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Question: From America On-Line: My 12 year son has had diabetes for one and a half years now and has been on the pump for 8 months. His numbers were great on injections with a 6.2 hemoglobin A1c, but since he has been on the pump his numbers have been all over the place and now has a 9.2 A1c. I have been to everyone that I could possibly find, and we are both doing everything right. What do you think could be the problem? We are both very discouraged. Answer: When anyone is started on an insulin pump, it can certainly be a time of adjustment. It is not uncommon to have an increase in the hemoglobin A1c in the first few months of pumping. Make sure you frequently review your son's blood sugars with his doctor to make necessary changes in the basal rate and bolusing that will help him have lower blood sugars and a lower hemoglobin A1c. By frequently reviewing the blood sugars and making those changes you should see improvement in overall control. There is great potential for having excellent control with an insulin pump -- keep up the hard work! MSB Additional comments from Linda Mackowiak, diabetes nurse specialist: Some of the rise in your child's hemoglobin A1c and more variable blood sugars may have more to do with the fact that your child is not making as much (or any ) insulin as during the first few months after the diagnosis of diabetes. Regardless of injection or pump use, the hemoglobin A1c tends to rise a bit over time after diagnosis. LM DTQ-ONCWWQ19990621 Original posting 7 Sep 1999 Posted to Insulin Pumps

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search CWD --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Mon Jan 16 15:00:35 2006
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