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)
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...
I go with u on 2 & 3 I done that too! LOL!
I agree with Capin on the most important factor being BG control. As I review my pump data with the hormonal fluctuations I've had over the last 6 weeks, I've had weeks where I ran 60/40 but I also had weeks where I ran 50/50 and 70/30. Right now, it's 70/30. My endo just reviewed all my data and was pleased.
Control often, adjust basal often: it changes a lot, a lot less insulin/carb ratios.
Be prepared to take quick decision about the changes to do, lower or rise basal, how much and when.
Let your child "feel" his body and test to confirm and then correct.
Things change quickly, you both have to learn and be "brave" to cope with them.
My 12 year T1 old daughter is in the midst of puperty and her insulin needs have gone from 22 units a day a year ago to 45-50 units a day now. She's growing like a weed and always hungry of course. When she's very active she's on a 60/40 or 65/35 bolus/basal split (pumping) and right now - not as active at the moment - closer to 50/50. Surprisingly her A1C continues to improve - I'm a bit shocked but happy. I think this is due to stable overnight numbers. I was alarmed at increasing her insulin at first but have gotten over it and we carry on.
Puberty for me was filled with highs and mood swings. I hate to say that it is normal for this to occur but most other teens I have spoken with had the same issues as myself. Expect the highs and just be prepared with extra boluses. Puberty is a tough time especially for Diabetics. I also recall being higher before I went to sleep and lower in the mornings. Basically, just keep a watchful eye and dont be overly concerned with highs
I just saw this post after replying back to you! looks like we are in the same boat, jacobs totals have risen from 40's to 60-70 for totals the last week! mostly correcting highs. i think the best approach is to work on the night time basals to get a good morning number so you arent chasing it all day which we have been doing. the 60/40 is a good start if you are higher like us you know you are just chasing things and the basal needs to go up. i dont like to be too agressive with increasing his night time basals because he hates it when i test overnight but i really need to tonight to see when he is starting to spike and call his endo mon or tues for some advise. i knew this day would come so i am trying to think of it as a right of passage! ha, jacob has been a little bummed but i keep telling him at least he will grow a bit this summer and we knew this would happen. he just came back from his first good run training for x country cant wait to see if it helped his morning snack number! things arent as bad when you know you arent alone, not that i am happy you are having trouble but maybe we can help eachother out. it is so hard to tell a growing teen to hold off on all the carbs, wait to eat for his insulin to kick in, constantly be told what to do! i feel for him and try not to overreact to it all knowing this is a stage and we will get through it with help! hang in there, hope kennedy isnt being too cranky!! i just try to shrug it off! amy