Ruth isÂ mum to 5 year old Aidan and 3 year old Sarah. She’s from Meath, married to Galway man Mike and lives in Kildare -( practically cosmopolitan ;-)!)
Ruth was formerly the Deputy Sport Editor of the Leinster Leader but when the children came along, juggling family life a with a need to be pitchside at weekends proved an enormous challenge. She now worksÂ as an editorial designer for the Iconic Newspaper Group
RuthÂ suffers with anxiety and spoke to me very honestly about the realities of coping with parenthood while struggling with her mental health.
Realising there was a problem…
Itâ€™s hard to pinpoint, because I really only admitted it to myself about three years ago. I think it all started when my father died almost eight years ago. I donâ€™t think I grieved for him properly and it all stemmed from there. In October 2016 I finally sought help and was diagnosed with a stress and anxiety disorder.
How it materialises…
When I donâ€™t have it under control Iâ€™m an absolute mess. I stress about everything and I mean everything! I would have an idea of how a day would have to unfold in my head and if it veered off course I really couldnâ€™t cope. I can also be quite obsessive about things at my worst, while I would have real trouble with having any sort of patience.
A lot of people think anxiety is all about being scared of Â being out in public, and while social anxiety is a problem for many, itâ€™s actually not a problem I have. My problem was literally being on edge all of the time but I always put on a brave face in public and was always social.
How becoming a parent exasperated things...
The one thing a parent needs in patience! Also children rarely do what you want them to do, so that loss of control was very, very hard to deal with.
The effect on my family…
Itâ€™s fine now but before I got it under control I really donâ€™t know how my husband put up with me. I was paranoid and always thought I had done something to upset him when I actually hadnâ€™t. However there was plenty of times I did annoy him with my obsessiveness about keeping the house clean.
I also made life hard for the kids, particularly Aidan. I gave out to him for just doing normal kid things. Iâ€™d often freak if he spilled a drink or knocked food from the table. When I think back now, I was a nightmare. My behaviour definitely affected him but, as a family we have worked on that too and heâ€™s a happy go-lucky five year old now, thank God.
I do worry that my stress and anxiety will become a learned behaviour for them.
How I cope…
By taking my medication!! Medication might not be for everyone but, for now, it is for me. I have ceased taking it before and did well for a while and then, out of nowhere, all my stress and anxiety returned and I just couldnâ€™t do it all over again. Now, I donâ€™t feel anything but normal, I just feel level. I donâ€™t sweat the small things, I donâ€™t worry half as much as I used to and I am able to relax.
The children’s awareness…
They canâ€™t not notice. Obviously they are too young to know exactly whatâ€™s wrong but donâ€™t kids always pick up on their parentâ€™s moods?Â
I don’t tell them, they are too young. However if I step out of line with the giving out I will always say sorry to them. I think thatâ€™s important.
My husband first and foremost. I think if the roles were reversed I would have thrown him out years ago! He is the most patient and supportive human I know.
Being open about it…
Iâ€™m not ashamed of it. Itâ€™s part of me so why should I hide it. I wrote a blog post on it and the response I got from other women who felt the exact same way was staggering. If even one of those women sought help having read my post, it meant sharing my mental illness was worth it.
I think some people are slightly taken aback about just how open I am but for the most part, people are fine about it.
The positive it has added to my parenting journey…
Iâ€™ve learned to be calm and stop rushing all the time, which the kids love now!
When people used to tell me to calm down! It was like a red rag to a bull for me! I so desperately wanted to calm down but no matter how hard I tried, I couldnâ€™t.
Advice for other parents going through similar difficulties…
Talk to someone, be it a partner,a friend or even a stranger. When you open up about how you are feeling it will all just come out of you and then you can discuss what route you want to go down in terms of getting help. And remember, it is nothing to be ashamed of.
How to support a friendÂ who is struggling…
Take the person out of the situation that is stressing them. Take them out for dinner or drinks and chat, chat, chat and laugh! Donâ€™t they say laughter is the best medicine!
My favourite thing about parenthood…
Hearing my two babies laugh. My son has the heartiest laugh you will ever hear. I sometimes stand back from the bathroom door when they are in the bath together. They think I am not listening and the two of them are always roaring laughing together as they splash each other. Itâ€™s the one thing that will instantly lift my mood.
