Guest guest Posted January 31, 2006 Report Share Posted January 31, 2006 Wow! Deb, you sure have a lot on your plate. God bless you all for taking such good care of those special children. There are days when I have difficulty just managing my two who have special needs of their own! Whether or not True has RSS or is SGA (small for gestational age), the hypoglycemia and stomach issues are similar to what many of us face with our children. My son Max, especially, had had these. He is 17.5 years now and still having issues, although they are not as severe and of an emergency lately. Whew! We have been through a lot. The hypoglycemia has me very concerned. It does not sound as if it is being managed well at all. Obviously True's head being larger than his body is making his body use up glucose and glycogen too quickly. And his smaller body cannot store enough glycogen to keep his blood sugar levels up. Feeding him every 3 hours is one way to handle it, but has anyone suggested a feeding tube so you don't have to do that? With a feeding tube, he can be hooked up to a pump all night long so you and he can sleep through the night and get the rest that you need. Max had nighttime hypoglycemia for a long time and that pump was a lifesaver. As for the ulcers, welcome to the club. Max has had and still does get ulcers in his stomach. They make him reflux, vomit, hiccup, and all sorts of things. Currently he takes Protonix, a proton pump inhibitor, twice a day to turn off the pumps that produce the acid. He has been on Zantac and Pepcid also for neutralizing the acid, but he cannot take the Protonix and Pepcid together or it neutralizes the effects of the Pepcid. He has also had an H Pylori infection several times and been quite sick from that. You definitely need more help in managing True's blood sugars. I hope that something I have written will help you a little bit. Or at least get you thinking and considering alternatives. The other advantage to the gastrostomy tube is that if True is not eating well, you can just do a bolus feed and make up for what he has not eaten and stablize him so he does not crash. I also think that once he gains more weight and his body catches up a bit with his head, he will stablize a bit. has just gone through this with her 2.5 year old son Ian. He was so underweight that he could not maintain his blood sugars. Now he has a g-tube and has gained weight and his BS are stable. Jodi Z Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2006 Report Share Posted January 31, 2006 Hi Deb, How blessed those children are to have you and your husband. As an adopted child myself, and one who almost adopted 5 siblings I can see true angels on earth by just hearing of your wonderful family. My child has precocious puberty, mild cp and tight heal cords and short stuture and is abdomenlly overweigth. We live in Michigan. She was recently seen by Dr. H who sees many of the kids on this listserv. Our appointment was on Monday, Feb 09, and we still do not have results because my daughter has been making doctors scratch their heads for years! They feel something else is wrong with her, so we were asked to stay a full week so they could run every test they could think of. We did not leave till that Saturday, Feb 14, so a one day visit ended up 8 days since we got there on the 7th! I was looking at the things your kids have and I will look that up on the web page to see if any of it may match ita who just turned 9. Nice to meet you via cyber space, AvaMarie > > > Hi there > > My name is Deb and my hubby and I have adopted four children with various > special needs. All of our boys have ended up having more issues than we > originally realized so we are always needing new info and learning new things. > > Our oldest son, , would be 9 now, but he died two years ago with > Mitochondrial disease (a surprise after just being delayed from being > drug-exposed). > > Our second son, just turned 7. Gaige was dxed with High Functioning autism > years ago, however, in May 2005, he passed out on us and we found out he had > hypoglycemia. We started seeing endocrine and they realized he is in > precocious puberty, which is very rare in boys. Our geneticist now thinks that he > has a rare endocrine disease called Berardinelli-Seip syndrome which is a > lipodystrophy and only 1 in 12 million affected. Its so rare, its hardly worth > mentioning but I thought I would because some of you who have been on the list > for years maybe ran across another parent along the way...and I would LOVE > to talk with them. > > Our daughter, Bliss, will be 5 in April. She had a traumatic birth and was > diagnosed with Cerebral Palsy. We were told she may not walk or talk but you > would NEVER know anything was wrong with her...thanks to a lot of early > intervention! She has some residual issues with her heel cords being tight and > so forth but she is truly a miracle (and a delight to all who meet her! ) > > Our little guy, True, is the one who brings me here. He turned 1 last week. > He has a strange myriad of special needs that include neuromotor disorder > (mild cerebral palsy), dysphasia, undiagnosed GI issues, severe and > innumerable food allergies and a few more. > > We live in Memphis, and were going to Vanderbilt (in Nashville, 3 hours > away) to see if the GI docs there could confirm what his allergist and others > have suspected here...that he has an Eosinophilic GI disease. He was having an > endoscopy and colonoscopy and we had to do a full cleanout. So he went 24 > hours prior with pedialyte only and then nothing for the 6 