Worried for the future..

h4kr

Well-Known Member
Messages
123
Type of diabetes
Type 1
Treatment type
Insulin
My 8 yr old daughter was diagnosed 4 months ago. We are on the libre and struggling to control her levels. She is constantly high, if we give bigger doses of novorapid it drops her to a hypo very quickly.
We have a meeting with the dsn this week and I have suggested we look at the omnipod to try and help manage for her.
My biggest fear is for her future.. I feel so helpless that all we are doing isn’t enough to prevent complications. I have read about heart and eye problems plus nerve damage etc. I am so worried for her future.
Diabetes has become all encompassing in our family all we talk about is numbers.
 

paulus1

Well-Known Member
Messages
843
Type of diabetes
Type 2
Treatment type
Tablets (oral)
it sounds like her basel needs upping. what is she eating. when is she high. try and not worry about the damage its an issue if its uncontrolled. your clearly not going to allow that. 4 months its still relatively new.
 

therower

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Messages
3,922
Type of diabetes
Type 1
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Insulin
@h4kr . 4 months diagnosis is no time really. You and your daughter are still at the beginning of the journey.
What are we calling constantly high?
Ultimate control of diabetes starts with basal doses being as good as possible.
Long term, poor control can lead to complications but we are talking years of very bad control here.
Focus on getting the basics right at the moment, if you do that I doubt your daughter will have to many problems going forward.
Diabetes thrives on negativity, don't let negativity become part of your daughters diabetic life.
As much as I feel the use of a libre is essential it can at times provide to much information. Catch 22 at times. Life isn't solely about meter readings, you have to live by that general feeling for life as well.
27 yrs average HbA1C over those years maybe 7.5, I can't be sure, but it's definitely not in the 6's.
Complications???????? Well some ( a lot ) say I'm a miserable old sod, going bold, slight background retinopathy in left eye which appears to come and go on a yearly basis. Apart from that I'm doing fine.
 

EllieM

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9,310
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I became diabetic in 1970, when I was your daughter's age. In those days, there was no way to test blood sugars, all we could do was twice daily urine tests, to see if blood sugar was over 10 and had passed into urine. I'm still here, alive and well, eyesight and nerves etc all fine, with two adult healthy children to prove that T1s can do all the things that everyone else does. (OK, luckily I never wanted to be an astronaut or go into the military). You don't have to be perfect to lead a healthy and happy life. Things will get easier as you and she learn how to deal with diabetes. Also, modern treatment methods get better all the time. Good luck.

ps how high is high?
 
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h4kr

Well-Known Member
Messages
123
Type of diabetes
Type 1
Treatment type
Insulin
So she usually wakes up between 5-7, I guess the basal is ok? It’s just food times make her spike .. so this afternoon she cruised at 11+
I know it’s early days.. but sometimes you just feel helpless... maybe we’re not doing enough?
Heh.. thanks for the replies, maybe I’m just being anal with the numbers.. the double edged sword of the libre ;)
 

catapillar

Well-Known Member
Messages
3,390
Type of diabetes
Type 1
Treatment type
Insulin
So she usually wakes up between 5-7, I guess the basal is ok? It’s just food times make her spike .. so this afternoon she cruised at 11+
I know it’s early days.. but sometimes you just feel helpless... maybe we’re not doing enough?
Heh.. thanks for the replies, maybe I’m just being anal with the numbers.. the double edged sword of the libre ;)

Do you pre-bolus? Are you carb counting and confident the insulin:carb ratio is correct?

Maybe have a look at the Bertie course - https://www.bertieonline.org.uk

You need to remember that risks for diabetic complications are based upon hba1c scores. The target for type 1s is to have a hba1c under 48. And it's possible to have a hba1c in target while still having 30% of finger pricks over target. So one afternoon at 11+ is probably about 30% of the day over target. In the grand scheme of things, not a lot to worry about.

Have you got a half unit pen?
 

therower

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Messages
3,922
Type of diabetes
Type 1
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Insulin
@h4kr . Spikes from meals are common for type 1's. It's often a matter of timing.
We want the bolus insulin to start working at exactly the same time that the food we've eaten is being broken down in our systems. Easy it isn't. Different foods digest at vastly different rates. Insulin absorption can vary hugely especially with mdi. Experience and the knowledge you gain as time goes by will help overcome a lot of these challenges.
Pre bolusing is something a lot of diabetics do, but it takes experience/ confidence. Something to talk to your DN about.
11+ isn't as bad as you may feel it is. Okay we would like it to be better BUT it ain't bad, especially taking into account you're new to all this.
Be careful not to just take the libre information in the moment. You need to take the information and look for patterns over a period of time, days and weeks.
 
