Type1 in a child.

[hayley_braith]

Hi,

I have a child that is really struggling with her bloods at the minute. She is doing everything she has been told to do however in the morning her bloods are really high, normally between 12-18. Then throughout the day she is having multiple episodes where her bloods are dropping to around 3.1 sometimes they even drop lower. As you can understand this is getting very frustrating for her and is affecting her during the school day as she is missing lessons ect. Does anybody have any advice on how to keep her bloods more stable?
Any help would be greatly appreciated.

Thank you,
Hayley

 

[rebrascora]

Hi Hayley and welcome.

Can you tell us which insulins your daughter is using and when she takes them?
Also how long has your daughter been diagnosed and does she carb count and adjust her insulin doses yet?
With any problems like this, your first port of call should be your daughter's diabetes nurse, but if we know more info we might be able to offer some tips.

 

[Pumper_Sue]

Hello Hayley and welcome to the forum.
Can you give some more info please as in length of diagnoses age of your daughter insulin used and how.
Ta muchly.
With this info hopefully some can offer some suggestions to help out.

 

[PhoebeC]

Is she over correcting the morning high which is leading to the hypo?
First I would fix the hypo issue, generally lows lead to highs.
Welcome! And sorry to hear she is struggling. How old is she? Could hormones be joining in?

 

[Thebearcametoo]

Hi and welcome.

As has been said if she’s high in the morning that may then lead to an over correction which gives her a hypo later. Or she may be being more active than her carb:insulin ratio is set for. The DSN will be able to advise on changing ratios or basal insulin as appropriate. We tend to download the meter and email it and then have a phone conversation about what needs changing. Generally we find that there’s no more than a month or so between something being needed to change so it’s a normal part of diabetes management.

The DSN might want to go over how she’s treating her hypos and how to adjust doses if she’s already had more than one hypo in a day too as it’s better to be slightly high than keep having hypos so they often advise some insulin free carbs in addition to the usual carbs after a hypo if there are multiple hypos in a day.

 

[everydayupsanddowns]

Just wondering about hormones like @PhoebeC

And also wondering what basal insulin she uses, and whether you can reduce the basal in the day and have a little more active at night (not the usual way around, but diabetes often plays by its own rules).

I’d also agree that focussing on fixing the hypos is a good first step. Hypos can throw all sorts of spanners in the works, and leave you chasing your tail at other times.

Hope she manages to iron out these wrinkles without too much fiddling.