Advice needed

Hi Anne,

Wow, sounds a bit perplexing, different system and different language! as far as I know, you divde the 150 by 18 to get UK mmol measurements so that would mean 150 = 8.3. Please check this though!! As for your son going high after a normal BG reading at bedtime, is he on a long acting bedtime dose? Or perhaps his evening meal consists of too many long acting carbs? I understand your frustration but the best place to go with your findings is your Doc or DN - good luck!

Hope you manage to sort it out

Hi Anne,

A few quick points first of all. The range of acceptable blood glucose readings where you are is wider than in the UK. Here, the NHS recommends diabetics try to remain between around 70 -130.
Having said that, the ideal level to aim for is around 90 as that is a typically healthy non-diabetic reading.
Your son's bedtime reading is above 150 (8.3 in UK money) and that's really too high on a regular basis. 200-300 (11.1 - 16.6) is much too high, high enough in fact to cause damage to much of the body.
As your son was diagnosed in April and his bg levels are now creeping upwards, this suggests he is coming to the end of what's known as the 'honeymoon period'. This is a time when the pancreas still has some remaining insulin producing capability, but can quickly be ended when bg levels are routinely too high. It's a dificult time and you'll need to be vigilant in monitoring his levels and adjusting his medication levels upwards to suit.
The other option is to have a close look at his diet and remove the foods which cause his blood glucose to rise so high. This can have a significant impact both on reducing average bg levels and also reducing the fluctuations between low and high.
I hope that helps, but please keep us posted.

All the best,

fergus

:?

err......i think she meant 230, his BG level no?

I think so too. It would help us all to help anybody who posts using non UK numbers to do the conversion first then post the numbers. Avoid such confusion if we can. Thanks.

Divide mg/dl by 18 to give mmol/l. Vice versa for other way round.

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I'm sorry that you're having problems, as has been said it may be that the honeymoon is coming to an end and that you will need some help from your team to adjust the insulin dosage.
I do hope that you managed to get on to them as levels 200 and 300mg/dl (11-160mmol) are too high and need to be dealt with fairly quickly.
Children are very different to adults which is why I hoped someone with some experience would have replied.
After Fergus's post, I checked the NICE guidelines for children in the UK, they were as I thought, higher than for adults.

Children and young people with type 1 diabetes and their families should be informed that the optimal targets for short-term glycaemic control are a pre-prandial blood glucose level of 4–8 mmol/litre (72/144 mg/dl) and a post-prandial blood glucose level of less than 10 mmol/litre (180mg/dl)

Click to expand...

http://www.nice.org.uk/nicemedia/pdf/CG015NICEguideline.pdf
Elsewhere, leaflets issued by various paediatric depts seem to say that at bedtime levels should be between 7mmol and 10mmol (126-180mg/dl) and that a bedtime snack needs to be considered. (depending on prior activity and insulin type)
http://www.nnuh.nhs.uk/docs\leaflets\499.pdf

Hope, that you've managed contact now.

Another reason could be that he might be having hypos during the night and not feeling them,so try doing some checks in the night to see whats happening there.
Good luck