Welcome Guest ( Log In | Register )

 
" width="8" height="8"/> Can't give enough insulin - constantly very high - help?
Clara's Mom
Jul 26 2013, 03:09 AM
Post #1


IPF Rookie


Group: Members
Posts: 6
Joined: 10-December 11
Member No.: 4,003
My Pump: Animas Ping



My daughter (7 yr old) has been on a pump for over a year and we've never seen anything like this. Her BG is constantly very high and it seems as though we can't give her enough insulin. We have doubled her basal in the past couple months. I guess we need to adjust her I:C as well, but even corrections are not working as they should - even with rage bolusing. She usually needs a lot LESS insulin in the summer.

Because we've had such trouble with high BG lately, I gave a very generous correction with her lunch pre-bolus and her Dex was showing double down arrows by the time she started to eat. She ate the slow carbs first and was in no hurry about it, so I thought she might be heading for a bad low. Instead, she went high by the end of the meal. I gave a correction, but it seemed to have no affect. In fact, she spiked super high while running around playing outside a couple hours later. No apparent reason.

We've been changing sets and using new vials of insulin, thinking one of those was to blame. It has made no difference and this has been going on for weeks.

I'm wondering if she has some other health condition (chronic infection or something) causing this. However, she mostly feels fine and has no fever. I will be contacting her doctor tomorrow, but thought I'd ask you all for your input.

Have any of you ever seen anything like this before?
 
bkh
Jul 26 2013, 04:32 AM
Post #2


IPF Regular


Group: Members
Posts: 462
Joined: 8-March 12
Member No.: 4,147
My Pump: Revel + Dexcom G4



You say Dex, so I guess Clara is wearing CGM. That should be quite helpful. My first comment is the saying from my CDE, "If your blood sugar is too high, you need more insulin." It's not an insult, it's just a way to cut through the confusion to figure out what to do. So with your healthcare providers and the CGM info, decide whether the problem is basal, bolus, corrections or all three, and make the indicated changes step by step until you get a good result. My second comment is that in my case, if my BG has been high for a while, I develop some insulin resistance, so normal corrections and meal boluses and basal are not enough. So I take extra insulin and watch the CGM carefully for a response and to catch any resulting lows, and after the BG is back in control I then start watching the CGM so see if I need to make changes to the pump settings.

Although it ultimately may help to look for causes such as infection or allergy or stress or a secret stash of candy, we treat high BG with additional insulin, and we use the CGM and the true history of eating and boluses to decide whether we need more basal, or a stronger insulin:carb ratio for boluses, or a stronger sensitivity for corrections.
 
Peter B
Jul 26 2013, 11:52 AM
Post #3


IPF Regular


Group: Members
Posts: 422
Joined: 20-April 10
From: Chesapeake Beach, MD, USA
Member No.: 2,833
My Pump: 530 w/ Enlite



QUOTE(Clara @ Jul 25 2013, 11:09 PM)
My daughter (7 yr old) has been on a pump for over a year and we've never seen anything like this. Her BG is constantly very high and it seems as though we can't give her enough insulin. We have doubled her basal in the past couple months. I guess we need to adjust her I:C as well, but even corrections are not working as they should - even with rage bolusing. She usually needs a lot LESS insulin in the summer.

Because we've had such trouble with high BG lately, I gave a very generous correction with her lunch pre-bolus and her Dex was showing double down arrows by the time she started to eat. She ate the slow carbs first and was in no hurry about it, so I thought she might be heading for a bad low. Instead, she went high by the end of the meal. I gave a correction, but it seemed to have no affect. In fact, she spiked super high while running around playing outside a couple hours later. No apparent reason.

We've been changing sets and using new vials of insulin, thinking one of those was to blame. It has made no difference and this has been going on for weeks.

I'm wondering if she has some other health condition (chronic infection or something) causing this. However, she mostly feels fine and has no fever. I will be contacting her doctor tomorrow, but thought I'd ask you all for your input.

Have any of you ever seen anything like this before?


I agree with much of bkh's comments, especially regarding insulin resistance. It's been quite a while since I had to take an absurd amount of insulin to get past my BG into a normal range but I recall one episode where I took over maybe 3 times my daily dose.
I had to go back and re-read your note and I see you mention this going on for weeks in one place and doubling her basal in the past months.

There are too many possible variables that could be causing this and I think you need immediate medical assistance to get this attended to.
Good Luck!

