advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From Columbus, Mississippi, USA:

I am 11 years old, I have the insulin pump, and I recently got my A1c test result back which was 8.3%. I want some help on how to get it down.

Answer:

Here are some tips to reduce your hemoglobin A1c:

  1. Test your blood sugar more frequently and act on the results.
  2. Review carbohydrate counting and calculate your food intake to insulin ratio more carefully.
  3. Don't forget to bolus.
  4. Your situation might well be clarified by monitoring sugar levels continuously for several days to try to sort out what's happening in more detail and to fine tune your treatment regimen. See The Continuous Glucose Monitoring System. Ask your diabetes team about this procedure.

HVS

[Editor's comment: First of all, I'm really proud of you for wanting better control and writing to us! Heather's ideas are great, but let me add a few more thoughts.

While it could be lower, your A1c isn't so far off that you can't keep working at it. At your age, you may be starting to become an adult, and the changes that happen in body at this time, make it really hard to have blood sugars where you want them to be all of the time. The increase in sex hormones also cause blood sugars to be high, and, at the same time, make the insulin you get less effective. So, even though you might be doing everything you were told to do, there are always things you can't control, and I don't want you (or anybody else) to be angry with you.

The other thing to remember is that you can't do this all by yourself. You'll need lots of help from your parents, your doctor, your nurse, your dietitian, and everyone else on your diabetes team. Don't be afraid to ask for that help! You might tell your mom and dad that you want to set up a meeting with your diabetes team because you want to lower your A1c and need to work with everyone to develop a plan. If your parents don't want to, call yourself and have someone there set up an appointment.

There are lots of books that might help, but you'll need help from your parents to understand them. Ask mom and dad if you can buy one or two to help. Some of are:

Once again, thanks for writing, and I hope you reach your goal really soon! SS]

DTQ-20010604155656
Original posting 23 Jan 2002
Posted to Daily Care

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:30
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.