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Question: From Orange, California, USA: I am 16 years old, have had diabetes since my sixth birthday, and, for the past two years, I have kept good control. I test all throughout the day, about twelve times in all. My last three hemoglobin A1c tests were 6.4, 6.1, and 6.7%, but I have been getting higher blood sugars than I would like, which some are in the high 200s mg/dl [11.1 mmol/L] and a few in the low 300s mg/dl [16.7 mmol/L]. I have heard about all the complications with diabetes, and am worried about not living a full life. I eat relatively healthy and exercise everyday. I am 5 feet 7 inches tall and weigh 138 pounds. Can you please tell me if my hemoglobin A1c tests are okay and what I need to do to prevent complications and lead a full and healthy life? Answer: Wow! I am very impressed -- not only with your excellent hemoglobin A1c values, but your maturity and insight. Right now, I don't see any reason for you to be worried about diabetic complications and not continuing to lead a full, active, productive life!! However, if you are seeing some persistent higher readings, or a pattern of the higher readings, (like higher readings at dinnertime rather than at breakfast), then you might need a slight adjustment in your insulin dosages or meal/snack planning or activity. You don't indicate what insulin regimen you receive, but many active teens like the flexibility to be on a Multiple Daily Injection (MDI) plan of long-acting Ultralente {or possibly Lantus (insulin glargine)] with short-acting Regular, Humalog or Novolog. If you're not on one, you might also want to consider an insulin pump. If you are already on these more intensive regimens, then I think a pattern of higher glucose readings should prompt adjustments in the dosing. Keep up the good work! DS DTQ-20010629004724 Original posting 2 Jul 2001 Posted to Tight Control

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ 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: Tuesday April 06, 2010 15:09:21
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