Geraldine from Galway – the proud mum of three uniquely different and full of fun boys – married her husband on the TV programme, “Don’t tell the Bride”, back in 2012.
She is a writer, but life is not as simple as that – in addition to being a writer she is an advocate,doctor, dog-walker, mum and full-time carer for her eldest son Ethan who has a life limiting condition.
Here Ger talks to me about the realities of being the parent of a child with a terminal disease, how overwhelming it can be, her worries for her other children and the support that she really needs.
Realising something was wrong…
Ethan was diagnosed in March 2008 . Ethan was born in 2002 and from 2003/2004 , we knew something wasn’t quite “right” with our little man . Ethan was hitting every milestone early but suddenly at the age of 18 months he began to lose words or forget how to make his favorite jigsaw puzzle. At first we thought it could be an “off” day but then it happened more frequently and he began to get chest infections every other week . Seasons didn’t matter, he was sick with a runny nose almost the whole year round . He didn’t look like us or any family member and he was toe walking . His belly was sticking out while he didn’t seem to be able to straighten his fingers .
For every new word he learned, he lost three. He didn’t seem to be able to hear us.Â Heâ€™d often sit and stare out the window shouting at nothing. His hearing was the first thing doctors zoomed in on and often used his hearing loss to explain his unstable walking . The second thing was behaviour and we were told that Ethan has Sensory processing issues along with a mild learning disability and possibly Autism ; we agreed with all that but believed that there was more , something else wasn’t quite right . After years of begging the doctors to listen to us , finally in February 2008 we were heard . A wonderful doctor sat down and let me talk and talk about all my worries – that doctor had little choice but to listen as I had refused to let Ethan have another set of grommets inserted when clearly they were not helping him hear . I caused holy war and finally got the right doctor ( up until then I had only access to an ENT doctor who just thought all Ethan’s symptoms were hearing related along with my “over anxious young mother ” nerves !) Ethan was finally diagnosed with Hunter Syndrome two months shy of his 6th birthday .
Handling the news…
Well, how can any parent understand when the doctor tells you – “You won’t have him for long ,go home and love him. “Â Â Our old world ended that second ,that minute ,that hour …
Nothing was ever going to be the same again – that is all I really understood that day.
Hunter syndrome and the prognosis…
Hunter Syndrome is a rare genetic syndrome . It is progressive. Â There is no cure . The body is missing or has a damaged enzyme which is in every cell of the body . This enzyme helps breaks down waste in our body (not poop , FYI !) .
Without the enzyme the waste has nowhere to go ,so it builds up and up until there’s no more places to store it . As it builds it affects every single thing in the mind and body . Then when it’s finished the person generally passes away , by then Hunters has taken everything from them …speech , ability to eat, walk , communicate … absolutely everything .
Hunter Syndrome does have a treatment which helps slow down the progression of the syndrome , but that only works for so long – you’re basically buying time .
There is a possibility of a cure and ongoing research but for our son, it is too late.
The impact on Ethan’s life so far…
Ethan now has a peg for medications . He is on a special diet of blended food. He uses thickener through his drinks . His speech is all but gone and he’s losing his ability to walk and eat .
Yet he smiles and laughs and tries his best to sing and dance still.
And the impact on ours…
It’s devastating to watch your child fade away . It’s an eye opener, a reality checker and a perspective maker. It’s changed us profoundly . It’s given me life and broken my heart a million times over.
For a long time we had sweet feck all! We did have a family support worker from 2010 for ten hours a month. This was to be taken off us in 2012 but I fought tooth and nail to keep him as he adores Ethan and is very much part of the family now.
Temple Street Children hospital have always been excellent at trying to get us supports and help here in Galway but up until 2013, we were getting no Respite and no outside help , only ten hours a month with the family support worker.
We’ve two other boys and we have to give them a childhood too , without help , that’s very difficult .
Currently we have respite , home help and Lauralynn
LauraLynn and the struggle to accept our need…
LauraLynn and much more support ( more respite ,home help and social worker, community nurse, public health nurses…) all came into the fold last year as Ethan had a rapid decline . He lost the last of his speech and became very violent .