hours before his > 2:30p procedure in the OR. When they got in there they found ulcers and its > going to be a logn process with many repeat biopsies to get the EGID diagnosis > we went for...but then what happened...it complicates everything. > > When we got home from Nashville the next afternoon, the phone was ringing. > They said True's blood sugar had dropped to 24! His CO2 level was 10! They > wanted us to go for repeat labs right away. They thought it must have been > an error since he would have been unconscience and then I freaked them out > when I told them that when the anesthesia nurse came to get him, he was already > asleep...or so we thought...wihtout anesthesia! So apparently I was holding > my unconscience baby without knowing it...and had they been running late? I > shudder to think what could have happened. > > He was doing fine that next day but not back to his baseline. The next > morning, he refused to eat, was lethargic and lifeless. I took his blood sugar > with my son's glucometer and it was over 100. I called the pedi and they told > me to call an ambulance...when they checked it, his blood sugar was 31!!! > So we were admitted through endocrine and they ran a few studies. However, > since he was treatede with D25 on the ambulance he said they didn't have much > hope of getting a dx this time around but would follow up. > > Then this week (just ten days after the first time) he vomitted at > 3am...totally out fo the blue...and the only time he did it. Then at 1p the next day > he crashed! I took his blood sugar and got readings that said LO, 18 and > then the next time 112...we still don't know hwo to explain that. I took him to > the ER and they c heck the machine and it was fine. However, they kept us > for two days and checked it every two hours. He still eats frequently becaus > eof his GI issues...32 oz of an amino-acid based formula 7 times a day but he > was dropping after 3 hours at night...into the 60s. > > so they have discharged us, ran a bunch more labs...we see them in a > month...monitoring blood sugars and feeding every three hours aroudn the > clock...yuck! He had a 52 last night but seems to be getting back on his feet. They > also diagnosed him with 'short stature for (help me out--fancy word for > parental) height " . HIs birthparents were 5.7 and 6.4! > > He has stayed just above 20th% for height but they said given he had tall > parents that the 20% is way more generous than it should be. For weight he is > around 15%. His head size is 67% though which is odd to me but no one else. > He still wears a 6-9 mo size quite comfortably. > > Anyway, they are looking for a growth problem, but I was reading the Magic > foundations' newsletter and decided to look RSS, so I am here. There seems to > be a lot of things he has but others notsomuch Sorry to be so > longwinded...I could have said more but was trying to keep it brief. He's quite > complicated and this makes him way more so. > > Any imput with similar stories or advice is quite welcomed! > > deb...mom to four fab adopted kiddos... (07.04.96-05.26.03) with > Mitochondrial Myopathy...G, 6, with High Functioning Autism, Hypoglycemia and > Precocious Puberty...B, 4, with VERY mild Cerebral Palsy...and True 1yo, with > Neuromotor Disorder, Hypoglycemia, Myoclonus, Plagiocephaly with assymeterical > face, ulcers, undiagnosed GI problems plus severe food allergies (Eggs, > Peanut, Milk, Soy, Corn, Rice, Oats and Crab/Neocate-only), Plagiocephaly and > Dysphagia....Married for 12 years to F--one swell guy!_ > www.caringbridge.org/tn/wells/_ (http://www.caringbridge.org/tn/wells/) > (http://www.lifeofloveproject.org/) > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2006 Report Share Posted January 31, 2006 Deb - well, welcome to our group. You certainly have had your share of medical experiences - but, it would sound as if you are the best person to deal with it all. I commend you for your thoughtfulness, love and dedication to your children - it is obvious you are well- versed with their care. It is a pleasure to meet you. As Jodi Z mentioned, my son Ian is 2.5 and has had unstable blood sugars for probably 6 months - but, with confirmed accuracy in the last several months. Ian's head size began in the 97th percentile with his body (weight and height) being below the 3rd. He is now starting to " even out " - with his head now in the 80th percentile, height in the 3rd/5th and his weight below the 3rd. Although his weight sounds great compared to others at 23 lbs, the fact that his head is so large makes up for the discrepancy and with this causes his blood sugars to be more difficult to manage when they get " out of whack " . Ian just received a gastrostomy tube and we have had better success maintaining his b/s. I've occasionaly caught him in the low 80's - but, that is significantly better than before. Yes, we too have had low blood sugars and at one point my son too was unresponsive at a level of 33. It was very scary. I hope you will continue your research with the MAGIC Foundation. I have found them to be a wealth of information. And, of course, we are always happy to try to answer your questions and support you in any way we can. Thank you for taking the time to introduce yourself and feel comfortable enough to share your thoughts. - H () > > > Hi there > > My name is Deb and my hubby and I have adopted four children with various > special needs. All of our boys have ended up having more issues than we > originally realized so we are always needing new info and learning new things. > > Our oldest son, , would be 