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spider

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hi there,happy new year 2 every 1! ent been on this site 4 ages.well hear it goes anyway,my daughter is 12 n as been type 1 nw 4 3 years n still has poor control over her diabetes :( shes on 12 nova rapid n 22 insulatard in the morning n 9 n 25 on the evening n still has syringes n her doc wont give her a pen unless she goes on 4 injections a day which she refuses 2 do!partly cause she wont inject in school.nw ive been told she can get her 2 insulin mix in a pen,,,which would be easier 2 do but when i asked her doc he accused me ov putting convenience ova care :evil:it very much upset me with what he said but her doc insists she cant get good control with the pen on 2 injections unless she has 4 injections. any opinions would be grateful. thank you!
 
Hi,

to me this sounds like utter nonsense.

surely with a pen it is pre-mixed so eliminates the possiblility of mixing the insulins wrong? thus improving care aswell as convenience?

and it would be easier for your daughter to start to inject herself with a pen and eventually move to 4a day when shes good and ready?

do you see a diabetes specialist too? your doctor may be more inclined to agree with you with backing from a medical professional?

im no expert so this is just my opinion but i hope you get it sorted for whats best for her :)
 
hi there n thankz 4 ur reply n yes my daughter does see a specialist n he is the 1 making the decisions he seems 2 think she cant get good control with 2 injections with a pen! only if she has 4 injections.
 
About the only part I would agree with your doctor, is that using a re-mixed insulin your daughter is very unlikely to get good control of her diabetes, whether she injects this with a syringe or an insulin pen, doesn't matter...

For a pre-mixed insulin 2x injection a day to hae a chance of working one needs to have a regimental daily lifestyle, one day identical to another... Which is achieveable for the elderly and that about it..

Your daughter is growing, and most likley stating puberty, which means her hormones are going to effect her control, let alone the day to day changes of activity any normal teenager faces.. 4 injections will enable her more flexibility and combined with carb counting, will enable her to be more pro-active controlling her blood glucose as she grows...

It sounds as though her doctor is trying to use the pen issue to encourage her onto the 4 injections a day, what you need to do is ask for the insulin pen to be used with pre-mixed at first so that she gets used to the pen and injecting then lead her onto 4 injections a day..
 
spider said:
hi there,happy new year 2 every 1! ent been on this site 4 ages.well hear it goes anyway,my daughter is 12 n as been type 1 nw 4 3 years n still has poor control over her diabetes :( shes on 12 nova rapid n 22 insulatard in the morning n 9 n 25 on the evening n still has syringes n her doc wont give her a pen unless she goes on 4 injections a day which she refuses 2 do!partly cause she wont inject in school.nw ive been told she can get her 2 insulin mix in a pen,,,which would be easier 2 do but when i asked her doc he accused me ov putting convenience ova care :evil:it very much upset me with what he said but her doc insists she cant get good control with the pen on 2 injections unless she has 4 injections. any opinions would be grateful. thank you!
Click to expand...

Hi

Ive been diabetic for quite a long time so do understand how you and your daughter are feeling. For myself, I quite liked using twice daily insulin injections as their action was fairly predictable on my bg levels. As long as I remembered to eat specific amounts of carb at set times of the day, I had virtually no trouble.

Pre mixed insulins are still available and no one should be made to use bolus/basal unless they want to. Although it can be argued that 4 injections per day gives better control, the war is lost if someone is not happy to comply :( As your daughter is only 12 she has got to get through her senior school years being happy and not miserable. She can switch to MDI when she gets to about 15 or 16 if she wants to.

I would ask consultant about pre mixed insulins and just use a bit of fast acting Novorapid as a backup as needed if your daughter oversteps her carb allowance.
 
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