We thought we were going to lose him.Â LauraLynn stepped in to offer support for Ethan and us , our family.
I was afraid of LauraLynn because the word “hospice” is attached to it . I didn’t want to go and refused the first time it was suggested. I felt it meant that I was ready to let my baby go – I’ll never be ready .
But with a bit of support from our medical teams here in Galway and Dublin we ventured up late last year.
It was surreal. It was heartbreaking . It was beautiful.The staff are amazing . Â We haven’t been back since due to ill health and getting the time off to go there(husband works outside of the home) Â but we are due back in June for a few days – this time all of us .
I’m anxious about my other two boys experience there ; I am sure that they will find it hard but also helpful , as there will be a team for them too so they can talk and play freely .
Coping with it all…
I didn’t for a long long time. I was great at locking Hunter Syndrome away in the back of my head during the early days .
But Hunter Syndrome didn’t break it’s promise to me – it did take and still does take and take from my son, Â so I had to face it .
I’ve had a lot of counselling and recently I have turned to mindfulness -which I have found to be brilliant for me . I have severe panic attacks and suffer with anxiety, stress and everything you’d expect a parent of a dying child to live with – but I am managing it as best I can.
I also write .Â I made a little dent for me and my style of writing. I have found my niche and my soul finds peace behind the computer screen while my fingers dance over the keyboard.
The highs along the way…
The people I have met .
The kindness I have been witness to.
The families that live this life along side us , whether they are in Ireland or New Zealand !
Ethan getting a courage award, a make a wish trip and his pending 16th birthday celebrations .
The funny stuff Ethan did when he was younger .
Ethan’s laugh .
Ethan’s ability to bring out the goodness in people while calling them a Ballio – let me explain that a little – when we were told Ethan would lose his speech ,we stopped correcting the curse words he used and to this day he still uses the word Ballio which is the B word .
Simply put Ethan has been the greatest high through the diagnosis.
And the lows…
Hospital machines , watching them ,praying for the stats to climb up so my son doesn’t need to be ventilated.
March 2008 – the day I really heard how deafening silence can be .
Ethan’s violent outbursts especially when he’d hurt himself. I’d take the kicks, punches , pinches over and over rather than to see him hurt himself.
Ethan being sedated for his own safety.
Coming to realise that Hunter Syndrome will win this.
The support I need…
Help for my two younger sons . I worry about their mental health. Mental health check up for us , Ethan’s parents and extended family members.Â Â When we ring regarding Ethan’s needs be it a huge thing or something small , I wish we didn’t have to go on a damn list.
Yes I’m asking for special treatment. I wish we didn’t have to reapply for medical card or for Ethan disability benefit , I really think families like ours could do without that stress . Once a child is deemed terminal everything should be automatic , I shouldn’t have to prove he’s not cured …ya know ?!
I do wish those who donâ€™t know about Ethan’s condition wouldnâ€™t wait to give us the supports we need until it becomes a crisis ; for example I have been asking for a home adaptation for two years now which has now hit a crisis point as Ethan is no longer able to sleep safely in his bed at night , but we still have to wait for all the paperwork and Â approval before they city council even think about building a downstairs bedroom and bathroom. This was the stress I was trying to avoid , I thought if I applied in plenty of time it would all be there for when Ethan needed it but alas that is not what happened due to I believe a lack of understanding of the word â€˜progressiveâ€™ in Ethan’s syndrome.
My advice for parents whose child has received the diagnosis of a life-limiting condition…
My advice would be to make memories . Ask for a good social worker , an experienced one who can fill out all the forms and just get you to sign them – trust me giving up a job will be the first thing you’ll do ( I did) Know the law regarding the state’s obligation to your child.
Take a mindfulness course , give it your all , it will help .
Remember that life no matter how sad, is for living. Enjoy as much of it as you can while you can .
It is perfectly fine to shut yourself off from the world , just remember to open a window, even on a bad day.
