15 -year -old daughter with DB

Hello, I am Piery, I participated in the old forum but I lost contact, my daughter debuted at age 7 and since then I maintained good glycemia, until the 12 years that everything changed and the levels have continued to rise and rise, it currently has a hemoglobin of 11.2(Last exam in October 2011).
We change endocrinologist, it has a nutritionist and you are doing much more exercise, which has helped you a lot, the levels are much better, we are waiting to do the new exams at the end of this month to see the results.
I don't know if someone has heard of a phenomenon caused by growth hormone?It happens that at 3 in the morning, for example, it is with a basal gangity of 118 and then at 7 am.is in 250 !!!!!The nutritionist tells me about this and I recommend putting it at 4am.Some 2 or 3 Novorrapid units, this for a while, I have been doing this since November and it is the only way in which the mornings are in Normaglusmia, I had never heard of this before and I would like to hear experiences about it.

That but their comments, before they already taught me and helped me a lot.:)

Welcome to the forum

Yes, it is usual ... it's called Alba phenomenon.
It usually occurs because during the night the growth hormone is released and others such as adrenaline are also secreted ... These hormones make the body release its own glucose stored to the blood and that is why hyperglycemia ... is as if thebody was scheduled to get going and need that glucose to start the day

This phenomenon is one of the legal indications to put the insulin pump.

The pump is the ideal solution for these cases ... because the Alba phenomenon does not happen in 100% of the days.

Hello,

It happened to me exactly that (others with NPH and regular insulins).The indication also was to get up at four to put the insulin.My parents, from the beginning, taught me that diabetes was my and it was the only one that had to be involved ... Thus, as you will understand that I never got to put on the alarm, age revealed!Little by little it regulates, and sport is very important.Check the ketone bodies in the morning, my problem was that also almost every morning I had a +

And what they tell you about the bomb.I have been changing it for five years and I do not change it for anything in the world.For me it has been the only positive evolution for the treatment of diabetes in the 24 years that I have been evolving (neither lantus, nor super-trap insulins) the bomb is like day and night.(With his little inconveniences ...)

Hi, Piery What insulinas and what time are you using?Let's see if we can help a little while .. sometimes you think about the phenomenon of Alba and what happens is that it is no longer insulin at that time ...

Hello thank you for your answers, my daughter uses NPH and Novorrapid for meals, I have read a lot of the bomb, but lamentablely in my country I am arriving at a cost of $ 7,000 dollars: o And they do not even put it in social security, hereThey are only handled with the typical syringes, if God wants and everything is going well I hope to make an effort and access a bomb, but if they have clarified that for that it would be good that she is more controlled, the next Thursday we have an appointment with the endoAnd surely the new exams will already send you.
My daughter's units are: 24 NPH in the morning more 8 of Novorrapid
Novorrapid Type 11 in the morning (for school collation)
From 8 to 10 und.Novorrapid at lunch
NPH and Novorrapid NPH and 6th
4am.From 3 to 4 novorrapid

I appreciate your comments, the important thing is to continue learning on the way, so we will continue to improve :)

The NPH is an insulin that gives many problems because it has a peak of action at 6 hours that causes hypoglycemia, it also forces rigid food schedules and is not very predictable.There are currently flat insulins that greatly reduce hypoglycemia and do not require fixed meal schedules.Ask your endocrine for Lantus or Levemir insulins.The LC antus is once up to date, let's let you with twice.
It is also necessary to put quick insulin in meals, as it does now, but with freedom of schedules.
Form about these insulins that can greatly improve the quality of life.
The pump is a very good option, but it is not always affordable.
Kisses :)

Welcome, Piery !!!!
The truth is that hormones play a very important role in our children, even so, I think your child's hemo is very high so that hormones are a determining factor .... As Regina says, NPH is an insufferable insulin.I don't know in your country what possibilities there is insulin change, but of course something should do .... insists to see what the specialist tells you ...
Greetings and a lot of encouragement !!!

Of course if you have the option of putting the bomb, do not hesitate ... for any questions, here we are a few firefighters that we can surely help.
Greetings

The new doctor who is attending it, if I mentioned the lantus, told me that once it is more stable, he wants to change the NPH for the lantus, I suppose that everything will depend on the results of the exams to be done this week, I hopeThat hemo has already lowered, although because of the tests that are done at home, I am sure that it will be.

It is assumed that if you use the lantus, will it have a high possibility that you no longer have to do that puncture of the 4 of the morning?And I have another concern, what types of insulin are used in the pump?Is some insulin especially?
Thanks for your answers.

Piery, if you have the option of putting lantus or doubting it.It is much better than NPH.In addition, with Lantus he does not have to eat fixed schedules or always get up to breakfast at the same time.It would only get ultra -grape each time it started (even if it is a snack or a snack, yes)

As for the bomb, use only ultra -grape: Novorrapid, Homalog or Apidra, any of the three.

Health

Thanks Alea, on Thursday we have an appointment with the endo, the levels are much more controlled, so I think it would be a good time to make the change, she uses lantus when she was 8 years old but her values ​​were very risen, the endo of thatTime, he told me that he didn't cover him 24h.Therefore, he sent him to put him in the morning and at night, but there was no such, I hope that now we have a much better edocrinologist, everything is well.
I've surprised myself !!!That is, with the bomb you don't need a basal ???So the ultrarapida has to be periodic?I am finding out in my country, I am not sure but my daughter is going to have a bomb !!!

If you see that the Lantus does not last 24 hours, put it in the morning.:)