Peter B
 
Mike G
Jul 26 2013, 01:16 PM
Post #4


IPF Regular


Group: Members
Posts: 343
Joined: 13-December 09
From: Chatham, NJ, USA
Member No.: 2,539
My Pump: Revel 523 w/CGM



QUOTE(Clara @ Jul 25 2013, 11:09 PM)
My daughter (7 yr old) has been on a pump for over a year and we've never seen anything like this. Her BG is constantly very high and it seems as though we can't give her enough insulin. We have doubled her basal in the past couple months. I guess we need to adjust her I:C as well, but even corrections are not working as they should - even with rage bolusing. She usually needs a lot LESS insulin in the summer.

Because we've had such trouble with high BG lately, I gave a very generous correction with her lunch pre-bolus and her Dex was showing double down arrows by the time she started to eat. She ate the slow carbs first and was in no hurry about it, so I thought she might be heading for a bad low. Instead, she went high by the end of the meal. I gave a correction, but it seemed to have no affect. In fact, she spiked super high while running around playing outside a couple hours later. No apparent reason.

We've been changing sets and using new vials of insulin, thinking one of those was to blame. It has made no difference and this has been going on for weeks.

I'm wondering if she has some other health condition (chronic infection or something) causing this. However, she mostly feels fine and has no fever. I will be contacting her doctor tomorrow, but thought I'd ask you all for your input.

Have any of you ever seen anything like this before?


This happened to me when I had a steroid injection for a trigger finger - this tripled my insulin needs for a month - wont be doing that again. Any chance she has had a steroid treatment?
 
Arlene S.
Jul 26 2013, 01:54 PM
Post #5


IPF Addict


Group: Moderator
Posts: 3,828
Joined: 2-September 07
From: New York
Member No.: 553
My Pump: t:slim & Dexcom G4



QUOTE(Clara @ Jul 25 2013, 11:09 PM)
My daughter (7 yr old) has been on a pump for over a year and we've never seen anything like this. Her BG is constantly very high and it seems as though we can't give her enough insulin. We have doubled her basal in the past couple months. I guess we need to adjust her I:C as well, but even corrections are not working as they should - even with rage bolusing. She usually needs a lot LESS insulin in the summer.

Because we've had such trouble with high BG lately, I gave a very generous correction with her lunch pre-bolus and her Dex was showing double down arrows by the time she started to eat. She ate the slow carbs first and was in no hurry about it, so I thought she might be heading for a bad low. Instead, she went high by the end of the meal. I gave a correction, but it seemed to have no affect. In fact, she spiked super high while running around playing outside a couple hours later. No apparent reason.

We've been changing sets and using new vials of insulin, thinking one of those was to blame. It has made no difference and this has been going on for weeks.

I'm wondering if she has some other health condition (chronic infection or something) causing this. However, she mostly feels fine and has no fever. I will be contacting her doctor tomorrow, but thought I'd ask you all for your input.

Have any of you ever seen anything like this before?


It could be the insulin itself. Have you tried another vial? Or have you tried a syringe injection? That would rule out the insulin.
 
bkh
Jul 26 2013, 03:16 PM
Post #6


IPF Regular


Group: Members
Posts: 462
Joined: 8-March 12
Member No.: 4,147
My Pump: Revel + Dexcom G4



QUOTE
It could be the insulin itself. Have you tried another vial?
Good thought, but in the original post Clara's mom said "We've been changing sets and using new vials of insulin, thinking one of those was to blame. It has made no difference"

QUOTE
Have any of you ever seen anything like this before?

It is normal for the insulin requirement to increase during the early years of Type 1, both basal and insulin:carb ratio. If you don't keep up with the body's changes by increasing the pump settings, you can reach a situation of "always too high BG."

 
Clara's Mom
Jul 26 2013, 04:06 PM
Post #7


IPF Rookie


Group: Members
Posts: 6
Joined: 10-December 11
Member No.: 4,003
My Pump: Animas Ping



QUOTE(Peter B @ Jul 26 2013, 05:52 AM)
I agree with much of bkh's comments, especially regarding insulin resistance. It's been quite a while since I had to take an absurd amount of insulin to get past my BG into a normal range but I recall one episode where I took over maybe 3 times my daily dose.
I had to go back and re-read your note and I see you mention this going on for weeks in one place and doubling her basal in the past months.

There are too many possible variables that could be causing this and I think you need immediate medical assistance to get this attended to.
Good Luck!

