. More and more endos are fixing the insulin to the poor diet than asking for a change of diet that may be unrealistic. At some point you have to meet them were they are.