Thursday, December 5, 2013

Raid Boss #1: T1D

Boys,

Diabetes sucks.

     Mismanaged diabetes zetta-sucks.

Well-managed diabetes isn't a disability.

     Mismanaged diabetes IS a disability.

This is the 'gear check' boss. If you can't get it down, don't waste time clearing the trash mobs. The further from 80-199 you get, the less sober you will be. Everything you do will be biased by your T1D. You can either learn to live well with it or survive with it because if you don't, it will kill you.

BOSS IS DEFEATED WHEN A1C<9.

LOOT:

REPUTATION and EXPERIENCE points

Sober mind; Longer life; deferred complications; improved general well-being; pride; $$$

$$$: When your A1C is under 9, each of you will be rewarded. Your health is very important to me so this success warrants a serious financial prize in our current GDKP economy. David and Gregory will each receive $200 for their own A1C<9 and an additional $200 for their brother's A1C<9. Anthony will receive $200 for each brother's success.

DPS REQUIREMENT:

BGs should be 70-140, but we are extending that to 199.

WEAPONS:

"T1D Weekly Summary" worksheet (PURPLE): One side has insulin information. The other has your BGs for Pre-Breakfast, Pre-Lunch, Pre-Dinner, 8pm and 10pm.

"Whatcha Doing?" worksheet (PRIMARY): We will cultivate your own personal daily TODO list on one side while you record actual activities on the other side.


Where we are:

Phase 1: Completion. How complete are your worksheets? Each side = 25% of daily ABCDF grade.


What we add next:

Phase 2: Range. (Phase 1 = 50%; Phase 2 = 50%)

5 BGs/day x 7 days = 35 points possible. Reported as ABCDF grade.

BG<70 = PURPLE = .5 point
70-79 = BLUE = 1 point
80-199 = GREEN = 1 point
200-399 = YELLOW = 0 point
400-599 = ORANGE = -0.5 point
600+ = RED = -1 point

Phase 3: TBD (Phase 1+2 = 50%; Phase 3 = 50%)


COMBAT LOGS:

Q: Who cares about combat logs?
A: Anyone who wants to improve their strat.

For now, your worksheets are your T1D log. We will adjust ratios and plan based on those worksheets. Mismanaged T1D means we wipe a lot so we must frequently check BGs. Those with well managed T1D only need to check a few times a day.

With demonstration of your willingness to help yourself, you help others help you manage better. There are a lot of options we aren't discussing because things are so chaotic. CGMs, pumps, even NPH - all can be lifestyle changing, but are not an option when we can't demonstrate mastery of the basics.

SABOTAGE:

The most frustrating thing you guys have done as children is lie about your BGs. You are children and shouldn't have to deal with the morbid reality of your disease, but since that is on our "NOT FAIR!" list, we need to address that lying sabotages our efforts to keep you alive and well. The more trustworthy you are, the fewer decisions I have to make for you, and the more opportunities you will be able to pursue.

FINAL NOTE:

I love you. This boss sucks. We'll get through it! It's just a matter of how banged up we get in the process.

GAMBATTE!

-mom

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