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Question:

From New York, New York, USA:

My daughter goes through periods of insulin resistance when her blood sugars go through the roof when she eats even the simplest of meals with no carbohydrates. We've looked at all the obvious possible causes. Is there something we may have overlooked?

Answer:

The simplest reason, in a young girl with type 1 diabetes on a pump, for a sudden periodic increase in blood sugar levels after eating even a no carbohydrate (insulin is needed even for no carbohydrate meals) meal is generally an abrupt lack of insulin perhaps due to some unidentified problems along the infusion line or at a subcutaneous level. That said, have you looked at the influence of menses? At that time, a girl can develop a period of transitory insulin resistance that generally wanes soon after: the rule of a thumb here, as in all the cases of transitory high blood sugar levels due to unidentified reasons, is to increase insulin dosage as much as it's needed.

MS

DTQ-20051006181730
Original posting 10 Oct 2005
Posted to Other

  
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Last Updated: Tuesday April 06, 2010 15:10:04
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