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Type 1 Hypos and stabilising after diagnosis

Daffyduck10

Daffyduck10

Newbie
Messages
2
Type of diabetes
Type 1
Treatment type
Insulin
Hi my 10yr old son was diagnosed 3weeks ago and he started carb counting 1weeks ago. Before this he was on set doses. He is on novorapid and lantus in the evening. He is having multiple hypos in the day. Today he’s had 4! We have lowered his lantus to 8 and he’s on a ratio of 1:20. Can anybody tell me how long it took their child to stabilise. I feel like we are getting no further. I realise his honeymoon is working really well! Thanks
 
Hi @Daffyduck10 . Sorry to hear of your sons struggles at the moment. 3 weeks is no time st all and as time goes by things will stabilise. Experience and leaving the honeymoon period will all make life easier.
As for the here and now.
You say your son has had 4 hypos today. If these were in the daytime it may suggest that his novorapid/ carb counting is not quite right. If his lantus was to high I would expect nighttime hypos.
Is he hypoing at set times after meals/ novo injections?
What method of BS testing are you using?
How are you going about treating these hypos?
I'm not a parent of a T1 child, but I am T1 on the same regime as your son.
Hope you both find the solution to this problem.
 
Hi his dns says because he is waking with a hypo 3.3 this morning then the lantus is too high. We are lowering it again tonight and see if this helps. He is only having 1.5 units at breakfast, 3 at lunch and usually 3-4 at tea time. He also has milk and toast at supper with no insulin. His hypos tend to be around 10-11am and he is treated with 100mls of Coke or 3 glucose tablets etc. He uses a accu check expert meter which does the bolus for him,
 
@Daffyduck10 . Early morning hypo would suggest lantus. Definitely follow DSN advice.
The golden rule is to only adjust one insulin at a time and getting the basal ( lantus ) right is of primary importance. If basal levels are wrong then you'll never get bolus ( novorapid) right.
One thing is the hypo treatment. Only my opinion here but as good as your hypo treatment is it won't raise BS levels long term or until next meal. Most of us will treat a hypo with fast acting carbs, coke and glucose tabs, we will then follow up with some long acting carbs, maybe a digestive biscuit or small sandwich. This stops the same hypo repeating an hour or so down the line.
It's still early days for you but going forward a system enabling you to chart BS levels 24/7 would give a great insight in to how everything works regarding insulin, food and exercise.
Freestyle libre or a CGM although costly would give a good insight and source of info for you to use.
 
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