Seeing endo. tommorrow. Questions? Please read!?!
Question: Seeing endo!. tommorrow!. Questions!? Please read!!?
hey everybody!. im 12 years old and i was diagnosed with type 1 diabetes march 27 of this year!. tomorrow i am going to my pediatric endocrinologist!. this will be my 3rd time there!. heres my question: 1) latley i have been having VERY high numbers (like 200 every time i check)!. im doing everything right, my mom and i always double check how much insulin to take and count up carbs correctly!. 2) what should i ask my endo tomorrow!? like questions that my parents could ask about why im having these numbers
btw if this is any help at all:
im on a 15 carb per!. unit ratio
its humalog for meals!.
i take 4 in the morning
6 at lunch and 8 at dinner!.
then i have a bedtime shot, lantus
i take 16 units of it!.
[ do you think the lantus might need to be increased!? ]
thanks so much for reading all of this
and i greatly appriciate it! :DWww@Answer-Health@Com
btw if this is any help at all:
im on a 15 carb per!. unit ratio
its humalog for meals!.
i take 4 in the morning
6 at lunch and 8 at dinner!.
then i have a bedtime shot, lantus
i take 16 units of it!.
[ do you think the lantus might need to be increased!? ]
thanks so much for reading all of this
and i greatly appriciate it! :DWww@Answer-Health@Com
Answers:
Hi! I am an adult, but I am taking the same insulin as you are!. Like you, my blood sugar is very high!. I went and saw an endo for the first time a month ago ( I was diagnosed in 2001)!. I was taking 4 units of humalog for breakfast and lunch and then 5 for dinner and for lantus I was taking 25 units!. He told me that I need to take my blood sugar before I eat and if it was higher to add a correction unit!. Here is the chart he gave me-
150-200!.!.!.add one unit
200-250!.!.!.add two units
250-300!.!.!.add three units
300-350!.!.!.add four units
350 and up!.!.!.add five units
So that means, my 4 units plus the correction units!. Then he told me to test two hours after I ate and if it was still high, that means I did not have enough insulin!. I raised my base unit to 7, so when I started out, I was taking up to 20 units before meals, now I take only 12!. He upped my lantus to 35 units also!. My personal goal for now is for blood sugar to be 100-120 before meals and 160-180 2 hours after!. Also, I have to slowly up my lantus until my morning blood sugar is less than 120!.
He also prescribed me a pill called metformin, which is for insulin resistance, and that has helped me out a whole bunch, but read up on it before asking your doctor!. I hope that I have helped out! I wish I saw your question sooner! I can't believe no one answered you!
Please show this to your parents, maybe this will help them with some questions!. I am 36 years old, my name is Kristine, if you or your parents would like to email back and forth for support or advice, please feel free to! I know how hard this disease is and having someone to talk to who has it too helps keep the spirits up! Good luck sweetie, and please let me know what your doctor is doing for you! If you feel that he is not doing a good enough job, find another doctor who will!
Www@Answer-Health@Com
150-200!.!.!.add one unit
200-250!.!.!.add two units
250-300!.!.!.add three units
300-350!.!.!.add four units
350 and up!.!.!.add five units
So that means, my 4 units plus the correction units!. Then he told me to test two hours after I ate and if it was still high, that means I did not have enough insulin!. I raised my base unit to 7, so when I started out, I was taking up to 20 units before meals, now I take only 12!. He upped my lantus to 35 units also!. My personal goal for now is for blood sugar to be 100-120 before meals and 160-180 2 hours after!. Also, I have to slowly up my lantus until my morning blood sugar is less than 120!.
He also prescribed me a pill called metformin, which is for insulin resistance, and that has helped me out a whole bunch, but read up on it before asking your doctor!. I hope that I have helped out! I wish I saw your question sooner! I can't believe no one answered you!
Please show this to your parents, maybe this will help them with some questions!. I am 36 years old, my name is Kristine, if you or your parents would like to email back and forth for support or advice, please feel free to! I know how hard this disease is and having someone to talk to who has it too helps keep the spirits up! Good luck sweetie, and please let me know what your doctor is doing for you! If you feel that he is not doing a good enough job, find another doctor who will!
Www@Answer-Health@Com
Ask your endocrinologist for a referral to a Diabetes Educator, there may even be one in his staff!. These are specially trained nurses who can sit down with you for an hour at a time, download your meter, talk with you, and help find patterns and make adjustments to your insulin!. Chances are you will just need to tweak your insulin-to-carb ratios a bit!. Since you were diagnosed recently, they may have been a little cautious about giving you too much insulin, they would rather bring it down gradually!. Now that it's been a few months, you may also be coming out of what they call your "honeymoon period", where your beta cells still pumped out a little bit of insulin!. Over the next few months the beta cells will die off completely, and you might need to tweak your insulin doses a little more, then they will stabilize!. Endo's just don't have the time to sit down with you and analyze the numbers much, so a Diabetes Educator can be a huge help!. I wouldn't go without one! Www@Answer-Health@Com