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h4kr

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Messages
123
Type of diabetes
Type 1
Treatment type
Insulin
Thank you all.. maybe it’s just been a bad week of ups and downs. As a parent I just worry for her future and hope we are doing all the right things!
 

Scott-C

Well-Known Member
Messages
2,474
Type of diabetes
Type 1
Whoah, @h4kr , steady on, and keep some perspective here!

When you opened the post and talked about high levels, I thought maybe you were talking about 20s. That would be something to worry about if it was occuring regularly.

But then you said the highs were 11. Sure, that level isn't fantastic, but for a parent looking after a recently dx'd youngster and still getting to grips with the ins and outs of T1 management, it's not that bad.

Complications don't just happen overnight. They happen to T1s who forget or deny they are T1, run at 20 for weeks on end, fly off to Ibiza, and don't bother taking insulin for a week because they feel, "ok".

This is still very early days for you and your child. 11 for short periods isn't going to harm her provided you and the docs figure out ways to nudge it down a bit so that it's not a regular, extended occurence.

You have plenty of time to figure out how to sort this without any harm occurring.
 
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Jaylee

Oracle
Retired Moderator
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18,232
Type of diabetes
Type 1
Treatment type
Insulin
Hi @h4kr ,

I can't realy disagree with the advice above...
4 months in is early days for a newly diagnosed 8 year old. Sounds like you're doing a fantastic job!

If it's any consolation to you? I was diagnosed the same age as your daughter. (Check out the dodgy tech we had back in the mid 1970s for blood glucose managment!) 41 years on.. I have absolutely nothing much to write home about..

We're now living in an age where the tech has vastly improved for diabetes managment.
"The only thing we have to fear." Is the lack of imagination regarding what we're going to do with the opportunities in our lives... :)

My futures so bright, I still don't need to wear shades..

Kind regards,

J>
 
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h4kr

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Messages
123
Type of diabetes
Type 1
Treatment type
Insulin
beeef20629caf67980ec8f8c48e31d0c.jpg

Guess I don’t explain myself very well.. 11+ is the average, we spike to 25 regularly.. tonight she went to bed at 14.. never know wether I should give her a unit to come down? Or let it drop naturally? Am I doing more harm by not correcting and risking a hypo in the night?
 
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EllieM

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How confident are you with the libre results? In my experience, they can be very inaccurate, particularly at high and low levels. Do you ever check them against a blood test? (Sorry, I know that you don't want to prick her poor little fingers any more than you possibly have to, but be aware that libre doesn't work for all people.) Good that you're seeing your dsn this week, they should be able to help you. Your daughter is probably still in her honeymoon period, so still producing unpredictable amounts of insulin, hence the hypos?
 

h4kr

Well-Known Member
Messages
123
Type of diabetes
Type 1
Treatment type
Insulin
Yeah.. we fingerpick at all meal times and anytime it looks to be trending low.
 
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Shiba Park

Well-Known Member
Messages
164
Type of diabetes
Type 1
Treatment type
Insulin
My 8 yr old daughter was diagnosed 4 months ago. We are on the libre and struggling to control her levels. She is constantly high, if we give bigger doses of novorapid it drops her to a hypo very quickly.
We have a meeting with the dsn this week and I have suggested we look at the omnipod to try and help manage for her.
My biggest fear is for her future.. I feel so helpless that all we are doing isn’t enough to prevent complications. I have read about heart and eye problems plus nerve damage etc. I am so worried for her future.
Diabetes has become all encompassing in our family all we talk about is numbers.
Are these numbers from the Libre or a finger prick test? If the former, have you confirmed them with real blood? My (very limited) experience was when Libra showed 11, Accu-chek said 8...

The Libra is great for some, a disaster for others.
 
