From Indianapolis, Indiana, USA:
My nephew has type 1 diabetes. Is it always necessary to increase the insulin dose when a child with type 1 diabetes starts puberty (growth spurt)?
One does not arbitrarily increase insulin doses for puberty, but it's very common to see relative insulin resistance from the growth hormone surges, among other hormones that change. When this happens, blood glucose levels rise, and the response of extra insulin needs is predicated upon seeing higher blood glucose levels. These changing needs are to be expected -- but exactly and how much of a change in insulin dose is needed is very individualized.
Additional comments from Dr. Donough O'Brien:Increased growth means an increase in body mass and thus an increase in basal insulin needs. As always though, the dose of insulin has to be determined on the basis of how best to control blood sugar throughout the day.
Original posting 11 Jun 2003
Posted to Puberty
Last Updated: Tuesday April 06, 2010 15:09:46
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.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.