Anxiety....

It's almost like clockwork. It's so predictable. And yet I hate that it's so predictable.

It's been at least 18 months since my husband and I have had a break from the tag team parenting that is necessary with my middle daughter. Despite her being 12 years old, we can never leave her alone. Not even to run into town to pick up milk. Not even to leave her in the car while I run into the store to pick up milk.

She is always either with my husband or me. But finally we scraped enough $$ together to head off to Vancouver for the weekend, and pay someone to come stay with the youngest two. My older daughter has soccer all weekend so she's staying with a team mate. Our respite provider's name is Gayle, and she is wonderful! Year's ago, when my daughter was in grade two, Gayle was her EA. She's efficient, follows the plan, she's kind, she's reliable. And...she's a registered nurse. So maintaining the diabetes care isn't anything new to her, and doing respite for us helps her by adding to her nursing hours.

So what's the problem? Where does the anxiety come in? Today at school my daughter's blood sugars started rising and by lunch time they were high. As per the care plan the EA phones me, I tell her how much insulin my daughter needs to give herself, the EA watches while my daughter administers it to herself, and we move on. Except when the blood sugars are this high I ask the EA to re-test in 30 min. and phone me with the results. Thirty minutes later the EA phones, her blood sugar is still going up, so we correct it again. Thirty minutes later the EA phones and now the blood sugar has gone up significantly, despite a mass quantity of insulin that has been administered. And of course the kids aren't actually at the school, they're on a field trip 30 minutes away. I was going to go get her, but the school bus was coming to pick them up in a few minutes anyways so we agreed to meet at the school. As they pull into the school she re-tests and finally the sugars are dropping. Two hours has elapsed. If the sugars hadn't been going down we would have been on our way to the emergency room.

This type of prolonged high blood sugar is not from eating food and not giving herself insulin. This is what happens when she is anxious. She knows we're going away and even though she knows Gayle, and she will be in her own home her body goes into panic mode. And typical of my daughter, when asked about it she says she feels fine. (This is what the psychiatrist refers to when he says she disassociates). In her mind, nothing has happened. She doesn't even "feel" any of the symptoms of high blood sugar. Not physically, not emotionally. She has totally removed herself from the experience.

It's exhausting as a mom. I was all prepared to cancel room reservations in Vancouver and phone and make one at ICU. What will happen tomorrow at school? Will it be a repeat of today? Or will it be a typical day for her? Your guess is as good as mine. Will we still go away? Yes, but we're always prepared to turn around and come home on a moment's notice. So even though it's supposed to be a weekend without thinking about our kids and their issues, I know I will be.

But for now, I'll be thinking about where we should eat in Vancouver, deciding if we should go to the Whitecaps game on Saturday or see a show. I'll be inspecting funky shops on West 4th and having coffee and chocolate on South Granville. But I will always be listeing for my phone to ring.