I will leave you with a quote which really sums up what it is like living with a child who has not only special needs but is terminally ill –
â€œYou are now in a secret world. Youâ€™ll see things you never imagined; ignorance , rudeness and discrimination …but you’ll also witness so many everyday miracles and youâ€™ll know it. You wonâ€™t think a milestone is just a milestone , youâ€™ll know itâ€™s a miracle. Youâ€™ll treasure things most wouldnâ€™t think twice about . Youâ€™ll become an advocate, an educator, a specialist and a therapist but most of all, above all this , youâ€™ll be a parent to the most wonderful child’ –Written by meÂ (Ger Renton)
Benat like most fourteen year old boys loves computers and tennis. Unlike most fourteen year old boys however, his daily routine involves medication, physiotherapy and blood sugar monitoring -Â because Benat has Cystic Fibrosis.
Ireland has the highest incidence of Cystic Fibrosis in the world and here Benat talks to me about the realities of living with this incurable disease.
What Cystic Fibrosis (CF) is …
CF is an inherited disease that primarily affects the lungs and digestive system, it causes mucus to build up in the lungs and you tend to get frequent chest infections over time.Â Â I got diagnosed with Cystic Fibrosis (CF) when I was 19 months, which is quite late because they now diagnosed CF at birth.
There is currently no cure for CF and the life expectancy for this awful disease is about 38. There are currently two drugs approved for Cystic Fibrosis here in Ireland to help prevent CF getting worse called â€˜Kalydecoâ€™ & â€˜Orkambiâ€™ these are not cures so they donâ€™t stop all the symptoms of CF.
What the infamous Orkambi drug has meant for me…
Just over a year ago, here in ireland Orkambi was approved for patients aged twelve and up. Before its approval I was thankful enough to be on the Orkambi trial. That meant I got a head start on this amazing drug.
I started the Orkambi trial in January 2017 and I was expecting it to work straight away (which was not the case).
Orkambi for me took a good 6-7 months to notice changes such as my weight – my weight went up by approximately 16kg!
I grew a lot taller, I now have a lot more energy and better overall health.
My lung function has gone up also by a good 4-5% since taking Orkambi. I haven’t needed to go into hospital for anything other than my routine 4 monthly appointment. So I would say for me, Orkambi worked in a slow way but made me so much better
How Cystic Fibrosis impacts my life…
CF impacts my life in different ways, for example, every day I must take Nebulisers, Tablets (25), Inhalers, Airway Clearance, Exercise, Insulin, Manage my blood sugars.
Every day I have to be careful of who is well and whoâ€™s not. With CF, if Iâ€™m near someone who is sick I can very easily pick up whatever they have if itâ€™s a cold or a bad cough. So Iâ€™m always wary of whoâ€™s well and whoâ€™s not.
Â The biggest misconception…
I would say one of the biggest misconceptions with CF isÂ some people are afraid theyâ€™ll catch CF. Itâ€™s impossible to catch CF because its is a genetic disease thatâ€™s inherited from both parents.
Â One thing I wish people knew about CF is that we may look fine on the outside but you donâ€™t know whatâ€™s actually happening inside.
How my friends react…
When I tell my friends I have CF, itâ€™s quite funny because most of them have never heard of it and are always interested to know about it and there always very supportive.
Not letting it restrict my dreams..
My hope for the futures in to go into media particularly TV and Radio.
To learn more about Cystic Fibrosis visit Cystic Fibrosis Ireland here
Jenni is married to gadget and technology loving Aussie Andy (who goes by the affectionate and wholly original nickname Skippy in certain circles). Mum to drama and dance loving daughter Alana (7), and would-be astronaut son Zach (6), she lovesÂ coffee, spending time with her family and friends, travelling and watching her children play together happily.
Being a stay at home mum wasn’t something Jenni visualised for herself but as she says,Â you never know what “curve-balls life will throw at us”.
Jenni’s curve-ball came in the shape of a diabetes diagnosis for her daughter at just two years old. She explains the reality of life with a child who has a chronic disease, and the significant restrictions involved.
