Modern Medicine
“Health is the greatest of human blessings.”
—Hippocrates
Through the aging process, we as adults deal with various ailments that are common among our peers. Treatments that have come with technology and modern medicine allow us to continue living our lives with minimal disruption. Changes in routine may be required, but with these adjustments, we are often able to continue with our normal work and activity routine. Although children normally do not have to navigate each day with health concerns, they are not immune. Harper Creek junior Wyatt Smart has lived with Type 1 diabetes for the past four years. His diagnosis initially jolted his family with a wave of emotions, including fear and uncertainty. Although he and his parents face each day with a bit more caution than they may have before his diagnosis, technology in the medical arena, combined with healthy choices, has allowed Wyatt to continue life as a normal teen with some interventions in place to monitor his condition and help provide his body with what is needed to face the rigors of teenage life.
Wyatt’s life experiences are similar to those of many of his peers. He talked about some of his childhood history. “I was born July 4, 2008, in Indianapolis. One of my earliest childhood memories is of my grandpa teaching me how to fish. Fishing with my dad and my grandpa has provided some of my fondest memories. I still do some fishing on my grandparents’ lake over by Adrian, Michigan.” Wyatt is the oldest of two children for his parents, Craig and Rhonda Smart. His brother Conner, a Harper Creek freshman, is three years younger than him. Rhonda is a teacher at Wattles Park Elementary, and Craig teaches at the Doris Klausen Center.
Other than his mom being a teacher in elementary school, his memories of being a student at Wattles Park are similar to those of many children during their elementary school years. “It was nice to be able to go to school with Mom each morning and come home at night with her. I wanted Mom to be my teacher when I was in second grade, but she didn’t think that was a good idea. I always enjoyed hanging out with my friends on the tire swings at recess. I am still good friends with some of my friends from Wattles Park. Ryland Pastor has been one of my best friends since Kindergarten. We are both in the marching band and the jazz band.”
Making the jump from elementary school to Middle School for Wyatt meant waking up an hour earlier each day and not being in the same building as his mom. He reflected on this transition. “Moving on to middle school was a little weird at first. It took time to get used to knowing other students who weren’t at Wattles with me. In time, I made new friends.” Playing in the band would become one of Wyatt’s favorite activities starting in Middle School. “I started band in 5th grade. My class was the last group that had band in 5th grade. Now it starts in the 6th grade. I started playing just the trumpet, but now I am learning the bass guitar. I’m hoping that by the time I am a senior, I can start playing bass guitar for some songs for our jazz band concerts.” Band has provided balance in Wyatt’s life. He talked about what being in the band means to him. “I like band. I love playing the trumpet. Much of the music we play is amazing. Because of band, I have a great group of friends. I see myself continuing to play the trumpet and guitar after high school, and I may try to join a jazz band when I go off to college.”
Wyatt began playing hockey when he was eight years old, an activity he continues to enjoy today. He shared some details about playing hockey. “I started with the Battle Creek Bruins, playing for them until I was eleven years old. When I turned twelve, I began playing for the Broncos in Kalamazoo. Later, I played with a team in Lansing for three years when I was thirteen. Now I play for the Battle Creek Bruins again.” Hockey has turned into a passion for Wyatt. “I love the game of hockey,” he said. “Skating is something that I enjoy very much. The game of hockey is a fun environment to be in.” The thrill of competition and being an athlete despite being diabetic has given a new meaning to the game for Wyatt, but like most sports, it is more than an athletic competition. “I have made many friends through hockey, and it's always fun hanging out with them on the ice. It does take up a lot of time, but it is always worth it. During the season, I probably spend ten hours per week on hockey. One thing that does get difficult with hockey is that it takes away time that I could be spending with my non-hockey friends.”
Hockey has always been Wyatt’s primary sport, but he also participated in swimming in 7th grade. It was then that he began noticing some physical changes. “ I started getting bad cramps,” Wyatt said. “We thought they were for swimming. The muscle cramps were getting worse. My leg would cramp up so bad that I couldn’t move my foot. I started getting tired, I was always dehydrated even though I was drinking plenty of water, and I started losing weight.” Craig and Rhonda finally decided it was time to go see the doctor. “The doctor said that the symptoms I was experiencing were from my going through puberty. The doctor suggested that I drink a protein shake after every practice. I did this for a while, but I continued to lose weight nonetheless. We went back to the doctor two more times. After the third time, a blood test was ordered, which confirmed that I had type 1 diabetes.”
