From Christchurch, New Zealand:
My nine year old daughter, who has had diabetes for three years, has never had great control (A1c:10%), even though she is on multiple daily injections (twice daily pre-mix with Humalog at lunch, tea, etc. as needed). She weighs only 26 kilograms (57 pounds), seems to produce ketones really easily, and can go into DKA [diabetic ketoacidosis] really fast. Yesterday, she was in a lot of pain and was found to have a large amount of blood in her urine. Could there be an underlining problem with her kidneys that is making her become dehydrated faster and produce ketones so quickly? Do you think an insulin pump would help her control?
A hemoglobin A1c 10% most frequently comes from missed shots. Just to be sure, have an adult supervise, better yet, give them.
A weight of 26 kilograms (57 pounds)at nine years old makes me wonder if she doesn't have coeliac disease. Ask her diabetes team to check.
Original posting 29 May 2003
Posted to Hyperglycemia and DKA
Last Updated: Tuesday April 06, 2010 15:09:44
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 Children With Diabetes, Inc, which is responsible for its contents.
© Children with Diabetes, Inc. 1995-2013. Comments and Feedback.