Puberty Starting??
Hi ALl, Kennedy's numbers are getting wacky again... way highs, and we've changed her pump and changed her pump... she's just starting puberty also...
she should be getting to end of honeymoon soon, it has been almost a year... she's gone from 22 to 25-27 units a day...
what is puberty like? what can we expect in terms of insuin requirements?
I read a 60/40 bolus to basal ratio is sometimes helpful??
Omnipod and Apidra ( dex coming)
HELLLPPPPPPPP???
Her a1c is going to be SUCKY next time, I think??
Love to hear from d mom's and lots of now adult t1's who were diabetic pre teens then teenagers.
I feel like I'm back to calling her endo every couple of days now...
Replies to This Discussion
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Permalink Reply by Doris D on -
Purpedy so sucks!!!! Both me & my daughter went through it with D! I pretty much go withthe 60/40 thingy but I can't say for sure I went through all that in the 70's and my daughter went though that in 99-02. things have changed greatlt since then
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Permalink Reply by NatalieHodge on -
Thanks Doris, hoping cgm and pump may make it easier, but still so hard to know what the heck is going on?/
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Permalink Reply by Doris D on
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we never had the CGM but we did have the bm and could check my daughter's bs's back during my time we only done urine testing. I would think that the CGM would help u kinda know what's going on with her bs's but then again it's the worst time of anyone life quite frankly and the bs's will swing. HOLD ON MY LADY THIS TOO WILL PASS!!
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Permalink Reply by Chris Miller on -
I was diagnosed at age 3, and I'm now 41.
Any changes to my normal routine resulted in wild blood sugar swings. I started eating a lot more around Grade 8, so insulin requirements went up. Puberty, college, new job, any new stressor caused difficulties over the years. Switching from beef and pork insulin to synthetic insulin was also rough on me.
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Permalink Reply by smileandnod on -
Hi Natalie, I was diagnosed Type 1 at age 27 so didn't go through puberty with D but am at the other end of the life cycle now hormone-wise approaching menopause.
The hardest part of dealing with the hormonal changes has been that I can be in a good pattern for a week or so then all of a sudden almost overnight I'll be fighting constant highs. So I crank up my basals around the clock but then eventually I start going low around the clock so have to back pedal. Then it starts all over again.
The best advice I can give you would probably be to just be prepared to react to changes more than usual. Just consider that a given. That's what helps me with trying not to get frustrated. If you have the mindset, as Doris says, that this too shall pass and just try to deal the best you can with adjusting to changes, you'll make it through.
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Permalink Reply by Doris D on
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OMG done that one too! I'm just glad to be me now for abit. Menapause sucked too! LOL!
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Permalink Reply by Spock on -
Wow. I did that in the sixties (I was 10) with no tech. It was difficult. I was growing, hungry, frustrated, I could go on forever. The worst? I would go out with my friends and there would not even be a diet drink on the menu. And all ice teas were sweet, so they ate and I hungerly watched. It truly sucked. The food world is very different and we now count carbs, so she can overcome that problem.
Also, there were no disposible syringes, insulin pens or pumps OR GLUCOSE MONITORS!!! If I wanted to go out for dinner, it was a major packing event with the glass syringe, steel needles, you get the point.. SO, please take heart. I took over 100 units of Lente per day, and still had a high testape readings a lot(Was testape a joke or what?) Kennedy has all kinds of tech tools that should appeal to her and actually be cool to those in her age bracket, if she uses them. Encourage her to share and discuss her tech. It impresses the tech generations and will keep her safer, as everyone will be aware. Best defence is an offense!
I really think a lot of how this goes depends on you.
Rely on the tech and trust her to do the right thing, and she probably will. Don't freak about high BGs or higher A1Cs--a lot of it is totally controlled by her body changing. If she falters, help her back to the right path. Stand up for her and don't let diabetes exclude her from anything she wants to do. Sometimes there is fear around having a diabetic in a sport, etc., but it is much better today. My folks had to fight so I could play baseball, and they did.
Give her confidence and she will be OK. I have had diabetes for 50 years. That is what my folks had the courage to do for me, and I will always understand that my strength with ths disease came from them.
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Permalink Reply by Doris D on
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OMG Spock I soo know what u mean there. It was the sameway to me in the early 70's
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Permalink Reply by smileandnod on
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Excellent post Spock! And you're right about the younger generation and the technology. Every time I pull out my pump pdm around people at work they are fascinated by the technology.
Give her confidence and she will be OK. I have had diabetes for 50 years. That is what my folks had the courage to do for me, and I will always understand that my strength with ths disease came from them.
This gave me goosebumps. :)
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Permalink Reply by NatalieHodge on
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Wow, what a thoughtful post! You are an inspiration!!
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Permalink Reply by NatalieHodge on
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Wow thx for the great advice!!
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Permalink Reply by Capin101 on
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Hormones (just about any of them) have an interaction with insulin. Most hormones cause an increase need for insulin. As you know: hormones fluctuate wildly during puberty making being a T1 more difficult.
Their are other big factors around this age:
1. weight and muscle mass increase. This results in increased need for insulin.
2. Wanting to fit in. This was the hardest for me at this age. It is tough to not do/eat what your friends are because you BG is out of whack. I hated feeling different at that age.
3. Wanting approval from parent and/or doc. Some T1s feel rebelious or a new sense of freedom and try to cheat (I did). I struggled to get the numbers I thought my parents wanted me to and would sometimes write down a beautiful ficticious number in my charts to avoid "the talk" from my mom. It was a difficult issue. I had a crazy appetitie and changing insulin needs. I thought her "expectations" were unrealistic, but she just wanted to keep me as healthy as possible.
I also think Walsh's "pumping insulin" states the 60/40 ratio as a starting point and to adjust from there. I believe the most important factor is BG control. My current ratios are 70% basal/30% bolus, but I would not hesitate to make any changes that allowed for better control. My endo has also makes indications that BG control is the main target.
Above all else: its tough and do your best as a team. You are aiming at a swiftly moving target during puberty.
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