Now that Wyatt finally had a diagnosis, his life would change. He would have to live with diabetes for the rest of his life, but the diagnosis brought with it a plan of treatment to help him live his life as normally as possible. Wyatt described what things have been put in place to keep his condition manageable. “After being diagnosed, I started eating more snacks between meals to keep my blood sugar stable. I also cut out a lot of carbs and ate more protein.” In a short time, Wyatt has learned much about diabetes. He has become his own advocate and has seized the opportunity to educate others. “Carbs will raise blood sugar,” he explained. “For individuals with diabetes, the pancreas stops working, and therefore the body doesn’t have insulin. Insulin helps to break down carbs into energy, so without insulin, carbs are not beneficial. Without the insulin, carbs are not broken down and they are absorbed into the body as sugar.” Wyatt went on to describe the symptoms he was experiencing prior to his diagnosis and treatment. “Because I was not getting the nutrients I needed, my body was taking my fat stores for energy. This is why I was losing weight. I also felt tired all the time and didn’t have energy because my body couldn’t utilize the energy from the food I was eating. My body needs insulin to survive, so I have to take it several times a day. I also take vitamin D daily because diabetics tend to have low vitamin D levels.” The amount of insulin that Wyatt takes day to day is dependent on his blood sugar level. “For the most part, if I eat like I am supposed to eat and use insulin when needed, I am able to function as a teenager and an athlete and have enough energy to get through the day. I am connected to an insulin pump most of the day. I take it off when I play hockey. I wear a device on my arm that reads my blood sugar level and alerts my pump to give me insulin when needed. Normal blood sugar level is 80-100. If my blood sugar gets too high, my pump will start giving my body insulin.” For Wyatt, staying healthy and out of a dangerous situation requires more than a device reading his blood sugar and a pump providing insulin for his body. “If my blood sugar goes below 70, I need to eat something right away. Even though the device alerts my monitor, I can usually tell if my sugar level is too high or too low. I will usually cramp up, become tired, or have a headache because of being dehydrated when I am high. I will feel shaky and weak when I am low. It’s not the pancreas that is compromised; it's the body's immune system, which is compromised, because diabetes is an autoimmune disease.”
It is critical for Wyatt and his parents to understand the nuances of diabetes and to recognize when his blood sugar reaches unsafe levels and what to do when this happens. It is also important for Wyatt’s teachers and coaches to have some basic knowledge of his diagnosis and treatment plan. Dealing with diabetes on a personal level and learning about its side effects, and managing it have taught Wyatt the importance of implementing a healthy lifestyle. Wyatt explained why being educated about a disease is important for not just the person with the disease but also those who interact with these individuals. “I feel that teachers should know what students in their classrooms have serious health concerns, be made aware of symptoms and how to handle specific situations, and provide substitute teachers with some basic information about this on their lesson plans.”
Diabetes has no doubt changed Wyatt’s life. It has also done the same for his family. Wyatt elaborated on the role his parents have played in his life as a diabetic. “Having both parents as teachers and being in the buildings that they teach in has been great. When my dad was teaching at the high school, it was extra reassuring for me as a diabetic. Also, my dad has changed his eating habits because of my diabetes, because the way a diabetic eats is really the healthier way all people should eat.”
Although dealing with a childhood disease may equip kids with traits such as determination and smarter decision-making, no parent wants their child to go through the trials of a health scare. Rhonda shared her reflections on the impact of being a parent with a diabetic child has had on her. “When Wyatt was first diagnosed, there was a lot of worry. I was concerned about how diabetes would impact the rest of his life. It was exhausting physically, emotionally, and financially. Initially, insurance wouldn’t pay for his monitor. I regularly have to fight for insurance to cover his diabetic supplies. Before Wyatt had the monitor, I would set my alarm at 2 AM every night to check his blood sugar. When insurance finally paid for the technology, it made things a little easier. His monitor will automatically alert me through an app on my phone when his blood sugar is off. We have learned a lot, and so things are easier because we know how to deal with them better. Not long after Wyatt’s diagnosis, our entire family attended a two-day training at Bronson to learn as much as we could about diabetes and how to manage it. I have become an advocate for people to understand other people who have diabetes or other serious illnesses.”
Seeing anyone deal with a major illness is not easy. Witnessing it with a child adds a layer of difficulty to this. Modern medicine has made it much easier for normal life to continue with adjustments. Wyatt’s persistence in becoming educated about his disease has served him well and will continue to benefit him for the rest of his life. His willingness to be an advocate for and teach others willing to listen will help those currently dealing with diabetes and future diabetics.