Back to Ask the Diabetes Team Ask the Diabetes Team

From North Carolina, USA:

I am a 13 year old male with type 1 diabetes. My A1c test is always coming back with a level 8 or higher and I am trying to take care of myself as best I can. Do you have any information on what I can do to improve my situation? I am on R and N insulin as well as Glucophage [metformin, a pill for Type 2 diabetes].


At the age of 13, insulin requirements and food requirements change rapidly due to the rapid growth of puberty. It is important to work closely with your own physician, nutritionist, and nurse to frequently change your insulin as necessary. It is very difficult to obtain normal hemoglobin A1c's at any age, never mind in teenagers (the average HgbA1c in the "intensively" treated teenagers in the DCCT study was 8.) If you feel you aren't getting adequate control on two shots of R and N daily, you might want to consider a more intensive regimen.

I am not sure why you are on Glucophage. It is unusual to be on both an oral medication and insulin at your age. Usually only insulin is used unless you have type 2 diabetes or MODY.


Original posting 10 Jan 1999
Posted to A1c, Glycohemoglobin, HgbA1c and Puberty


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:02
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.