Suspecting something was up…
My husband Andy and my sister also have Type 1 diabetes so I was somewhat aware of the symptoms. It all happened quite quickly over the period of about a week. Alana had been particularly grumpy and tired leading up to that week, which I had put down to the typical “terrible twos” stage and the fact that I’d just started a new job after a year off with my babies. As the week went on she started asking for more and more water and was going to the toilet more and more frequently. When she started waking at night crying for water alarm bells really started ringing. I remember lying awake at night googling symptoms and trying to convince myself she was ok – like I hadn’t noticed a big weight loss or sweet smelling urine.
I’ll never forget THE DAY. We spent the afternoon at Brittas Bay with friends, I confided my fears to a friend that same day but again convinced myself she was ok. Then after we got home we noticed that she went to the toilet 3 times within half an hour, so we used Andy’s glucometer to do a blood glucose test on her. The result just read “HIGH”. Our fears were confirmed and we rushed straight to A&E!
Alana was sent straight to the triage nurse as soon as we arrived in A&E. The nurse did another blood test with a glucometer to check her blood glucose levels and again the result read “High”. Before treatment could begin we had to await the results of a further blood test to confirm certain antibodies were present. Type 1 diabetes is an autoimmune disease – Alana’s immune system was attacking the insulin producing beta cells in her pancreas. Without insulin glucose cannot be absorbed by your cells, so the body starts to break down fat for energy. This process causes a build up of acids in the blood called ketones, which will lead to a dangerous and life-threatening condition called “diabetic ketoacidosis (DKA)” if left untreated. Because my husband is a type 1 himself, we were fully aware of this danger so the formal diagnosis couldn’t come quick enough – we knew she needed insulin and she needed it fast!
Our feelings on diagnosis…
HEARTBROKEN – although we knew in our hearts she had Type 1 diabetes as we were racing to A&E, the formal diagnosis hit us both like a tonne of bricks.
I also felt really AFRAID – how were we going to manage a 2 year old with this condition? How would we constantly prick her little fingers to do blood tests and give her daily insulin injections? What damage had already been done to her little body? Would we ever sleep again for fear she’d slip into a diabetic coma overnight?
LONELY – we realised quite quickly who our real friends were and that some people would just never understand the impact (and potential danger) of this disease no matter how much we tried to educate or explain. We received a lot of “At least she doesn’t have xyz”, or “Sure that’s fine, isn’t Andy a Type 1 so it’ll be no bother” and the classic “Sure she’s so young she’ll know no different”
Then there was the GUILT – had we done something to cause this?
The misconceptions about Type 1 Diabetes..
The main misconception is that Type 1 and Type 2Â are the same thing. While they are both characterised by having higher than normal blood sugar levels, they are caused by different things and treated in different ways.
There is a lot of media attention on Type 2 diabetes and how lifestyle choices (bad diet and lack of exercise) can increase your chances of developing Type 2 diabetes. Then the old diabetes jokes that if you eat 36 Mars Bars or whatever you’ll get diabetes. Â I feel there is such a stigma attached to the disease, that it is your own fault for getting it and easy to control or prevent!
People (including professionals) don’t always differentiate between the 2 different types of diabetes or give all the facts. Type 2 although often associated with excess body weight, can occur in people who are of a healthy weight – it can develop as a result of the effect of other medications or just purely because of your genetics! You could be extremely unhealthy and never get it too. I don’t know much about the treatment but I believe losing weight (if needed) can postpone the development of type 2 or put it into remission, then there are tablets you can take and finally you may end up on insulin therapy.
The cause of Type 1 diabetes is unknown. A person does need to be predisposed to the condition but for a lot of families it seems to strike from no-where.Â No-one had type 1 diabetes in either of our families before my sister or my husband were diagnosed. Something needs to trigger the autoimmune response that causes the beta-cells in the pancreas to be attacked. With Alana is is presumed to have been triggered by a virus. Nothing we did caused this monster to take over our child’s body!
Another misconception is that Type 1 can be controlled or “cured” with a special diet. There is no cure for Type 1 diabetes. It can only be managed with injections of insulin. You could of course limit the amount of insulin needed by eating less carbohydrate containing food but a child needs carbohydrates for growth and development. Also there are so many factors that affect insulin needs, not just food – the time of day, exercise, illness, growth spurts, stress, excitement, the weather to name some; I already dread the effects puberty will have on her blood glucose levels!
