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Type 1 Hello, I have a very serious issue. I hope you can help me.

MSAOUD

MSAOUD

Newbie
Messages
3
Type of diabetes
Type 1
Treatment type
Insulin
أناI have a problem, which is a sharp drop, especially at night. The drop occurs when I have to eat, drink, and take a nutritional supplement. Despite all of this, it does not rise until I take concentrated glucose, then it rises to 200, then it begins to fall quickly.In the morning, I eat and take my insulin, for example, two hours after eating. I find it excellent, but then it rises and becomes high, and when I take a correction, it goes down, and so on, noting that my treatment is rapid insulin and slow insulin.The case is nine years old and the injury occurred three years ago.
 
Hello and welcome to the forum.

I’m sorry for asking so many questions but could you give us more idea what your usual routine is to help us understand.

You mention long and short acting insulin. When do you take each?

Do you usually take your short acting insulin before your morning meals, and are you saying you sometimes find you need to add correction doses? I was a bit confused by your statement that you take insulin in the morning but not until 2 hours after your food.

If I am reading your post correctly in the evening you have your meal then add extra glucose but do not take insulin? Then your blood sugar still goes low without any short acting insulin.

When you say the injury occurred three years ago is this when you started having issues with low blood sugar? Apologies but I’m not sure the translation is giving us the correct information.

Have you discussed any of this with your medical professionals?
 
Hi @MSAOUD ,

Welcome to the forum.

How long between your food insulin dose & your correction dose is the time inbetween?
 
Lakeslover said:
Hello and welcome to the forum.

I’m sorry for asking so many questions but could you give us more idea what your usual routine is to help us understand.

You mention long and short acting insulin. When do you take each?

Do you usually take your short acting insulin before your morning meals, and are you saying you sometimes find you need to add correction doses? I was a bit confused by your statement that you take insulin in the morning but not until 2 hours after your food.

If I am reading your post correctly in the evening you have your meal then add extra glucose but do not take insulin? Then your blood sugar still goes low without any short acting insulin.

When you say the injury occurred three years ago is this when you started having issues with low blood sugar? Apologies but I’m not sure the translation is giving us the correct information.

Have you discussed any of this with your medical professionals?
Click to expand...
Dear Doctor,

I am sorry, English is not my first language, but I tried to rewrite this message clearly so it can be better understood.

Case Description:
The patient is a 9-year-old girl, diagnosed with type 1 diabetes at the age of 5.

Main Problem:

She has severe and recurrent hypoglycemia at night, starting from 10:00 PM until 10:00 AM, even after taking carbohydrates or glucose solutions.

Sometimes, if her blood sugar rises after eating, it drops again shortly afterward.


Current Insulin Regimen:

Long-acting insulin: 2 units at 11:00 PM.

NovoRapid: 6 units at lunch (2:00 PM).

NovoRapid: 5 units at dinner (8:00 PM).


Additional Observations:

Two hours after lunch, her blood sugar is normal.

After about three hours post-lunch, her blood sugar rises up to 300 mg/dL, and it is very difficult to lower it with a correction dose of insulin.

During the daytime, she lives relatively normally as a type 1 diabetic patient: eating, drinking, and taking insulin without major issues.


T
hank you for your understanding.
 
Jaylee said:
مرحبًا @MSAOUD ،

مرحباً بكم في المنتدى.

ما هي المدة بين جرعة الإنسولين الغذائية وجرعة التصحيح الخاصة بك؟
Click to expand...

Jaylee said:
Hi @MSAOUD ,

Welcome to the forum.

How long between your food insulin dose & your correction dose is the time inbetween?
Click to expand...

She has dinner at 8:00 PM. Two hours after dinner, if her blood sugar is high, we give a correction dose of insulin, and then we check her blood sugar again before bedtime, which is within the target range. This means there are two hours between the meal dose and the correction dose, and another two hours between the correction dose and bedtime. At 11:00 PM, she takes 2 units of basal insulin. However, around 1:00, 2:00, or 3:00 AM, she begins to experience severe hypoglycemia.
 
Thank you for your reply.

Just to clarify I am not a doctor, just another person living with diabetes.

This situation must be very worrying for you. It is hard watching a child having to get used to all that goes along with diabetes. Also she is at a difficult age where hormones start to change and I believe that can also affect diabetic control.

On this forum we are not allowed to advise on insulin levels. I think your best way forward would be to discuss these points with the child’s diabetic doctor to see whether they would recommend a change in insulin types, doses or regime. I would keep a diary until you can see them detailing the food eaten, times and types of insulin taken and blood sugar levels so they can try and work out what is causing her highs and lows.

I hope you are able to get the help you need.
 
MSAOUD said:
She has dinner at 8:00 PM. Two hours after dinner, if her blood sugar is high, we give a correction dose of insulin, and then we check her blood sugar again before bedtime, which is within the target range. This means there are two hours between the meal dose and the correction dose, and another two hours between the correction dose and bedtime. At 11:00 PM, she takes 2 units of basal insulin. However, around 1:00, 2:00, or 3:00 AM, she begins to experience severe hypoglycemia.
Click to expand...

I am not a doctor. But I do have extensive experience of insulin use..
I also use Novorapid.

Are you saying the correction dose is given at 10PM?

You need to talk to your doctor regarding such matters.

Are you the primary carer for the T1 child?
 
why did you decide to search for an answer on the forum instead of contacting a doctor? Do you have an opportunity to contact an endocrinologist? 2 units of basal and 11 bolus is a very unusual ratio , usually it 's not that much different . what kind of bolus insulin is used?
 
Hi @MSAOUD,
I support the previous comments, but to add:

When you take the child to see a Diabetes Specialist doctor, (Endocrinologist), either the doctor or the Diabetes Specialist Nurses, will teach you (and the child) about carbohydrate counting.
It would be rather unusual to inject a fixed amount of fast-acting insulin for each lunch and dinner, unless the child eats exactly the same amount of carbohydrates during each meal.
Please ask for guidance about the child's meals from a Dietician who specialises in childhood Type1. The Endocrinologists, Dieticians, and Diabetes Specialist Nurses work together, as a team, looking after Type1 patients.
 
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