From Winston-Salem, North Carolina, USA:
My daughter is 11 years old, 45 kg, and has had Type 1 diabetes for 8 months. She is beginning with menstrual cycles as well. Even with close monitoring, her blood sugars are often 250 in the A.M., 450-550 before dinner. She is on Lente (about 50 units A.M. and 32 P.M.) and Humalog. This seems like a high dose with still poor control. She is negative for ketones. Can she be "resistant" to insulin? How much does puberty affect control? Is there a typical maximal dose for her size?
You don't say if her poor control is just at the time of menstruation but there is no doubt that puberty does funny things to diabetic control. You should talk over her blood sugars with your team and decide whether she needs an all-round change in her insulin regimen or just an adjustment at the time of her periods. Finally, there is no "correct" dose, only the dose that suits your daughter.
Original posting 28 May 1998
Posted to Puberty
Last Updated: Tuesday April 06, 2010 15:08:58
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