I haven’t been able to write lately as I have been fraught with concern and fear.
Lance had his 5 year checkup with the best paediatric endocrinologist in Queensland a week ago, and who actually treated him in hospital when he was diagnosed and with post diagnosis. Just over 5 years ago, he tolerated me calling him at 2am in the morning asking “Diabetes for Dummies” questions and showed no sign of angst when I would call him at 8:15am on the freeway t0 get Lance’s insulin doses for the day. He’s the connsumate professional, parent friendly, has a fantastic relationship with children, especially those with an endocrinological condition. However, I sat in front of him, quietly petrifed as to what he might find in those just-warm-off-the-printer blood results.
He flashed a smile at me, and gave Lance a good inspection a few times over.
“Is this that same little baby whom I nursed and took that nasty drip out of your arm? My goodness! You have grown into a fine young man!”
Lance managed a polite grin, but I could tell he was anxious, too.
So Big Gun decided to stand with his pen in his mouth, whilst bouncing rhythmically off the wall.
(I could see Lance’s mind ticking over….”That’s dangerous, Doctor, the pen could go down your throat and you could get injured..maybe you should stop..” I pleaded with my eyes at him to just ignore it and thankfully it worked! If he had said something, however, I think that Big Gun would have had a hearty chortle. Seriously, Lance really is 7 going on 40 most of the time…)
Lance couldn’t keep his feet still, but I tried to turn his attention my way. In my peripheral vision, I could notice Doc making notes and circling results.
I hoped there was a ladies’ room close by.
“Okay, young man, all this blood that they drained out of you tells me a few things, but in general, you have been helping Mum look after yourself, haven’t you?” he asked.
Lance warmed up a little then. “Well, I do make a habit of eating two pieces of fruit and 5 vegetables a day. I don’t know if that helps?”
“My word it helps young man! (Our gorgeous Big Gun has an equally gorgeous English accent.) Who taught you that piece of information?”
“Mum did.” He proudly looked over at me.
Then Big Gun decided to sit down.
Okay. I have to ask you a favour, Lance. I need you to be really brave and get one more blood test, and tomorrow morning when you wake up, can you do a wee in a bottle for me, and two times after that? You wouldn’t mind doing that for me, now would you?”
This guy is fantastic with children. His sing-songy voice is almost hypnotic.
Lance shook his head, and sighed, almost with a wobbly bottom lip, but replied, “What’s one more blood test?”
“Good Lad. Gosh Mum, the kids I care for aren’t half as cooperative as this! I have heard that you have had a lot of adventures over the past five years. You have made a lot of money for Type 1 Research, haven’t you?” His eyes twinkled and the corners of his mouth curled upwards.
Lance looked at me, wide eyed, wondering how on earth he could possibly know!
“And you’ve been to Canberra? How was that?”he asked.
“Oh,it was bad. My friend got DKA and vomited all over the stairs at Parliament House. She had to stay in Canberra for a day or two to get some insulin into her. She had to give a speech in front of the then Prime Minister, so her blood sugars went crazy.” he lamented.
Oh dear, that was a big job to do, so I can understand why things got out of control there. At least you wouldn’t have been worried for her, because she would have been in the very best of hands.” the Big Gun queried.
“Well, I still worried regardless, We were like soulmates.” Lance informed Big Gun.
Okay Mister, do you want to go and play in the kids’ area whilst I have a quick chat to Mum about your next appointment. I’ll leave the door open so you can see her red hair, okay?”
Lance bounced of the floor, and forced the most sincere hug on The Big Gun.
“Thanks so much for saving my life when I was a baby. I never got to tell you because I couldn’t talk very well then!” said Lance. It was something that had instantaneously popped into his head to do, because it certainly wasn’t rehearsed. Nevertheless, it left me quietly weeping, that five-and-a-quarter years have passed and Lance knows enough about Type 1 Diabetes, and HIS Type 1 Diabetes to know that this man pulled him out of the wild currents he was dangerously being swept away into.
“Kate! Great to see you. Amazing boy, he’s a champ, isn’t he? One of a kind. You’ve done so well with him.” I couldn’t help but feel chuffed that I was receiving praise by a man who fights so hard to prevent complications in children, instills education in parents, and is definitely a patron for the Type 1 Diabetic community.
“Yeah, it’s been a bit of a shaky year, with the coeliac diagnosis finally coming through, and 4 teeth extracted. I am a bit of a nervous wreck to tell you the honest truth,” I confided for the first time to anyone.
“4 teeth extracted?? Oh poor chap. At leas he was asleep whilst they did it.”
“Oh but he he wasn’t. The dentist decided to use nitrous oxide and do it in the chair.” I stated.
The only thing coming from his shocked, open mouth was a tunnel of exhaled air, for quite a few seconds.

“Well!! This explains what I wanted to talk to you about. And it makes so much sense, considering he went through that trauma, and you would have had a cat-and-mouse game with insulin and trying to get food into him. Oh my goodness. At least in hospital, he would have receive a dextrose drip with his insulin included, and you wouldn’t have had to worry about a thing! People like to do the things the long way around, don’t they? Oh boy.” He made copious notes about that week, and looked at my notes and readings and he instantly could see why his A1C had jumped from 6.2% to 8.5%.
Now it was my turn to inhale a tunnel of air….
“Now with that extra blood test I have ordered, I want to check that Lance isn’t lactose intolerant, and I’m looking for a gastrointestinal condition that pops up in Type 1 Diabetics. It’s called Gastro Oseophogeal Reflux Disorder. I JUST want to make sure that he has nothing else causing his stomach problems. This isn’t rare in Type 1 Kids, it’s a bit unusual to see in one so young. But then, we have to remember that Lance is an old-timer. So we are going to grab some more blood, see what comes back from that, and then possibly get him back in for a gastroscopy. Oh, and by the way, cholesterol-perfect, Liver function tests-perfect, thyroid test-perfect-immunoglobulins-perfect-that’s why I know you are looking after him so well!”
“He was actually hypo when he went in for the blood work; he was 3.5mmol/L, so there wasn’t a high level of sugar in his urine, so that’s why I want to do the conclusive morning one, to look out for protein etc. Overall, well done. Don’t be phased by the HBA1C test- it all makes sense now. So good to see you. We’ll talk again after you get those bloods.”
And that was it. Tests for 2 new conditions, suspicion of 1 very likely gastro disorder with the acronym of GERD. “My son has Type 1 Diabetes, Coeliac Disease and GERD.” At least it might stop people in their tracks and concentrate on that rather than the”Will he grow out of it?”old favourite.
If you have a Big Gun in your State/Territory/City-GO AND SEE THEM! The beat the pants of the info a paeditrician can give you and will put your mind at rest. Parents who have a child with Type 1 need that comfort and support more than anything.