The symptoms of type 1 appear quite suddenly and worsen quickly. Watch out for increased thirst, frequent urination, extreme hunger, weight loss, irritability and fatigue. We have heard so many stories from other parents who have experienced GPs assuming these symptoms are just a virus, and are lucky that their child is still with them today! Please ask for a blood glucose test if you feel your child shows any typical symptoms. Type 2 has similar symptoms but in contrast often develops slowly over years. Type 1 although usually diagnosed in childhood or the early teenage years can also present in adults!
And most importantly – yes Alana is allowed to eat sweets and cake! No food is off limit as long as we counter-act the amount of carbohydrate in it with insulin. Just like any other child a healthy diet with treats in moderation is encouraged.
The immediate (and continued) impact…
Alana could not be discharged from hospital until her ketone levels were safe and Andy and I were trained and capable of caring for her, so we pretty much moved into the hospital for a few days.
It was very difficult trying to cope with the emotional side whilst also learning how to basically keep her alive. Information overload is an understatement. Although Andy is also Type 1, it is very different managing a child as you cannot feel how she feels.Â She was also only 2 and understandably did not take too kindly to finger pricks and injections.
It did help though that it was not a completely foreign disease to us and I knew some of the basics already. She also didn’t like sugary foods or drinks – again she was only 2 so just hadn’t been introduced to them! Initially we lived in fear of her blood sugars going low as the treatment is to eat or drink fast acting sugar immediately.
The biggest change for me was taking the decision to resign from my job to care for Alana (and of course her little brother Zach). I’d only started a new contract role, which was a 50 minute commute and full-time.Â We were lucky that we could just about afford to do this with some cut-backs.
The first few weeks were intense as we worked closely with the hospital team to adjust her insulin levels to suit her individual requirements. This involved recording everything she ate and how many units of insulin we gave her, regular blood glucose tests throughout the night as well as during the day, hospital visits, and daily phone calls to the nurse team.
I do believe I lost a part of myself when I stopped working. It definitely affected my confidence (and still does!). I would find it very hard now though after spending the past 5 years off work as a full-time mum to go back to a full-time role and it would be hard to find someone I’d trust enough to manage Alana during all the school holidays etc. Because I spend so much time with her it is easier for me to spot trends and make background insulin adjustments for example.
We do not have to juggle work to attend hospital appointments or if either kid is ill and I love being able to attend all their school shows etc. There are pros and cons but there is no doubt that you are just as busy (in a different way) when you are a stay-at-home mum!
We are very conscious that Zach does not feel left out but the reality is that Alana’s condition requires extra attention. Type 1 diabetes is a 24/7 role – you do not get a break from it but it does eventually just become part of your daily routine.
A typical day…
As soon as Alana awakes her blood glucose level is checked. Her breakfast is weighed and the amount of carbohydrate calculated and this combined with what her blood glucose level is determines how much insulin she requires.
Alana now wears an insulin pump which we programme to do a lot of the calculations for us, so for any food she eats throughout the day we enter the amount of carbohydrate in it and the pump delivers the required dose of insulin.Â We have a notebook system with her school, so for her snack and lunch I write out the carbohydrate value and her SNA delivers the insulin via Alana’s insulin pump.
Throughout the day she would do at least 4 blood glucose tests – It can be more depending on what activities are happening on that day and how her blood glucose levels are running on that day. She does not go anywhere without her glucometer and treatment for hypoglycemia (low blood glucose levels). If her blood sugars go low she needs fast acting sugar immediately. In contrast if her blood glucose goes too high she needs more insulin.Â It’s all a balancing act! I never go to bed until I know she will be ok overnight (or if needed I will set an alarm to wake and check on her).
I cannot leave her with anyone who is not aware of her medical condition and knows what to do if she goes hypoglycemic (for me that is my main concern). They also need to be aware that she cannot eat carbohydrate containing food unless she is first given insulin, so for parties, camps, playdates etc I will always be there at food times to deliver insulin.
Her insulin pump is attached to her by a cannula. Every second day the insulin reservoir is changed and the cannula removed and a new set inserted. She also wears a sensor which continuously monitors her blood glucose level. This is removed and a new one inserted every 6 days or as needed. We also monitor trends in high or low blood glucose levels and amend background insulin ratios and calculations as needs be.
