My five-year-old daughter has been having erratic blood sugar levels over the past month, however, not every day. Her levels are consistently between 3.8 mmol/L [68 mg/dl] and 13.3 mmol/L [239 mg/dl]. Her first presentation to our general practitioner followed an episode of vomiting during the night. She was very pale, clammy, shaking, and her eyes were rolling back in her head, but she was still alert. That afternoon, she was tested for iron, glucose and ketones, both of which were strongly positive. A finger prick blood sugar level was 13.3 mmol/L [239 mg/dl]. She was hospitalised overnight where her sugar levels were stabilised to the 8 to 9 mmol/L [145 to 162 mg/dl] range, with blood ketones dropping. We were discharged, with advice to monitor levels at home. Her fasting levels are always normal or low, with the lowest being 3.8 mmol/L [68 mg/dl], which rapidly rose to 7.6 mmol/L [137 mg/dl] after 15 minutes of eating something sweet. More often than not she has consistently high post prandial readings, often 8 to 10 mmol/L [145 to 180 mg/dl] after 1 to 2 hours. The hospital suggested ketotic hypoglycaemia, but could this be early type 1 diabetes given the highs and lows? She also had one reading fasting at 4.8 mmol/L [86 mg/dl], but had 0.8 mmol/L blood ketones. We are awaiting autoantibody tests, etc.

Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.

Kacie Doyle-Delgado, MSN, APRN, NP-C, was diagnosed with type 1 diabetes at age 11 and attended her first Friends for Life conference in 2002. Since then, she has attended several FFL and regional conferences. She earned her BSN and her MSN as a Family Nurse Practitioner at Westminster College in Salt Lake City, UT and she is currently enrolled in a DNP program. She works for Utah Physicians Care Center in a diabetes specialty clinic. Kacie lives in Salt Lake with her husband, Justin Delgado, and their dogs. She is looking forward to volunteering with the teens again.

Marissa Town, BSN, RN, CDE, graduated from the University of Cincinnati with a Bachelor of Science in Nursing and later earned her Certified Diabetes Educator credential. She has had type 1 diabetes since the age of two and has grown up with a passion for helping families living with diabetes. Marissa is currently working as a research nurse at Stanford University. She has always enjoyed working with families with diabetes at Children with Diabetes conferences, camps, and support groups. She and her husband Adam have two young children, Connor and Everly.