Peter B


I have a little formula in my head for increasing her correction based on her BG. I usually add 20% if she's 200-250, 30% 25-300, 40% over 300. However, she's never been high so much for so long before, so perhaps she has needed even more.

Regarding the timing of all this, I didn't say that very clearly, did I? We've been increasing her basal gradually over the past couple months and it has been working out, but over the last - I guess 2 weeks - she has been going high A LOT. Honestly, we don't pay too much attention if she has some weird BGs for a few days. We just correct and go on. So, I'm sure that I'm not giving correct times because I don't pay too much attention until it's really obvious that something is consistently off. As you say, there are so many factors and we've learned to just treat the BG and not overthink it. I need to go back and review the Dex data to really say it correctly.

We've been so surprised / baffled by her increased basal need - especially in the summer. We just kept thinking she had a bad site, the insulin got hot, was getting sick, we screwed up a carb count, etc. I've also been slack on giving proper pre-bolus lately because I've been getting worn down on making her wait to eat. She's so fed up with it. So, we had to take a few days of being very strict with pre-bolus to eliminate that. Now that we have eliminated the set, site, insulin, and we are still seeing super high numbers, we've finally realized that something significant is going on. Her TDD has been at least double normal with all the corrections.

Last night, several people on TuDiabetes suggested that she could be coming out of an extended honeymoon. Since it has been 2 yrs, 4 mo since Dx, I didn't think she could be, but I'm told that her insulin requirements have been very low even for a 7 yr old. (.05 U/hr basal)
 
karen
Jul 26 2013, 04:15 PM
Post #8


IPF Pundit


Group: Members
Posts: 677
Joined: 13-June 07
Member No.: 461



QUOTE(Clara @ Jul 25 2013, 08:09 PM)
My daughter (7 yr old) has been on a pump for over a year and we've never seen anything like this. Her BG is constantly very high and it seems as though we can't give her enough insulin. We have doubled her basal in the past couple months. I guess we need to adjust her I:C as well, but even corrections are not working as they should - even with rage bolusing. She usually needs a lot LESS insulin in the summer.

Because we've had such trouble with high BG lately, I gave a very generous correction with her lunch pre-bolus and her Dex was showing double down arrows by the time she started to eat. She ate the slow carbs first and was in no hurry about it, so I thought she might be heading for a bad low. Instead, she went high by the end of the meal. I gave a correction, but it seemed to have no affect. In fact, she spiked super high while running around playing outside a couple hours later. No apparent reason.

We've been changing sets and using new vials of insulin, thinking one of those was to blame. It has made no difference and this has been going on for weeks.

I'm wondering if she has some other health condition (chronic infection or something) causing this. However, she mostly feels fine and has no fever. I will be contacting her doctor tomorrow, but thought I'd ask you all for your input.

Have any of you ever seen anything like this before?


Hi Clara's Mom,

I hope you got some answers and suggestions from the doctor. Certainly do whatever adjustments are needed. I don't know what kind of bg's you are dealing with but if you have struggled with adjustments for months, and the bg has been high for weeks, it is time to get to the doctor. I also wonder if she has some other health condition (chronic infection or something) causing this. I don't suspect that your kid is IR, but there could an issue with absorption. Also...and please don't get mad - but a 7 year old could be eating without your knowledge. Kids are famous for hiding crimes - even innocent ones. Let us know what you learn and best to you and Clara.
 
Manxman
Jul 26 2013, 06:06 PM
Post #9


IPF Pundit


Group: Members
Posts: 871
Joined: 2-April 10
From: Boulder Creek, CA
Member No.: 2,787
My Pump: Medtronic



QUOTE(karen @ Jul 26 2013, 09:15 AM)
Hi Clara's Mom,

I hope you got some answers and suggestions from the doctor. Certainly do whatever adjustments are needed. I don't know what kind of bg's you are dealing with but if you have struggled with adjustments for months, and the bg has been high for weeks, it is time to get to the doctor. I also wonder if she has some other health condition (chronic infection or something) causing this. I don't suspect that your kid is IR, but there could an issue with absorption. Also...and please don't get mad - but a 7 year old could be eating without your knowledge. Kids are famous for hiding crimes - even innocent ones. Let us know what you learn and best to you and Clara.



I wish the very best outcome for Clara, and for Clara's Mom, Karen's reply carries a lot of importance.

