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From Tennessee, USA:

My 11 year old child was diagnosed with Type 1 diabetes about a month ago, at which time his blood sugars were in the 200-600 range. Since then he has had several low blood sugar readings. Our doctor has decreased the morning N and the U in the evening, but he still continues to have low sugar reading of 40-70. Is it possible to control this by watching his diet?


Talk to your diabetes team about lowering your child's insulin dose further. It sounds like your son may be in the honeymoon stage of diabetes. This stage is normal and usually lasts a few weeks to months, and sometimes longer. The diabetes is not going away, but the remaining beta cells are contributing to the normal and low blood sugars. Unfortunately, in type 1 diabetes the immune system will continue to destroy the remaining beta cells. During the honeymoon period, some people need much smaller doses of insulin, and they also see a very narrow range of blood sugars. As your child starts to make less insulin, you will see more variable blood sugars and the need to increase the dose again. The honeymoon stage does not usually end abruptly, but rather you will see a slow increase in the need for insulin, especially short-acting insulin with meals.


Original posting 11 Oct 97


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