Our support network…
My parents were invaluable as they minded Zach whilst we were being trained and snuck into our house to leave a meal now and then or to do some laundry. My mum is one of the few people I’m comfortable to leave Alana with for an extended period of time, but even that requires refresher training and planning.Â Also my mother-in-law actually got the first possible flight from Australia to come and help us as soon as she heard of the diagnosis – you can’t ask for more than that! She encouraged me to get out of the house for a walk or to meet friends for coffee and just took over some of the housework.
When we picked up our first prescription from our local pharmacist, they took my number and passed it onto another mum in the area who’s boy is also a Type 1 diabetic. That mum rang me straight away and it was just so wonderful to talk to another mum in the same situation and to hear that everything would be ok!
We attend Crumlin Children’s hospital and have access to their diabetes team at any time if we have a question or need advice. Every quarter we have a hospital review with the nurses and Consultant where Alana’s HBA1C (measures Alana’s average blood glucose concentration over the past 3 months) is checked as well as her weight and height and we discuss how things are going and any needs to change her insulin doses etc. We also have access to a psychologist through the hospital who helps children and adolescents cope with the emotional impact of their diabetes. It is great to know Alana will have that access if she needs it in the future.
There are a couple of private facebook support groups for parents where you can ask advice, share tips or just rant to people that understand. Diabetes Ireland (linkÂ here)Â also have a kids club and they arrange outings and opportunities for Type 1 children to get together. Crumlin hospital also arrange some outings.
Â I feel Type 1 diabetes is an invisible disease..from the outside Alana looks like a healthy child, but a lot is going on in the background to keep her that way.
The challenges for Alana…
So far I don’t feel it has created any difficulties for Alana really. As a mum I was worried she’s be excluded from playdates and parties but thankfully this is not the case (or if it is in some cases she hasn’t noticed). I’d seen some worrying posts via the facebook support group regarding lack of support in primary schools or about SNAs just not realising the seriousness of the condition or refusing to do parts of the necessary treatment but thankfully her school have always been extremely supportive and each year she has had access to a fantastic SNA that she builds lovely relationships with and who is more than capable to care for her. She hasn’t mentioned ever been teased about her diabetes yet either.
I expect challenges to arise as the teenage years approach.Â Â We will always be there to support her but she will have to independently manage her diabetes herself.Â It will be important for her to have a supportive group of friends who don’t make her feel conscious or embarrassed by her conditions and that understand that if she acts “off” it could be because her blood glucose levels are too high or too low and how to manage that. We will need to watch out for “diabulimia” where people deliberately restrict insulin and run their blood glucose levels too high in order to lose weight and “diabetes burnout” when you have had enough and grow tired of managing diabetes 24/7 so you just sort of give up for a while!Â Not looking after your diabetes properly can result in all sorts of health complications.Â Again a balancing act of stepping back so she can learn to manage herself but yet keeping an eye on things to ensure she is looking after herself and not putting her health in danger.
An additional factor…
She was diagnosed with coeliac disease last November. For about a year and a half before the diagnosis she’d been complaining of bad stomach pains and feeling yucky and her health and energy were deteriorating. She started having really bad mood swings and saying she felt sad and frustrated and didn’t know why! We suspected coeliac disease but blood tests weren’t picking it up, so were pushing from all sorts of angles to find out what was going on with her or was it just what people refer to as “growing pains”. She had a biospy last November and that confirmed the coeliac disease.
It has definitely added another level of care, it is yet another thing we have to plan for and work around. Â I never realised that for someone with coeliac disease that something as simple as touching a piece of bread and then the gluten-free food can cause a reaction (and in her case it does!). Â There are so many foods that you would think are gluten free and indeed are but because of manufacturing processes there can be a risk of cross contamination with gluten, so certain brands are not deemed safe for a person with coeliac disease. The Coeliac Society publish a Food List which at the moment is our bible! It is all worth all the effort and label reading and researching foods though as she is back to her old bubbly, energetic self already!
