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Question:

From Tarragona, Spain:

My daughter has 7 year old. She has had Type 1 diabetes for almost a year. At first, she was a good control of her diabetes. Normally, she was always between 85 - 115 mg/dl. But, beginning about six months ago, she has had bad regulation of her diabetes, because over two or three days, she is high (250-340 mg/dl) and the next day she is low (50-70 mg/dl). We're trying to control this, but is very difficult to get it. She has a regular feeding (1400 calories per day). She use 80%-20% blended insulin, and Regular insulin for high blood glucose concentration. Please, can you help us with this?

Answer:

It sounds like you need to discuss your child's insulin control with her doctor. If possible, you should try to see a Pediatric Endocrinologist experienced in taking care of children with diabetes.

As children grow, they need to adjust their insulin dose and meal plan. If your child is having high blood sugars for 2-3 days following a low blood sugar, it is possible that your child is actually receiving too much insulin. After a low blood sugar, the blood sugar can actually go high for 2 or 3 days. This happens when the body releases sugar which has been stored in the liver after a low blood sugar. This is called rebound hyperglycemia or the Somogyi effect. If you lower the insulin causing the low blood sugars, you may actually have fewer high blood sugars. If this happens frequently, the children often complain of being hungry even if they are gaining too much weight.

TGL

Original posting 14 May 97

  
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Last Updated: Tuesday April 06, 2010 15:08:54
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