Teenage daughter

Enchanted to participate in this forum, after having read the interesting comments that you often hang.I ask you to share your experiences, or knowledge, with me about our diabetic daughter.They have detected this disease 4 years ago, now it has 12, it has not had the 1st menstruation.We have never achieved, no matter how much we try, regular blood glucose levels, being extraordinarily frequent, very acute (50-300).However, in this last year the thing has worsened markedly, and that is that we constantly find ourselves to measurements followed above 200 mgs.We do not know what to do, we increase the basal (Lantus) and the rapids and mixed.Your regime is as follows: - Before breakfast 9 units of mixed insulin;before food the same;and before dinner 8 fast insulin;At 2 hours approx.Lantus's 10-11 dinner is put on.The level of hydrates in their diet is below the one they have pointed out (but says it is not hungry).We have raised if they eat hidden, but it seems impossible, because it has never lied and is extraordinarily responsible and, in addition, because we have never "caught it", in fact it has no occasion for it.
We are really scared, because such continuous levels of hyperglycemia make us fear in the consequences of effuturo.Glycosylated hemoglobin controls have once exceeded level 8.
Have you been something similar?How did you solve it?Is it a transitory situation originated by adolescence or pre -adolescence?

Hello Luis Welcome.

Let's see where I start ... are the insulin units indicated always the same?Doesn't the amount of insulin vary depending on glycemia/quantity of food/exercise etc?
Important to control the rotation of injection zones ... Lipodystrophies are direct cause of "inexplicable" decompensations.

Personally, with that distribution and types of insulin I think it is impossible to achieve good control of diabetes and much less stability ... and even less with a stage of preteens ...
To put it finely, and always in my opinion, the insulin guideline that your daughter carries ...

How about the pediatrician?Do you have an educator nurse?

An 8% -8.5% hemoglobins with the picture you describe are quite misleading ... Hyperglycemia compensate hypoglycemia and vice versa ... as you know is an arithmetic mean of 3 months glycemia.

Anyway, you've come to a fantastic place ... Here are people who go through similar situations and have come out airy ... It will be last to be here

Hello, Luis!My daughter is diabetic since childhood.For many years we use insulin mixtures and when I was 15, we went on to use Lantus.
We spent 2 years using Lantus at night, with a guideline similar to yours, with a mixed food, because Lantus did not cover him 24 hours.With this pattern it was not well, hypos in the afternoon and fixed food and dinner schedules.

Precisely in a previous forum I met a sickness, who told me the improvement so remarkable that the Lantus had in the morning.So we decided to do it.The change was brutal, we got Lantus to last 24 hours, increasing its dose (unit to unit, until putting 8 more units, and without hypos).With that we could use ultra -grape (Humalog) in all meals, so we eliminate the afternoon hypos, and we also get total freedom of schedules in all meals.Total that, that simple change of schedule, also changed our lives.
My daughter puts the Lantus at 11 in the morning, because she is studying and has the classes in the afternoon, but it may be good to put it another hour in the morning or at 4 in the afternoon ... or important is that the firstLantus hours do not match at night, to avoid night hypos.
Well, I leave our experience.Look at my daughter's pattern, who is in my signature.
Welcome to: D Forum

Hello, Luis.
I am the mother of a girl who debuted at age 8 and now she has 16. I can guide you about all the nonsense that a girl of that age can do.
But we are going to think that, certainly, the girl does not nonsense.
To begin with, I agree that who has put that pattern, or has no idea, or has fun with the Russian mountains.
Mix insulins are infumable, and if used combined with lantus and fast, the thing becomes ungovernable
As I can not extend now, I recommend that you take it to a good endocrine and change the insulins and adjust the pattern well.
On the other hand, prepubertad is a very complicated stage, with hormone bombardment that play bad passes.

Give us more data and we will help what we can.
Welcome home

Hello Luis: Welcome to the forum.
My daughter is also 12 years old (he debuted with 5), and it is true that this last year has many more mismatches than the previous ones, it is logical that it is so becauseGet more or less have decent controls.
I also think that the pattern you have is, Uffff, frightening.Bad experience I have with the mix.And I advise you the same as the rest of the foreros, it changes endocrine.Where are you from?, you have to find guidelines that make their controls more stable, which right now is the main purpose to be achieved, as Owash says, 8% can be considered more or less normal, but not achieved based on those peaks.
On the other hand, from here encourage you, because not effortlessly, but a valid control for the ages of our daughters can be achieved.So, get to work with the change of doctor and guidelines.
On the other hand, have you thought of the insulin bomb?They have proposed it? For us the best treatment that currently exists.
You are already telling us.
Greetings.

Michísima thanks to everything.I am impressed and extremely grateful for your advice.The truth is that we had already changed endocrine a long time ago, and it is the new one that has marked this pattern.Now there are no peaks, but constant hyperglycemia (as I said there are days that do not come down from 200).I will raise the issue of lantus change, or not combine slow and mixed or, especially, put it in the morning (but it turns out that they have school precisely in the morning), in any case it is difficult to try to emendar the flatTo a specialist.

I reiterate how overwhelmed this reception.

Does anyone know any good endocrine in Pontevedra or Orense?

With 12 years I imagine that he will be in Pediatrics:
This website is from Compostela:

In adults, do any of these names sound?

Luna Cano, Mª Reyes.XEAL -Cies Hospital - Vigo (Pontevedra)
García-Mayor García, Ricardo V. Hospital Xeral-Cies-Vigo (Pontevedra)

Educating nurses:
Bande Rodríguez, Concepción.Hospital complex - Orense
Iron Illanes, Mª Victoria.Do Meixoeiro - Vigo Hospital (Pontevedra)

If there are no peaks, but constant hyperglycemia, I would rise the dose of Lantus, until the endocrine sees it.

Health

Luis, if he wakes up high and does not have nocturnal hypos, the lantus rises.Go up one unit and wait two days in each change, until you have good fasting values.
After adjusting lantus, if you still have high values ​​after meals, go up the fast to adjust the posts.

If you see that it is not fixed, you can try Lantus when you get up or at 4 in the afternoon.Ideally, you could increase the dose and duration of Lantus, to do without mixed.

I think the same, Luis, increase unit of unit in unity, wait 2-3 days and continue, whenever they are the ones that are high, and if they are the posts, do the same but with the quick.
You are already telling us.

Luis, I am 28 years old, diabetics since the 9 and the case of your daughter is the faithful image of what happened to me.I have tried all the insulins and for having, all the guidelines, they have entered me several times, the hemo always above 8 and 9 to 13 gets to have and do you know what my solution has been?The pump.I changed my life, I put it in November and this looks like a miracle, I rarely have it over 200 and the hem going down.You should consider it and tell the endocrine.For any questions here you have me.All the best

Welcome to the Luis! Forum! As you will see, here you can find other people with whom to share experiences and doubts.;)

Greetings,
Fer.