As a very young Diabetic, I was a master at sneaking snacks of every kind of food that was dangerous. From the age of three to ten, I was on a constant search for anything that tasted good. My parents kept a case of 7-Up in 7-ounce glass bottles that needed a bottle opener to serve the soda. They hid the bottle opener to keep their little scavenger away from the sweet drinks. So I used a hammer and nail to poke holes in the bottle caps and drank the stuff anyway. Unfortunately, this was in the 1950's, and I did not have the advantage of fast acting human insulin, insulin pumps, or even tiny needle plastic syringes.

What turned me around toward toward better behavior was going for four years of Diabetic Summer Camp from ages of about nine to thirteen. Being surrounded by hundreds of other Diabetic kids and having outdoor activities and adventures like overnight hikes, hay rides, campfires, and sleeping in giant tents was a real eye opener.

There were no other Diabetics in my home town of 50,000 population (that I or my family knew about), and absolutely no other Diabetics in my Elementary or High School (that I knew about). My childhood was filled with frustration caused by all authority figures preventing me from eating or doing what I wanted to do. The summer camp experience made me realize that I was not alone with my problems, and that if I did not indulge my cravings, I felt better and had more energy to pursue my other interests.

The above little story may have absolutely no relevance to Clara, and I sincerely hope that your doctor will have some positive recommendations to solve the current problems.
 
bkh
Jul 26 2013, 06:36 PM
Post #10


IPF Regular


Group: Members
Posts: 462
Joined: 8-March 12
Member No.: 4,147
My Pump: Revel + Dexcom G4



QUOTE
We've been so surprised / baffled by her increased basal need - especially in the summer. We just kept thinking she had a bad site, the insulin got hot, was getting sick, we screwed up a carb count, etc. I've also been slack on giving proper pre-bolus lately because I've been getting worn down on making her wait to eat. She's so fed up with it. So, we had to take a few days of being very strict with pre-bolus to eliminate that. Now that we have eliminated the set, site, insulin, and we are still seeing super high numbers, we've finally realized that something significant is going on. Her TDD has been at least double normal with all the corrections.


Hi, Clara's mom. I just have to say, I could make similar statements about my own experience treating myself, and I'm a highly-motivated adult with advanced technical degrees and plenty of instruction.

So in case you are starting to question yourself, my impression based on what I've read here is that you are doing a GREAT job. It's just a hard problem that tricks everyone from time to time. You're doing the right things, so just keep your courage and let us compliment you for taking such good care of Clara.
 
Clara's Mom
Jul 26 2013, 11:06 PM
Post #11


IPF Rookie


Group: Members
Posts: 6
Joined: 10-December 11
Member No.: 4,003
My Pump: Animas Ping



QUOTE(bkh @ Jul 26 2013, 12:36 PM)
Hi, Clara's mom. I just have to say, I could make similar statements about my own experience treating myself, and I'm a highly-motivated adult with advanced technical degrees and plenty of instruction.

So in case you are starting to question yourself, my impression based on what I've read here is that you are doing a GREAT job. It's just a hard problem that tricks everyone from time to time. You're doing the right things, so just keep your courage and let us compliment you for taking such good care of Clara.


Thank you (IMG:style_emoticons/default/smile.gif)
 
Clara's Mom
Jul 26 2013, 11:20 PM
Post #12


IPF Rookie


Group: Members
Posts: 6
Joined: 10-December 11
Member No.: 4,003
My Pump: Animas Ping



Thanks, Maxman & karen. I understand that kids may sneak food, but I can say with certainty that this isn't the case with Clara right now. We've been with her constantly on vacation where she had no access to food without us giving it to her. Plus, she knows that we won't give her a meal with carbs in it until we get her down, so she HATES being high. She'll keep checking her Dex to see if she's heading down when she gets high and a meal is coming up. She's really not the type to do anything secret anyway - she's my little golden retriever - always wants to please and do everything just right. My son on the other hand... (IMG:style_emoticons/default/wink.gif) That's not to say that she'll never do it, but I know that at this time it's not an issue.

Clara woke up today at 128 (IMG:style_emoticons/default/smile.gif) I made sure to pre-bolus and even set the timer to make sure. She had her breakfast and was almost flat on the Dex. Beautiful. Did the same for a snack and she started heading a bit low. Waited to bolus until she was already eating lunch to head off the low. Worked great. 4 hours later, while running errands with me (so I know she didn't eat anything) she started going up again. I'm on the 3rd correction and she just keeps going up. Sigh.
 
karen
Jul 27 2013, 01:31 AM
Post #13


IPF Pundit


Group: Members
Posts: 677
Joined: 13-June 07
Member No.: 461



Well, yay for the fasting. What did the doc say?
 
bkh
Jul 27 2013, 01:45 AM
Post #14


IPF Regular


Group: Members
Posts: 462
Joined: 8-March 12
Member No.: 4,147
My Pump: Revel + Dexcom G4



QUOTE
4 hours later, while running errands with me (so I know she didn't eat anything) she started going up again. I'm on the 3rd correction and she just keeps going up.