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Phoenix55

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Messages
577
Type of diabetes
Prediabetes
OK, …. and breathe. Family life is important to any child; so hide your concerns, change the subject, talk about anything than numbers. I am putting it out there, not as a parent but as professional who dealt with children every day. They need to feel ordinary and special (go figure!), so ease up a bit when at home. Voice your concerns to the Dn or consultant, or come here and have a rant. You are doing your best already. As others have said, long term damage results from running very high for long periods of time, let your child have a childhood - have fun together, read her stories and poems, let her know by your actions that you will be there for her whatever. My abiding memory of childhood with my father is him taking the time to read the poem 'Hiawatha' to me one Saturday morning, the rest of the time he was coming home tired from work and I went to bed, or I had to be quiet while he watched football on television. As an adult I realise that he had other issues, but it was hard as child and affected our relationship. Enjoy playing with her, let her learn how to flirt. Be proud of her achievements and encourage her in her interests. It sounds trite, but these things are important to a child, affect the adult they become. She already has a lot to deal with at school, so let her enjoy being home with you without having to concern herself with trying to please you with a set of numbers that she wants to control to please you but her body will not let her.
There was more than a little truth in the lyric line 'The way to handle a woman is to love her, simply love her...'
 
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kitedoc

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Messages
4,783
Type of diabetes
Type 1
Treatment type
Pump
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black jelly beans
Hi @h4kr,
Like @ Ellie M,I was diagnosed a while ago, 1966 in fact, at age 13. As Ellie M said no gluco-meters, only two insulins both of which were unreliable in their absorption rates , no disposable syringes and needles, and pumps were just a glint in researchers' eyes. Urine testing, guessing and juggling insulin doses for the conditions at hand, learning by experience, diet and exercise were the orders of the days, weeks and years. Hypos were a reality to be faced and the funny stories which emanated from such events helped to counter the hard slog that is was back then.
Yet I hiked, sailed. canoed, got into university, worked as a health professional, sired children (which of course in nothing like giving birth to them !!) and am now retired and, at now 51 years on my old friend insulin, have had a total sum of: both cataracts removed/replaced and some nerve pressure and trigger finger releases. Of course I blame the Australian sun as a co-conspirator with the diabetes for my cataracts but I think other TIDs (Type 1 Diabetics) may have had similar experiences elsewhere.!!
My specialist tells me he now informs new Type 1 diabetics he sees with a recommendation to plan for normal age retirement, treatment and management is that good these days! I reckon he would be saying the same if he were speaking to your 8 year old.
I was also fortunate to be a volunteer at camps for diabetic children and their parents. Camps provide a great way to destress, for children to see they are not alone and that fears like giving injections are common but can be overcome etc.
Some things I learned ( and I am still learning about).
One step at a time. Altering too many things at once causes confusion.
Check any changes etc with DSN/doctor first. People on this site have given you a lot to think about but changing insulin doses etc is for you to discuss with your DSN and doctor first. We can suggest but not advise/order changes. But seeing what the rationale for what has been suggested is a helpful way to learn.
Ask questions - that is how we learn and have a good communication line with your DSN and doctor and you have found this site and will no doubt build connections with other parents who face similar challenges with their diabetic children.
Explore and look for information _ There are posts on Libre readings, their accuracy and otherwise and comparisons with Continuous Glucose Monitoring (CGM) which might to applicable in use with an insulin pump.
Learn about hypos( short for hypoglycaemia - low blood sugar) and how best to treat them (and see the section on this site) .Diabetes associations, medical books and professionals and other places of information regard hypos are the more immediate concern and need the most attention. Diabetes complications take a long time to show, if they ever do and there is plenty of time to get things sorted with her blood sugars. Often my wife can tell if I am going low in blood sugar before I do, by my appearance, behaviour and using all her other senses. That is what parents learn about their diabetic child and with experience and through time can pass on their observation to teachers, friends, siblings etc.
Give attention to all your children
because they are all special, need love and sometimes siblings feel left out when parents have to pay so much attention to the one who has been unwell. And finding the correct balance between being too over-protective and too lassiez-faire takes time and experience
Plan ahead: hope for the best, plan for the worst: one attribute of TIDs is that they learn to plan for all eventualities, like taking extra food on an outing in case they have a hypo, or a meal is delayed or they are held up getting home. They pack and carry insulin, injection equipment, pump supplies, extra battery, testing kit and strips even when they expect to be home later on. The question they learn to ask is 'What if such and such happens. If I do not have a spare this or that can I get home in time? Do I have to rush to a chemist ? And Another important one, what if I go unconscious, how will people know I am a diabetic? soo..
Arrange identification e.g bracelet or necklace identifying who your daughter is, contact details, medical information etc No doubt your DSN and doctor will help with this.
I think I have said enough for now.
My Very Best Wishes to your daughter and you and your family.
 
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