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Testing for site issues Vs. potential hormonal needs.
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<blockquote data-quote="SaffyreSkye" data-source="post: 1568575" data-attributes="member: 438446"><p>Hello all,</p><p></p><p>First of all, I would like to thank you all for taking the time to read my first proper post (apart from my introduction). Please do bear with me, as this post is a bit of a long one.</p><p></p><p>I am the mother of a type 1 diabetic daughter. She is 12 years old and was diagnosed back in 2009. We switched to pump therapy in June, as she was experiencing severe nighttime hypoglycemic events (including seizures and readings of 1.7mmol and below back in March). This absolutely petrified me and still puts fear into me to this day. </p><p></p><p>My daughter started her periods 2 years ago in January and we find that she definitely does run higher during this time (we swear by our trusty temp basals!). However, at the behest of her diabetes team, I have contacted our GP as the team state that it is completely abnormal for a 12-year-old to have irregular periods (some months they are happening twice, sometimes they are normal, sometimes she needs a temp basal, sometimes she doesn't. etc).</p><p></p><p>I personally don't believe this is abnormal after less than 2 years of her having started her periods (menarche is still a possibility) and nor does her GP, but I AM obviously concerned enough about the effect they are having on her glucose levels to go ahead with the hormone tests and scans that her team have requested.</p><p></p><p>As her periods are causing instability with her glucose levels and some months are multiple period months, sometimes we need temp basals and sometimes we don't, I would like a bit of information about this (or potential suggestions).</p><p></p><p>For instance, my daughter had great readings yesterday but after her set fell out during the morning (we caught it very quickly, thankfully, and her glucose levels were 4.1mmol), we had to do a full set change. We did all of this and went about our day. I took her into town so she could meet her friend and as it was a hot day, suspected she may run a little higher, as she tends to. All evening and right up until now, I am having to run temp basals and perform corrections. Her glucose levels haven't been horrendously high, but at 8-9 without budging much, they've been high enough for me to be concerned.</p><p></p><p>What I want to ask is this. I am unsure if her body is telling me another period is potentially imminent, or if the set is in a bad site. I would like to know if when the pump asks me to correct again, could I do this via pen (but let it run through the pump while temporarily disconnected) and then re-check to see if the site is compromised? I don't want to change a set out and waste it if it's unnecessary, but I've never tried this before and don't want to jump in doing something new without the thoughts or opinions of others who may have potentially experienced similar issues. I've only ever had to inject when her glucose levels have been higher than this, owing to a set that has fallen out (thankfully, this isn't too much of a common occurrence).</p><p></p><p>As her glucose levels are so unstable due to her changing hormonal needs, the pump transition hasn't been as smooth as it could have been, but we are most certainly seeing how beneficial it will be once we've ironed everything out. We are using the Medtronic 640g without CGM, and using the Mio 6mm soft cannula sets.</p><p></p><p>If you made it this far, thank you once again for reading my post and if you can provide any guidance or suggestions, please do feel free to do so, it would be much appreciated.</p></blockquote><p></p>
[QUOTE="SaffyreSkye, post: 1568575, member: 438446"] Hello all, First of all, I would like to thank you all for taking the time to read my first proper post (apart from my introduction). Please do bear with me, as this post is a bit of a long one. I am the mother of a type 1 diabetic daughter. She is 12 years old and was diagnosed back in 2009. We switched to pump therapy in June, as she was experiencing severe nighttime hypoglycemic events (including seizures and readings of 1.7mmol and below back in March). This absolutely petrified me and still puts fear into me to this day. My daughter started her periods 2 years ago in January and we find that she definitely does run higher during this time (we swear by our trusty temp basals!). However, at the behest of her diabetes team, I have contacted our GP as the team state that it is completely abnormal for a 12-year-old to have irregular periods (some months they are happening twice, sometimes they are normal, sometimes she needs a temp basal, sometimes she doesn't. etc). I personally don't believe this is abnormal after less than 2 years of her having started her periods (menarche is still a possibility) and nor does her GP, but I AM obviously concerned enough about the effect they are having on her glucose levels to go ahead with the hormone tests and scans that her team have requested. As her periods are causing instability with her glucose levels and some months are multiple period months, sometimes we need temp basals and sometimes we don't, I would like a bit of information about this (or potential suggestions). For instance, my daughter had great readings yesterday but after her set fell out during the morning (we caught it very quickly, thankfully, and her glucose levels were 4.1mmol), we had to do a full set change. We did all of this and went about our day. I took her into town so she could meet her friend and as it was a hot day, suspected she may run a little higher, as she tends to. All evening and right up until now, I am having to run temp basals and perform corrections. Her glucose levels haven't been horrendously high, but at 8-9 without budging much, they've been high enough for me to be concerned. What I want to ask is this. I am unsure if her body is telling me another period is potentially imminent, or if the set is in a bad site. I would like to know if when the pump asks me to correct again, could I do this via pen (but let it run through the pump while temporarily disconnected) and then re-check to see if the site is compromised? I don't want to change a set out and waste it if it's unnecessary, but I've never tried this before and don't want to jump in doing something new without the thoughts or opinions of others who may have potentially experienced similar issues. I've only ever had to inject when her glucose levels have been higher than this, owing to a set that has fallen out (thankfully, this isn't too much of a common occurrence). As her glucose levels are so unstable due to her changing hormonal needs, the pump transition hasn't been as smooth as it could have been, but we are most certainly seeing how beneficial it will be once we've ironed everything out. We are using the Medtronic 640g without CGM, and using the Mio 6mm soft cannula sets. If you made it this far, thank you once again for reading my post and if you can provide any guidance or suggestions, please do feel free to do so, it would be much appreciated. [/QUOTE]
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