Resistance to insulin

Hi @tjjpem1 and welcome to the forums. As a T1 yourself I'm guessing you've already considered all my suggestions below but I'll make them anyway. (Disclaimer, we're not allowed to give medical advice on the forums).

I assume you've ruled out the obvious cause such as coming down with an illness? I know some people get drastic changes of insulin requirements caused by puberty and/or hormonal monthly changes? Also, could she simply be leaving the honeymoon period?

Is she on a pump or on injections? Some people find overusing injection sites can cause issues with absorption?

I find that if my bg goes up high then I become much more resistant to insulin, so I sometimes have to "rage bolus" till my levels go down. (Scary to do as you don't want to overload on insulin and go too low). Much easier to cope with on a pump as it shows me my insulin on board and allows me to keep track of how much insulin is in my system.

Tagging some of our younger T1s such as @Nicola M and @Zhnyaka who may have suggestions about T1 issues during puberty.... (My teenage years were pre glucometer so I have no help to give as to reasons for my poor control then).

Good luck with it all

my insulin dose changed a lot during puberty, but not in 3 months. The only thing that comes to mind is that since you also have diabetes, you noticed your daughter's diabetes very early, when she still had a lot of insulin-producing cells, and since they died quickly, the dose increased. Usually, diabetes is diagnosed when almost all the beta cells are dead and we are in a pre-coma state. It may not be a complication, but rather the progression of diabetes, which is often overlooked.

I'd suggest changing the insulin pen/cartridge to see if that makes any difference.

As a 14 year old myself, it becomes obvious overtime that hormones affect glucose levels, but for a newly diagnosed teen it becomes more worse, I’d say stay in touch with the doctors because you may think you have it together finally but it will probably be worse if you immediately cut regular contact with the hospital. A few questions to consider are:
Whether they get worse on her period
If they might have wrongly adjusted her insulin dose calculations
How does it affect her overall health?
As a diabetic of twelve years (not nearly as long as you so you’re the expert) I would personally say that newly diagnosed teens are probably the ones who need closer attention as everything is still new and their bodies are changing rapidly.
Also one thing is that even though teen rebellion is a huge thing (I’ll admit that I am a really rebellious teen too) it is probably a bad approach to just straight up ask her if she’s been secretly snacking, I know parents are concerned and she probably doesn’t understand the gravity of how bad it can get so without jumping to allegations, if you are suspicious of secret snacking, try to explain the bigger picture before and see if she admits whether she is also mention it to the team if it’s something you may think is happening because they may be able to explain it to her.

Hi…
Been meaning to ask for a few weeks now but how’s your daughter doing now?

tjjpem1 said:

Hi,thank you for caring enough to ask relly appreciated seen as most of daughters friends "dont want to go out with a junkie injecting and stuff".

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Has your daughter educated her friends about her diabetes? It doesn't sound like they are very good friends.
It may help if she or her diabetes nurse does a presentation on it at school. You can ask her team, often they have info packs available for exactly this reason.

tjjpem1 said:

Hi,thank you for caring enough to ask relly appreciated seen as most of daughters friends "dont want to go out with a junkie injecting and stuff".Over all shes abit better ratios changed loads.Still abit unpredictable.sensor isnt giving true readings and shes feeling like a pin cushion with all the extra glucose tests and injections.Keep telling her shes not alone and she will find her people who accept that this isnt her choice of lifestyle but necessary! Thanks again.

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Hey…
First of all, don’t thank me for human decency. Second of all I get the feeling of being “pin cushion” but I don’t know how to help much on “junkie injecting and stuff” as for me people are going to be idiots they will be mean (I had a girl pull out my tube once and took a lot of strength to not punch her) but the main thing is we don’t let their undereducated words or actions get to our brains

Jaylee said:

I normally basal test a new cartridge. Not scientific but at least the base line is secured before working on what the fast acting is doing.

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Yes, sorry, I would do this as well. Thanks for posting @Jaylee