For the first few weeks that she went gluten free we’d to monitor her diabetes more closely as her body adjusted to the gluten free diet. Her insulin requirements needed tweaking and still do as she is still recovering from the damage the disease has caused to her gut. I have heard that once her gut is healed fully that her Type 1 diabetes may become more predictable and her HBA1C results might improve. Her hospital results are usually pretty good anyway so an improvement would be an extra bonus. We are lucky in that she doesn’t react to gluten by vomiting like some people with coeliac disease do as that would be very difficult to manage with Type 1 diabetes – if you can’t keep food down you are at risk of serious hypoglycemia.
How Alana copes…
Alana has an incredible attitude – I thank Andy for his relentless optimism that she seems to have inherited! She is actually quite proud of having both Type 1 diabetes and coeliac disease and feels somewhat special and enjoys the attention. It helps that her dad and aunt both have Type 1 as she greatly admires both of them!
When she started school we were amazed and so proud of how responsible she was in telling her SNA or teacher if she wasn’t feeling quite right – she is very in touch with her feelings!
I do notice moments of worry creeping in from time to time but they pass. She might be scared to go on a playdate (this has thankfully passed) or lately she has expressed a fear that her insulin pump will break or that she’ll be stuck somewhere with no sugar and go hypoglycemic. All we can do is re-assure her. It’s hard to get the balance right between making her feel just like everyone else but ensuring she is aware of her medical condition and what to do if she doesn’t feel right.
We want her to live as normal a life as possible and to never let Type 1 diabetes hold her back and so far she seems to be doing pretty well at that
Advice for other parents…
As hard as it seems at first it will get better – just take it day by day.Â A nurse told us that we would go through a grieving process similar to if we had actually lost our child and that did indeed happen – we lost our “healthy” Alana. Knowing that those feelings were a normal reaction really helped me get through that period of time.
As soon as you can reach out to other parents of children with Type 1 diabetes, whether through facebook support groups or the Diabetes Association. The hospital you attend may also have support groups.
When my children were born, I thought a lot about the direction their lives might take. Could one grow up be a famous doctor whoâ€™d discover a cure for cancer or some other terrible disease? Might one prove to be a talented footballer whose goal in extra time would see Man Utd relegated after a particularly poor season? Was there a chance that I might end up attending the Oscars on the arm of one talented actor son or daughter who felt their mammy was the only person who truly deserved to be their â€œplus oneâ€? Or did musical accolade await another whose fans would spend hours online trying to get tickets to their concerts that were destined to sell out in minutes?
And then the morphine wore off and I focused on the most important thingâ€“ that they would be happy.
But the world and real life seems to measure things differently. As any parent of more than one child knows, the same ingredients donâ€™t necessarily produce the same results. Just like Bassets we have allsorts in this house â€“ and I love that they are so different. Personalities, interests, abilities – all hugely different, and all contributing to the wonderful unique child that each one is.
And each unique child learns to measure themselves by standardised tests, sporting achievement and dramatic excellence. Hard work is valued and championed and success rightly acknowledged â€“ but why are all things not measured equally.
Where is the value on kindness? We know that youth mental health has never been under so much pressure. We know the influence of their peers has the potential to be with them always. We know they have to find their own way in the world without us always by their side. But while itâ€™s not a single layered issue, there is a fundamental change we could make â€“ a change in emphasis.
We see lots of advice given on what to do if things do wrong but itâ€™s reactionary and forgets that most important point â€“ prevention is better than cure.
Kindness and empathy are applauded and celebrated when our children are toddlers and smallies, and though in theory, an ethos may remain once they go to school, as the years progress and the targets become more obvious it becomes apparent that excelling at kindness doesnâ€™t feature to the same degree.
Itâ€™s probably not a deliberate omission, but how lovely it would be to see it as a deliberate inclusion, throughout the entire school cycle, recognising the different and yet same shape it can take as our children get older. A focus away from the books and the sports field. A focus on caring and compassion and thinking of others. A focus on words, actions and consequences and how to build each other up, rather than tear each other down. A focus that makes up as consistent a part of their education as their academic studies and sporting outlets.
And a focus that would surely lead to a lot more happiness.
Maybe when the morphine of achievement and competitiveness wears offâ€¦.