My daughter Melanie is 6 years old was diagnosed 6 months ago type 1 and here we are adapting ...

Just yesterday the results of the last analyzes that were performed and its glycosylated hemoglobin is high, this has given me an incredible downturn I feel disoriented, because we strive a lot to be good and she also cooperates, but then this comes out and notI understand...

You will have to raise insulin doses.

regina said:
will have to upload insulin doses.

It depends on whether it is high after meals or between hours.Give us more data (how much it usually has before eating and at 2 hours or when you read in the morning and we will try to guide you)

@"Elaine S" Levemir usually does not cover well 24 hours a day.Many people put it in 2 shots distributed in the morning and afternoon.Talk to your endocrin@ and advise you on this.-

True what @"sigsauer" siga says, we end up putting it in 2 times.At 8 in the morning and 8 at night

dalu said:
depends on whether it is high after meals or between hours.Give us more data (how much it usually has before eating and at 2 hours or when you read in the morning and we will try to guide you)

sigsauer said:
@"elaine s" The Levemir usually does not cover well 24 hours a day.Many people put it in 2 shots distributed in the morning and afternoon.Talk to your endocrin@ and advise you on this .-

He lacks slow, you have to go up until he wakes up well ..
And the Levemir is usually put twice, as they tell you., Although in young children it may not be with one.
There are other slow insulins (, Lantus, Toujeo,) that are only put once a day.Tell her with the endo.

My child is 2 years old and 2 weeks ago we changed to a bomb, but we previously improved a lot putting it in 2 times.Do not be afraid of making changes.The only thing you will give you even more pending when you do them

Thank you very much Dalu and Regina help me a lot.

Hello @"elaine s" keep in mind the slow one and wait three days, those are the recommendations given by diabetologists, so you are progressively seeing as it reacts, and make a change at the same time, xq if you make two changes together notYou will know which one worked or not.First you can try the slow until it dawns with good values, and then you will see if you also need to upload the fast one. Segume my experience!

If you want, tell the values ​​that you have before eating and at 2 hours and also what time the high peaks give.And with that we will help you more.I have only been in this adventure for 10 months, I have a lot to learn, but I have read Michisimo, I have studied a lot how insulin and meals acts in my child and I think I have acquired a lotI think something can help you.

dani76 said:
hello @"elaine s" keep in mind going up the slow one and wait three days, those are the recommendations given by diabetologists, so you are progressively seeing how it reacts, and doOne change at the same time, because if you make two changes together you will not know which one worked or what not.First you can try the slow until it dawns with good values, and then you will see if you also need to upload the fast one. Segume my experience!
I indeed uploaded the dose of the slow and I have seen improvement in the values ​​during the day, because the rapid with the amounts that I have been supplying has worked for me, which I continue to manage it only in the morning (Levemir) because tomorrow I will go to theendocrinologist and I am going to ask if I can get divided (tomorrow and night) because it is only eventually that it wakes up a little.Thanks a lot!

dalu said:
If you want, tell the values ​​you have before eating and at 2 hours and also what time the high peaks give.And with that we will help you more.I have only been in this adventure for 10 months, I have a lot to learn, but I have read Michisimo, I have studied a lot how insulin and meals acts in my child and I think I have acquired a lotI think something can help you.

Finally I am providing more than slow and have improved the values ​​before the meals I see it from 140 to 180 (this after having its snack in the morning) but if, before dinner I still find it in the 200 sometimes becauseIt usually has 2 snacks in the afternoon because it gives you a lot of appetite because it is in the afternoon school, if you have a perfect suggestion, I have also survived investigating everything I can to learn about the condition because it is actually very complex.

If at 2 hours of meals you have good values, you have no choice but to gradually go up the slow.

If you only click on the main meals and the snacks make them without fast it is difficult to get high to dinner.I can think of 3 options:
- You upload the slowly so that the snacks do not upload much with the problem that the day that does not eat or if it does more than normal it is a hiccup (it does not seem good solution, I would not do this)
- You get fast for snacks with the problem of adding extra punctures
- You give it snacks without hydrates or with very little: cheese, nutThere are many very rich) ... I think the latter could be a good option, you save punctures, the girl is not hungry and affects little glucose.

Anyway 140-180 before meals is still high, you will have to continue adjusting.First you have to see if it is high after eating or goes up later.If it is after eating it is a lack of fast, if it is well after eating but later it goes up it is a lack of slow.

You have to learn little by little, do not overwhelm because if you have been short and it is normal to cost you.That your doctor or educator shows you to make insulin settings and get a booth a table of hydrates and at first it weighs everything and calculates with the table, because by eye it takes a lot of practice to calculate well.In the forum there is some very good table that almost all food comes to you.And if you put fixed doses quickly you will have to give it the same amounts of hydrate every day.When you are controlling it well you can adjust your doses and you can give you what you want but at first the easiest is usually always giving it the same amounts of hydrate.Several foods but that add the same rations of hydrate.And weigh everything because things with a lot of hydrate with a little more or less that you give it a lot changes the thing.

Do not despair.