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Question:

From Nevada, USA:

Our son was diagnosed with Type 1 diabetes a year and a half ago. He is 11 years old now. He injects four shots a day using R morning, noon and dinner and N at bedtime. We cannot get his numbers down in the morning to save our life. We have increased his bedtime N to 20 units and we have checked his blood sugar in the middle of the night to make sure he is not rebounding. We also began mixing R and N at bedtime. His numbers in the morning are still 250-370. We have been working closely with our doctor to get these down, but nothing seems to work. Any ideas?

Answer:

Part of what's happening may be the pre-adolescent growth spurt. Hormonal changes can cause high blood sugars especially in the morning. You might ask about changing to an insulin program of Ultralente and Regular or perhaps using a pump so you can attack the nighttime highs.

SS

Original posting 23 Mar 1998
Posted to Hyperglycemia and DKA and Puberty

  
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Last Updated: Tuesday April 06, 2010 15:08:58
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