In the miraculous absence of episodes, a new, much less seriuos phenomenon has arisen. We've coined it the Emergency Shutdown.
KayTar goes from being 100% fine to being somewhat panicked, exclaiming things like, "Give me ENERGY! I need energy NOW!" We immediately get her something to eat and or drink, and after ingesting something, she rapidly falls into a deeeeeep sleep and stays that way for several hours.
It tends to happen when we are out and about, when KayTar is walking a lot or otherwise exerting herself, though not always. This weekend, it just took a walk through the bookstore parking lot to bottom her out. This isn't just a hungry or tired thing, we see her in both those states pretty frequently. This is a near-miss episode, as close as Josh and I can figure. We think she's learned the impending feelings of doom that precede an episode and is able to fix it before it takes her out.
It is under control for now, we keep cans of Pediasure in the car at all times. We've had to pop them open for her on several panicked occasions, like once after a trip to the mall, once while out looking at Christmas lights after she had run around a parking lot with one of her buddies. This weekend at the bookstore we didn't have one on hand, so we took her to the cafe and got chips and a drink, then tube fed her some Pediasure once we were home and she was already fully zonked out. It has happened more often recently, we think she might be hitting a growth spurt.
Of course, we don't know exactly what causes it, but it seems to be another facet of the same problem that causes episodes. It reinforces the theory that all of this is metabolically triggered somehow. I have not been able to check her glucose when it happens, we are very quick to get her what she needs and the glucometer hasn't been handy since it tends to happen when we are out. Her neurologist suggested a referral to an endocrinologist for testing, so we might pursue that. Though it is well controlled now, as she grows it might be more difficult to handle without a clearer cause and plan of action in place. It is just one more small mystery in the glorious puzzle that is our darling KayTar.