From Lower Burrel, Pennsylvania, USA:
I am trying to understand how growth hormones affect glucose levels. My daughter was diagnosed with type 1 diabetes on April 20, 2006. She has been doing reasonably well, with her last A1c at 7.0. At present, she is on about five units Humalog, one and a half units of NPH per day. Her glucose readings last week are generally around 70 mg/dl [3.9 mmol/L] to 170 mg/dl [9.4 mmol/L]. But, for the past three or four days, she has jumped up well over 200 mg/dl [11.1 mmol/L] at dinner, way above the norms of the week before. And, today, she was 98 mg/dl [5.5 mmol/L] before breakfast. She got four units of Humalog, no NPH. At school, at lunch time, she at 337 mg/dl [18.7 mmol/L]. She only had a small mid-morning snack as usual, certainly not enough to crank her up to over 330 mg/dl [18.3 mmol/L]. She is not sick and nothing in the diet has changed. Is this a typical symptom of growth hormones kicking in and out ?
No, I don't think growth hormones might be responsible for blood glucose fluctuations. Instead, you are probably seeing the waning of the initial, and only transitory, honeymoon period. Also, you may wish to discuss a different insulin regimen with your daughter's diabetes team. You could probably achieve better metabolic control using Humalog and glargine (Lantus), a non-peaking long-acting insulin.
Last Updated: Tuesday April 06, 2010 15:10:12
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. 1995-2017. Comments and Feedback.