That's far enough after the meal that if it were me having the BG rise, I would start to think about increasing my basal (starting 2 hours before the BG rise starts.)
 
Arlene S.
Jul 27 2013, 03:41 AM
Post #15


IPF Addict


Group: Moderator
Posts: 3,828
Joined: 2-September 07
From: New York
Member No.: 553
My Pump: t:slim & Dexcom G4



QUOTE(Clara @ Jul 26 2013, 12:06 PM)
(IMG:style_emoticons/default/cool.gif) --><div class='quotetop'>QUOTE(Peter B @ Jul 26 2013, 05:52 AM) </div><div class='quotemain'><!--quotec-->I agree with much of bkh's comments, especially regarding insulin resistance. It's been quite a while since I had to take an absurd amount of insulin to get past my BG into a normal range but I recall one episode where I took over maybe 3 times my daily dose.
I had to go back and re-read your note and I see you mention this going on for weeks in one place and doubling her basal in the past months.

There are too many possible variables that could be causing this and I think you need immediate medical assistance to get this attended to.
Good Luck!

Peter B

I have a little formula in my head for increasing her correction based on her BG. I usually add 20% if she's 200-250, 30% 25-300, 40% over 300. However, she's never been high so much for so long before, so perhaps she has needed even more.

Regarding the timing of all this, I didn't say that very clearly, did I? We've been increasing her basal gradually over the past couple months and it has been working out, but over the last - I guess 2 weeks - she has been going high A LOT. Honestly, we don't pay too much attention if she has some weird BGs for a few days. We just correct and go on. So, I'm sure that I'm not giving correct times because I don't pay too much attention until it's really obvious that something is consistently off. As you say, there are so many factors and we've learned to just treat the BG and not overthink it. I need to go back and review the Dex data to really say it correctly.

We've been so surprised / baffled by her increased basal need - especially in the summer. We just kept thinking she had a bad site, the insulin got hot, was getting sick, we screwed up a carb count, etc. I've also been slack on giving proper pre-bolus lately because I've been getting worn down on making her wait to eat. She's so fed up with it. So, we had to take a few days of being very strict with pre-bolus to eliminate that. Now that we have eliminated the set, site, insulin, and we are still seeing super high numbers, we've finally realized that something significant is going on. Her TDD has been at least double normal with all the corrections.

Last night, several people on TuDiabetes suggested that she could be coming out of an extended honeymoon. Since it has been 2 yrs, 4 mo since Dx, I didn't think she could be, but I'm told that her insulin requirements have been very low even for a 7 yr old. (.05 U/hr basal)


.05 U/hr is very low. It sounds like her basal rates have to be adjusted and varied. You mention Tu Diabetes. Have you ever visited the Children with Diabetes forum?

This post has been edited by Arlene S.: Jul 27 2013, 03:45 AM
 
Clara's Mom
Jul 27 2013, 03:04 PM
Post #16


IPF Rookie


Group: Members
Posts: 6
Joined: 10-December 11
Member No.: 4,003
My Pump: Animas Ping



QUOTE(karen @ Jul 26 2013, 07:31 PM)
Well, yay for the fasting. What did the doc say?


We were all set to send data to the doctor yesterday morning, but then it all changed suddenly again and she wasn't going high. It was like I had dreamed the hole thing. The rise in the afternoon looked like basal, but she wasn't all that high (230) and it still took several corrections to get her BG to move. I did increase her correction bolus because she was over 200, but still wouldn't budge.

I noticed that her last site (changed Thur eve) looked inflamed, so that could have been what made things so much worse on Thur night, but the ones before that looked fine and we still had problems. We are sticking to a very strict pre-bolus wait 20 minutes schedule all weekend to make sure we have the best results possible and then if things are still weird we'll send the data to the doc on Monday.



QUOTE(bkh @ Jul 26 2013, 07:45 PM)
That's far enough after the meal that if it were me having the BG rise, I would start to think about increasing my basal (starting 2 hours before the BG rise starts.)


