Back to Ask the Diabetes Team Ask the Diabetes Team

From Dallas, Texas, USA:

My daughter is going through puberty. Every month when she has her menstrual cycle, we increase her Lantus dose a few days before as her dinner and nighttime glucose numbers increase. We decrease it after her cycle. We also see some lows on the morning hours at the start of her menstrual cycle. However, we are now seeing something we haven't seen before and I don't know if it is hormonal or not. For example, her blood sugar two hours after lunch was 140 mg/dl [7.8 mmol/L] and usually she will decrease slightly until dinner time but her glucose doesn't increase greatly. The last several days, she has had an okay blood sugar two hours after lunch and then, at dinner time, she is in the middle to high 200s mg/dl [13.9 to 16.4 mmol/L] and then needs to bounce on the trampoline to get the number down before eating. Why would her glucose rise like this when it was okay several hours before? She is not sneaking food, if you were wondering.


Likely, the best answer is some insulin resistance during this time of the month. You will need to be careful not to be so aggressive as to make her low during the day. If the morning blood sugars are okay, maybe a bit more Lantus would be helpful. Be sure to check with your daughter's diabetes team.


Original posting 16 Mar 2009
Posted to Hyperglycemia and DKA and Insulin


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

Last Updated: Tuesday April 06, 2010 15:10:18
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.