Sunday, February 12, 2012

Wednesday, October 22, 2008 Bombay asks

Q: i have a teen w/ type 1 that doesn't like to eat breakfast, any suggestions?

Recently diagnosed - 4 months - and won't wear a pump.  Very active, we struggle to keep sugar numbers around 100.  Has had 2 severe low sugar attacks - with convulsions and rapid breathing.

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10/24/08 12:17am

Bombay-

 

Hello! I think breakfast is the hardest meal for a lot of people to eat, I never ate it until I was DX w/ Diabetes in 2004. I usually eat oatmeal or toast.  You should talk to your healthcare provider about breakfast and explain that he doesn't wear his pump.  He is a teen and I heard they can be a little hard to treat.  There is also a section we have her on mydiabetescentral.com for teens with diabetes (click here and it will take you to the site).  They have a lot of information there.  I would also like to recommend another community called Tudiabetes.com it is a site dedicated to diabetic's, spouses and family members. There is a teen group on there; your child maybe needs to find someone who can relate to him.  I know you try your hardest but sometimes you need to talk to someone who understands.  

 

Cherise

Community Moderator

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10/23/08 6:22pm

It depends on what insulin regimen he/she is on. If they are taking a basal insulin eg lantus and fast acting insulin with each meal then I would advise that they continue with their basal insulin (even if they take this in the morning) and omit the fast acting insulin when they do not want to eat (or reduce the dose if they don't want to eat as much). It's a pity they don't want a pump as this would be a good answer. Teens are probably one of the most challenging age groups of people to treat (for all sorts of reasons) but it sounds like they have had some severe hypoglycaemic attacks and need to understand the seriousness of this.  Your diabetes team will be able to give some advice on carbohydrate counting and insulin dose adjustment according to what you eat. Good luck!

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2/ 9/09 3:55pm

i have been type 1 diabetic for 22 years.  you are keeping her sugars too low!  it should average 120 to 150 and with that you must check blood sugar 10-14 times a day.  it can drop suddenly depending on activity.  also make sure she is getting enought protein. You might want to consider a continuous blood glucose monitoring system.  Please be careful, you could lose your teen.

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