9 now, but he died two years ago with > Mitochondrial disease (a surprise after just being delayed from being > drug-exposed). > > Our second son, just turned 7. Gaige was dxed with High Functioning autism > years ago, however, in May 2005, he passed out on us and we found out he had > hypoglycemia. We started seeing endocrine and they realized he is in > precocious puberty, which is very rare in boys. Our geneticist now thinks that he > has a rare endocrine disease called Berardinelli-Seip syndrome which is a > lipodystrophy and only 1 in 12 million affected. Its so rare, its hardly worth > mentioning but I thought I would because some of you who have been on the list > for years maybe ran across another parent along the way...and I would LOVE > to talk with them. > > Our daughter, Bliss, will be 5 in April. She had a traumatic birth and was > diagnosed with Cerebral Palsy. We were told she may not walk or talk but you > would NEVER know anything was wrong with her...thanks to a lot of early > intervention! She has some residual issues with her heel cords being tight and > so forth but she is truly a miracle (and a delight to all who meet her! ) > > Our little guy, True, is the one who brings me here. He turned 1 last week. > He has a strange myriad of special needs that include neuromotor disorder > (mild cerebral palsy), dysphasia, undiagnosed GI issues, severe and > innumerable food allergies and a few more. > > We live in Memphis, and were going to Vanderbilt (in Nashville, 3 hours > away) to see if the GI docs there could confirm what his allergist and others > have suspected here...that he has an Eosinophilic GI disease. He was having an > endoscopy and colonoscopy and we had to do a full cleanout. So he went 24 > hours prior with pedialyte only and then nothing for the 6 hours before his > 2:30p procedure in the OR. When they got in there they found ulcers and its > going to be a logn process with many repeat biopsies to get the EGID diagnosis > we went for...but then what happened...it complicates everything. > > When we got home from Nashville the next afternoon, the phone was ringing. > They said True's blood sugar had dropped to 24! His CO2 level was 10! They > wanted us to go for repeat labs right away. They thought it must have been > an error since he would have been unconscience and then I freaked them out > when I told them that when the anesthesia nurse came to get him, he was already > asleep...or so we thought...wihtout anesthesia! So apparently I was holding > my unconscience baby without knowing it...and had they been running late? I > shudder to think what could have happened. > > He was doing fine that next day but not back to his baseline. The next > morning, he refused to eat, was lethargic and lifeless. I took his blood sugar > with my son's glucometer and it was over 100. I called the pedi and they told > me to call an ambulance...when they checked it, his blood sugar was 31!!! > So we were admitted through endocrine and they ran a few studies. However, > since he was treatede with D25 on the ambulance he said they didn't have much > hope of getting a dx this time around but would follow up. > > Then this week (just ten days after the first time) he vomitted at > 3am...totally out fo the blue...and the only time he did it. Then at 1p the next day > he crashed! I took his blood sugar and got readings that said LO, 18 and > then the next time 112...we still don't know hwo to explain that. I took him to > the ER and they c heck the machine and it was fine. However, they kept us > for two days and checked it every two hours. He still eats frequently becaus > eof his GI issues...32 oz of an amino-acid based formula 7 times a day but he > was dropping after 3 hours at night...into the 60s. > > so they have discharged us, ran a bunch more labs...we see them in a > month...monitoring blood sugars and feeding every three hours aroudn the > clock...yuck! He had a 52 last night but seems to be getting back on his feet. They > also diagnosed him with 'short stature for (help me out--fancy word for > parental) height " . HIs birthparents were 5.7 and 6.4! > > He has stayed just above 20th% for height but they said given he had tall > parents that the 20% is way more generous than it should be. For weight he is > around 15%. His head size is 67% though which is odd to me but no one else. > He still wears a 6-9 mo size quite comfortably. > > Anyway, they are looking for a growth problem, but I was reading the Magic > foundations' newsletter and decided to look RSS, so I am here. There seems to > be a lot of things he has but others notsomuch Sorry to be so > longwinded...I could have said more but was trying to keep it brief. He's quite > complicated and this makes him way more so. > > Any imput with similar stories or advice is quite welcomed! > > deb...mom to four fab adopted kiddos... (07.04.96-05.26.03) with > Mitochondrial Myopathy...G, 6, with High Functioning Autism, Hypoglycemia and > Precocious Puberty...B, 4, with VERY mild Cerebral Palsy...and True 1yo, with > Neuromotor Disorder, Hypoglycemia, Myoclonus, Plagiocephaly with assymeterical > face, ulcers, undiagnosed GI problems plus severe food allergies (Eggs, > Peanut, Milk, Soy, Corn, Rice, Oats and Crab/Neocate-only), Plagiocephaly and > Dysphagia....Married for 12 years to F--one swell guy!_ > www.caringbridge.org/tn/wells/_ (http://www.caringbridge.org/tn/wells/) > (http://www.lifeofloveproject.org/) > > > > > Quote Link to comment Share on other sites More sharing options...
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