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Diabetes - Juvenile Community

This patient support community is for questions related to juvenile diabetes including celiac disease, depression, diabetic complications, hyperglycemia / diabetic keto-acidosis, hypoglycemia, islet cell transplantation, nutritional issues, parenting a diabetic child, pregnancy, pump therapy, school issues, and teens with diabetes.
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Teen type 1 diabetic, high hbA1c, high diastolic bp

by jdwhite, Feb 22, 2007 12:00AM
My 16 year old son has had high hbA1c (14 in Nov., 11 in Feb.), and high blood pressure. He is not overweight (105 lbs). He has 1 or 2 high blood sugar readings a month. Nothing over 300. His Dr. is having a difficult time with this. She keeps sending him for blood tests, and has not been able to tell me what might be going on. Any ideas?

by Forum-VOL-CB, Feb 22, 2007 12:00AM
This sounds very frustrating indeed. I'm the mother of a 17-year-old type-1, not a doc, so I can't give you any medical advice, but I do have some questions. Is he seeing an endocrinologist or just an internist? This challenge certainly seems to demand a specialist. It doesn't make sense why an A1c would be that high if he rarely shows high blood sugars on his monitors. Is he testing regularly? Is he on Lantus/glargine? (That really helped stabilize my daughter.)

Let us know, and good luck with this challenge.
Member Comments (5)

by Katyanne, Feb 22, 2007 12:00AM
Hi,
Speaking from personal experience, dealing with blood sugar levels through your teen years can seem a challenge from time to time.  When I had a high A1C reading with my endochronologist, and looking back over the glucometer readings, my doctor asked me to try testing much more often for a week (before meals, an hour after meals, before bed and every two hours throughout the night). We ultimately discovered I was having peak highs overnight.  The best way to find out about where your son's highs may be is for him to check his blood sugar avidly.  That is the only suggestion I can make as I am no doctor but through my own personal experience.  I hope this is of some help.

by jdwhite, Feb 27, 2007 12:00AM
To: forum
My son is using lantus overnight and Novalog in the daytime.  We check his bgl 5 to 6 times a day.  His doctor is Anna Simpson-Oreggio. She is a pedes endocrinologist.  I have faith that she will figure out what is going on with him.  Thank's for your help  

by jdwhite, Feb 27, 2007 12:00AM
To: katyanne
Thanks for the idea.  We will try checking his bgl a couple of times in the night.

by T1phil, Mar 11, 2007 12:00AM
To: jdwhite
Hi, i'm not a med pro but I have lived w/ type 1 for 42 yrs.  Since I can't give u medical advice I'll let u know from my experience. W/ an A1c of 14 ur son is averaging bgl's of about 300 over an extended period,it is not just 1 or 2 times a mo.
    Almost all monitors now a days record multiple readings.  test 3-5 times a day 4 a wk and learn how to recall these from the meter.  u'll see.
     I have a 15 yr old daughter. when I ask my daughter hows she doing in math she always manages to pull out a quiz she got a 90 on. then her report card comes home w/a 78.  thats teenagers.
   there are multiple issuess with teenagers dealing with diabetes. Hormones, stress, peer pressure, rebellion,
all of it.  Don't despair.  But it sounds like u need to keep a little closer eye on things which of course ur teenager w/ resent.
  
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