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Hi

emmiloulou

emmiloulou

Member
Messages
7
Type of diabetes
Type 1
Treatment type
Insulin
Hi, i am new to this. So here goes my first ever post!!!! My son is a type 1, got diagnosed beginning of november this yr, its all new to us all and we r struggling, my sons blood sugars are up n down like a yo yo, and he has got the shakes. Is this common or not? Cant get answers from anyone. Xx
 
HI and welcome..............

How old is your son...........?

Unpredictable and hard to manage blood sugars are normal in the beginning. They can be quiet common throughout diabetic life actually..........;)

The shakes could be low blood sugar events but you should confirm that with blood tests........

they could also be a reaction to the insulin......

its nothing to worry about though............there will be a period of adjustment but it will get easier.......

ask any question you need to here.............:)
 
Hi welcome to the forum :) Sorry I'm no use to you as I'm type 2. Hopefully some clever type 1's will come along soon
 
Hes 11. We are waiting to do carb counting when dietician rings after xmas, we dont know if it could be to not feeding him enough?
 
Hello and welcome to the forum :) Have you discussed your concerns with his DSN or been in touch with your GP ? My granddaughter is also type 1 and her BS can be up and down as well. Hopefully some parents, with type 1 children, will be along with some helpful advice, take care.

Best wishes RRB :)
 
image.jpg To the forum,I'm afraid I cannot answer your question as I am type 2,hopefully you will get the answer you are looking for.
Goodluck.
 
any concern I would ring the dr or nurse
is his BG levels up now and he has the shakes,
or are they low and have shakes
as you would know low would be treated with glucose and high will be corrected by quick acting

do you have urine ketostiks? and his ketones are ok



Sick day rules

http://www.diabetes-support.org.uk/info/?page_id=141

http://www.diabetes-healthnet.ac.uk...flet_-_Sick_Day_Rules_for_Type_1_-_Nov_13.pdf


Sick day rules flowchart

http://www.leicestershirediabetes.org.uk/uploads//documents/Type1 Sick_day_rules_InsulinV3.pdf
 
He is in the 4s n the consultant isnt worried. Gave him his "sugar hit", and shot up to 7.9, cant get hold of any nurses all day, his sugars vary now between 4.1 n 10.9, he read 10.9 at breaktime and half hour after n after his snack, he was shaking and dropped to 4.3!
 
ring nhs 24/7 or A&E for advice.... I'd keep his glucose up around 10 and check often,
do you have a glucagon injection available, if needed?

edit, oh good you have been able to contact the consultant
 
Last edited by a moderator:
Did you manage to get a hold of a nurse or a doc?

If he's newly diagnosed and had high bg previously for quite some time, then getting back to "normal" readings he may be getting hypo symptoms - these are referred to as "false hypos". It's because his brain is not used to lower levels and is panicking - this will pass soon.
If that's the case I'd advise to target slightly higher readings - like 6-7 instead of 4 to get his body a chance to adjust.

Also remember that everyone has different hypo awareness and sensitivity and a reading of 4.2 may simply be too low for him. And blood meters have up to +-20% accuracy.

If his bg is dropping very quickly (like you said from 10 to 4 -if that happened quickly) then it's normal to get shakes as well.

Remember to always test his blood whenever he has any symptoms in case an actual hypo is coming.
 
emmiloulou said:
Hes 11. We are waiting to do carb counting when dietician rings after xmas, we dont know if it could be to not feeding him enough?
Click to expand...


Just contact his diabetes clinic in the morning and ask to speak with one of the DSN's (Diabetes Specialist Nurses), hopefully they'll ask you to come into the clinic over the next few days or give you advice over the phone, what PaulinaB says about False Hypo's is true and you need to monitor his blood glucose carefully so as not to miss a hypo.

Just stay in contact with his diabetes team as they will guide you along over the next few months, good luck.
 
emmiloulou said:
Hes 11. We are waiting to do carb counting when dietician rings after xmas, we dont know if it could be to not feeding him enough?
Click to expand...

always put anything to your nurse, they are going to be your best friend for a while
when things are back to normal, this is just for background to read at your pleasure.. till you can do your course,
there in an online course and workbooks that may help with an overview
free to register
http://www.bdec-e-learning.com/

This set of workbooks are worth reading and practising working examples of carbs and doses and corrections. Don't change dose without nurse approval

Workbook 1
http://www.diabetesinscotland.org.uk/Publications/9225 Carbohydrate Counting.pdf

Workbook 2
http://www.diabetesinscotland.org.uk/Publications/9226 Carbohydrate Counting the Next Steps.pdf


Carb list
http://www.diabetesinscotland.org.uk/Publications/9227 Carbohydrate Tables A6.pdf

Diary
http://www.diabetesinscotland.org.uk/Publications/9228 Free Diary Portrait A4.pdf

Basal testing
http://www.diabetes-support.org.uk/info/?page_id=120
Click to expand...
 
Hi and welcome. The shakes are almost certainly due to the low blood sugar and would be the start of going hypo. Taking 20gms or so of glucose tablets or a glucose drink at that point should pull him out of the that low blood sugar. I assume your son is on the Basal/Bolus rgime i.e. 24 hour insulin and a rapid meal-time one? The DN should guide you into first getting the Basal right and then adjusting the Bolus using carb-counting. I would have thought the DN should be doing this not a dietician unless he/she has been specifically trained for diabetes. In the longer-term once your son is carb-counting then having a reduced carb diet will allow reduced insulin levels overall and hence reduce blood sugar swings. Do come back with more question to the T1 forum.
 
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