can anyone help daughters blood sugars high

Lantus doesn't cause cancer. That's a bit misleading.

Anyone who is pre-determined to develop a tumour even if it's benign, by using an insulin such as Lantus, the IGF factor (insulin growth factor) can in actual fact help that tumour to grow bigger at the expense of needing more and more insulin unfortunately.

lionrampant said:

You know posts like the one above, and this entire thread, make me wonder why they're putting kids onto basal-bolus so soon. Mixtard etc. may not be cutting edge but it works quite well in levelling things out, especially with children who will have a fixed routine anyway. Some of my best results when I was younger were delivered when I was on a mixed solution.

Obviously basal bolus is a fine solution in adult life, due to the unpredictability of every day events and the flexibility we all seek, but I really do think children should be kept on a more stable, predictable regime for longer than they currently are.

Edit: However this really would mean sticking to absolute carb intakes over the course of the day, and we all know how terrified hospitals are of expecting people to do basic arithmetic these days.

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MDI and a strictish regime aren't exclusive. As I was only diagnosed 4 years ago( as an adult) I used MDI from the first . I was also prescribed amounts of carbs and what else to eat for balance for each meaI.I was scared stiff of deviating from the plan to start with but it helped me to become very aware of how insulin worked and what affected my levels.... one less variable. As I gained in confidence, then I was able to vary my diet but it took a while. Even today for everyday meals I still follow what was originally prescribed.
It's much easier as an adult though because it's self discipline and not imposed by a parent/doctor and its much easier without peer pressure. I also think that its possible in some cases (actually I'm thinking of an individual here) over rigid regimes in childhood can lead to rebellion/missing injections in adolescence.


I've just read the concern about lantus.
As IHS
says and quoted from the recent report into type 2 and lantus and cancer
'There is no evidence that insulin, however formulated, causes
cancer. There is no evidence of an overall increase in the
rate of cancer development in patients on insulin
glargine, and some suggestion that the risk may actually
be reduced. There is no evidence of harm in type 1
diabetes, or in premenopausal breast cancer.
,Perhaps this thread will explain things in more detail
http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=1&t=9184

sophsmam said:

we were told to give her a correction dose whenever she is over ten and usally she would have been at school.but becasue her bloods at the minute or all over the place its to try and keep down.

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Hi, if you do a correction when on 10, that's fine, just allow a sligher higher correction dose, and then deduct 1 or 2 units off the next mealtime bolus. This should give you better control.

sophsmam said:

that was sent to me in a message so i can take it that isn't the case

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It's hit and miss this sort of question. We can't necessarily trust the companies that make these drugs because they have a vested interest in their promotion, and we can't rely purely on internet commentary for analysis of their contents because at the end of the day very few people on here have expertise in biochemistry. :|

Most people will, I think, agree that insulin analogs aren't exactly as wonderful as they're meant to be; equally however we don't really have a choice but to use them if we want to mimic the pancreas' natural action. Whether that's a worth while goal is a conversation for another time. :?:

sophsmam said:

we were told to give her a correction dose whenever she is over ten and usally she would have been at school.but becasue her bloods at the minute or all over the place its to try and keep down.

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How big a correction are you doing?

phoenix said:

lionrampant said:

You know posts like the one above, and this entire thread, make me wonder why they're putting kids onto basal-bolus so soon. Mixtard etc. may not be cutting edge but it works quite well in levelling things out, especially with children who will have a fixed routine anyway. Some of my best results when I was younger were delivered when I was on a mixed solution.

Obviously basal bolus is a fine solution in adult life, due to the unpredictability of every day events and the flexibility we all seek, but I really do think children should be kept on a more stable, predictable regime for longer than they currently are.

Edit: However this really would mean sticking to absolute carb intakes over the course of the day, and we all know how terrified hospitals are of expecting people to do basic arithmetic these days.

Click to expand...

MDI and a strictish regime aren't exclusive. As I was only diagnosed 4 years ago( as an adult) I used MDI from the first . I was also prescribed amounts of carbs and what else to eat for balance for each meaI.I was scared stiff of deviating from the plan to start with but it helped me to become very aware of how insulin worked and what affected my levels.... one less variable. As I gained in confidence, then I was able to vary my diet but it took a while. Even today for everyday meals I still follow what was originally prescribed.
It's much easier as an adult though because it's self discipline and not imposed by a parent/doctor and its much easier without peer pressure. I also think that its possible in some cases (actually I'm thinking of an individual here) over rigid regimes in childhood can lead to rebellion/missing injections in adolescence.

Click to expand...

I completely understand that phoenix, but I think with kids starting out keeping the variables as unchanging as possible is always going to help with stability.

Hi

A correction dose of just 2 units is not going to do too much straight away. If you try 4 units upwards, that should work depending on how high she is mid morning or mid afternoon. Just remember that the higher the correction, the quicker it will work, so just deduct 1 or 2 units off the next meal bolus.

If you can though, try and get the meal time bolus correct for the amount of carb eaten, then you won't need to do corrections.

I completely understand that phoenix, but I think with kids starting out keeping the variables as unchanging as possible is always going to help with stability.

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I actually agree thats probably best at the start, (works for adults too)

I'm waiting on more info developing before I comment on most of those patterns, but nocturnal hypos can be caused by something like NovoRapid from evening having a knock-on effect on her Lantus.

Heh, sorry I meant more info from you - as in as you post more results over the next few days. As I said though, he night time hypos are probably caused by her evening meal injection being too large or too close (time wise) to her Lantus one.

Wait, hang on, hawd the bus (as they would say in Glasgow)...

You're reducing her Lantus dose due to bed time hypos? Don't. Lantus doesn't (er, shouldn't) act that fast. If she's hypo, give her a good hypo stop (lucozade, or whatever) and then give her the regular Lantus dose - don't decrease it.

Hmm. This is getting odd then. What are her bed time bloods like?

Hello,

I would just like to jump in here; it sounds like you are changing the Lantus too rapidly - it does take a while to 'bed in' so I'd leave it at the current level for a few days and see what happens.

I've changed from Lantus to Levemir because I wasn't getting the best control out of Lantus and that has helped, I'm also splitting the dose. Now, I'm not suggesting you split the dose yet with the Lantus - I'd like to hear what others think, but possibly you could do that so she has say 13 units in the morning and 12 at night (taking them at the same times i.e. 8 am and 8 pm).

Definitely avoid any sweets for the moment; it sounds like you are getting a lot of swings here so really avoid anything with sugar and/or refined carbs then as things calm down (which they will) you can look at increasing those foods if you feel you must. Breakfast cereal is problem as it seems healthy but has lots of sugar in it, also fruit juice and the like should be avoided until you get this under control.

Of course if she is eating less sugary things and less carbohyrdate then the Novorapid needs to be reduced as well; carb counting is very important here.

All the best

Dillinger

Try and level her bloods out for a while. Even if they're a wee bit high, get them steady for a few days then change one dose at a time to try and bring them down - start with her Lantus injections, they should level everything out, then you might have to lower her NovoRapid.