Absolutely and it looked like basal on the Dex. The unusual thing for her is that it took several corrections to get it to budge. She was around 230 and that doesn't usually happen unless she's over 300.

QUOTE(Arlene S. @ Jul 26 2013, 09:41 PM)
.05 U/hr is very low. It sounds like her basal rates have to be adjusted and varied. You mention Tu Diabetes. Have you ever visited the Children with Diabetes forum?


So, it may be that she is coming out of an extended honeymoon. How exciting, right when school is about to start (IMG:style_emoticons/default/rolleyes.gif)

Yes, I have been on Children with Diabetes forum.
 
bkh
Jul 27 2013, 06:35 PM
Post #17


IPF Regular


Group: Members
Posts: 462
Joined: 8-March 12
Member No.: 4,147
My Pump: Revel + Dexcom G4



QUOTE
The unusual thing for her is that it took several corrections to get it to budge. She was around 230 and that doesn't usually happen unless she's over 300.
This could be another change in her body, particularly since she has been running high over the past couple weeks. One or two days at normal BG might not be enough to undo her tendency to insulin resistance. In my case, the threshold is much lower. If I've been over 160 for a few hours it can take 3x or 4x the normal correction amount (not just 20% or 30%) before I get a good response. So in Clara's case, what you called a rage bolus might in fact be exactly what she needs to get a response. Since everyone is different, you'll just have to find that out by watching what happens as you gradually become more aggressive with the corrections. And of course, as soon as you have it figured out, it'll change, just like basal requirements do.

QUOTE
So, it may be that she is coming out of an extended honeymoon.

That makes a lot of sense toward explaining what you have been going through. After her insulin production goes to 0, you still can expect changes in insulin requirement a few times a year. Detecting and adjusting for it is just part of what we do.
 
Arlene S.
Jul 27 2013, 10:01 PM
Post #18


IPF Addict


Group: Moderator
Posts: 3,828
Joined: 2-September 07
From: New York
Member No.: 553
My Pump: t:slim & Dexcom G4



QUOTE(Clara @ Jul 27 2013, 11:04 AM)
We were all set to send data to the doctor yesterday morning, but then it all changed suddenly again and she wasn't going high. It was like I had dreamed the hole thing. The rise in the afternoon looked like basal, but she wasn't all that high (230) and it still took several corrections to get her BG to move. I did increase her correction bolus because she was over 200, but still wouldn't budge.

I noticed that her last site (changed Thur eve) looked inflamed, so that could have been what made things so much worse on Thur night, but the ones before that looked fine and we still had problems. We are sticking to a very strict pre-bolus wait 20 minutes schedule all weekend to make sure we have the best results possible and then if things are still weird we'll send the data to the doc on Monday.
Absolutely and it looked like basal on the Dex. The unusual thing for her is that it took several corrections to get it to budge. She was around 230 and that doesn't usually happen unless she's over 300.
So, it may be that she is coming out of an extended honeymoon. How exciting, right when school is about to start (IMG:style_emoticons/default/rolleyes.gif)

Yes, I have been on Children with Diabetes forum.


I once met someone in a support group who had a very long honeymoon, more than a year I think.

What is her TDD and her basal/bolus ratio at the present time?
 
Marty
Jul 28 2013, 12:31 AM
Post #19


IPF Regular


Group: Members
Posts: 261
Joined: 10-September 07
From: San Diego, CA
Member No.: 565
My Pump: t:slim/Dexcom



I'm experiencing something this week that might possibly be relevant. I lost ~4 lbs and suddenly had to fight lows and lower both basals and boluses by about 15%. When kids have a growth spurt, seems like they'd need more insulin just because they're bigger. Has your daughter gained weight recently, maybe because you've had her under such good control?
 
meeaow
Aug 4 2013, 08:01 AM
Post #20


IPF Regular


Group: Members
Posts: 194
Joined: 20-January 09
From: New Zealand
Member No.: 1,758
My Pump: Animas 2020 PINK! :D



My first thought when I read it was honeymoon too... Also at that age she could be having a growth spurt, and puberty is oh so much fun with diabetes as things change daily. Sounds like you take good care of your daughter though, it's not an easy thing to deal with and you can only try!!
 

2 User(s) are reading this topic (2 Guests and 0 Anonymous Users)
0 Members:

 



Lo-Fi Version Time is now: 12th November 2014 - 11:25 PM