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10254617 tn?1408841041

Juvenile diabetes?

Hi, I noticed that my 14yr old daughter was losing weight, taking too much water in a day, frequent urination and excessive appetite. I used my glucometer on her and found 445mg/dl FBS. I became alarmed and took her for a lab test. Her Hb1ac was found at 14%. She was put on insulin( Mixtard 30/70) 40IU at 24units in the morning and 12units at night. She has not achieved FBS below 10mmol/l up till now. Its always within an average of 15mmol/l, and its a week now. She however doesn't exhibit any sign and she's a very active girl in the house chores.
She started complaining now of diarrhea, that was after introducing her to the use of sweetener.
What do you advice I should do next?
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10254617 tn?1408841041
Hi there,
Thanks for your detailed advice. My kid is now achieving an FBS of 106mg/dl (5mmols) on the same dose of 24 units (morning) and 12 units (Night) of 100IU Mixtard 30 insulin. She also discontinued using sorbitol sweetner to eliminate the tummy upset. Will keep you updated.
Thanks.
Helpful - 0
231441 tn?1333892766
COMMUNITY LEADER
Hello,

don't use artificial sweetener that is what is causing tummy upset.  Just get her used to not having sweetened foods.

1 week is very short period.  However, it would be recommended that you and her both meet with a  diabetes educator so she can learn how to manage her blood sugars.

The doctor should be working with her and you to adjust her insulin dose to get her blood sugars on target (it would seem that a higher dose than what she currently on will be required)..  In fact her doctor should be working very closely with you both at this time.

I recommend the books "using insulin" by John walsh and Think Like a pancreas.

I also recommend that your research basal-bolus insulin dosing.  this would require more frequent injections, but can give better control.

Lower carb eating and physical activity are also going to be important as your management of her diabetes.

Please both of you read up on this and learn how to manage it.  She can then continue to have a good and long life.
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