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Hospital admission for monitoring/observation
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<blockquote data-quote="sueh500" data-source="post: 2642767" data-attributes="member: 363721"><p>Hi Chloe, I'm the mum of a 12 year old type 1, diagnosed at 9 years old. Since we got past his diagnosis, his HbA1c has been between 37 and 44, so the numbers that you are quoting do seem high to me. I know it's hard, but I think it's a good thing that the consultant is being proactive in sorting this out as something is not working right. I do a lot of the control for my son (I have a medical background and am a scientist so that helps), but it is a lot for them (and us!) to take on at that age and they do need a lot of support. He's always been brilliant about the blood pricks and giving his doses before meals but I always helped him with the corrections, as did his teachers at primary school as they were the trickiest bit, plus reminding him to take his insulin. We have a pump now and closed loop which is a massive help and is programmed to correct, so this does sound like a great way forward for you. In the meantime, it may help for someone to sit down with your daughter and school and remind them of the importance of the insulin and also in helping her grow (most kids are keen to do this!), so she can remember better to take it when you are not around. We did manually record everything for more than the first year too, so we could see which foods were problematic etc. I'm actually going to start doing that again, as there are a few foods that really spike him but I think fairly consistently and it will help to see the patterns. Another thing that really helps for us is consistency - find foods that work well and keep the breakfast and lunch consistent. We found it a nightmare trying to deal with the different school dinners and although school tried really hard to help, there would be changes or he wouldn't like something and it was too complex. So he went on to having the packed lunches, which means that we know what he is getting (he loves his food so usually eats everything) and we can tell him the carbs in advance. Maybe your daughter is regularly underestimating carbs - it can be tricky. Good luck, hope you get it sorted soon!</p></blockquote><p></p>
[QUOTE="sueh500, post: 2642767, member: 363721"] Hi Chloe, I'm the mum of a 12 year old type 1, diagnosed at 9 years old. Since we got past his diagnosis, his HbA1c has been between 37 and 44, so the numbers that you are quoting do seem high to me. I know it's hard, but I think it's a good thing that the consultant is being proactive in sorting this out as something is not working right. I do a lot of the control for my son (I have a medical background and am a scientist so that helps), but it is a lot for them (and us!) to take on at that age and they do need a lot of support. He's always been brilliant about the blood pricks and giving his doses before meals but I always helped him with the corrections, as did his teachers at primary school as they were the trickiest bit, plus reminding him to take his insulin. We have a pump now and closed loop which is a massive help and is programmed to correct, so this does sound like a great way forward for you. In the meantime, it may help for someone to sit down with your daughter and school and remind them of the importance of the insulin and also in helping her grow (most kids are keen to do this!), so she can remember better to take it when you are not around. We did manually record everything for more than the first year too, so we could see which foods were problematic etc. I'm actually going to start doing that again, as there are a few foods that really spike him but I think fairly consistently and it will help to see the patterns. Another thing that really helps for us is consistency - find foods that work well and keep the breakfast and lunch consistent. We found it a nightmare trying to deal with the different school dinners and although school tried really hard to help, there would be changes or he wouldn't like something and it was too complex. So he went on to having the packed lunches, which means that we know what he is getting (he loves his food so usually eats everything) and we can tell him the carbs in advance. Maybe your daughter is regularly underestimating carbs - it can be tricky. Good luck, hope you get it sorted soon! [/QUOTE]
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