From Ankara, Turkey:
My six year old daughter was diagnosed with "diabetic ketoacidosis" 4 months ago. When we visited to hospital, her blood sugar level was 675 mg/dl and ketones 3.77 mmol/dl. Before her diagnosis, she had influenza with a fever nearly 39°C. She stayed at hospital for five days. After treatment, she was discharged from hospital with Insulin Mixtard 30HM (12 units at morning and 6 units before dinner). In the next 25 days according to her blood sugar level, we gradually decreased her insulin doses 2 units at morning and 2 units before dinner. We could manage her blood sugar level well till last week. However, her blood sugar level started to increase 215 mg/dl before breakfast and other values is between 150 to 200 mg/dl at day time.
Is she a Type 1 diabetic patient and started to leave the honeymoon period? If so, can I do anything else except to adjust Insulin doses?
You are possibly correct or the latest increase in insulin requirement may be temporary and due to a viral infection. You are doing exactly the right thing by monitoring her blood sugars and modifying the insulin appropriately.
Original posting 9 Nov 1999
Posted to Daily Care
Last Updated: Tuesday April 06, 2010 15:09:06
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