Question from Fort Mill, South Carolina, USA:

My daughter had stomach pains/cramps this morning two hours after eating breakfast. She said she felt like something was squeezing her stomach. She was doubled over, couldn’t stand up straight. She had a 75 gram carbohydrate breakfast with nothing unusual that she hasn’t had before and dosed with 4 units of insulin. He pre-breakfast blood sugar was 104 mg/dl [5.8 mmol/L]. When the pain began, she was 172 mg/dl [9.6 mmol/L]. This happened once before and it went away on its own. The first time, it was in the early morning after having ice cream before bedtime snack. Her blood sugar was in the 70s mg/dl [3.9 to 4.4 mmol/L] that time. I called the doctor, was told to cut back on Lantus 12 units. Since then, we had to cut back even more, to 9 units. Today, she had whole grain French toast (42 grams), sugar free syrup (11 grams), cantaloupe (10 grams), and a glass of milk (12 grams). She took 4 units of insulin at 7:30; at 9:00, the pain started. It went away after she drank about 16 ounces of water. She had no ketones, but she did have slight nausea when the pain was escalating. Today, I made her drink water and she said it did feel better after that. She is napping now, tired. Do you think she was dehydrated? Her numbers are not awful: she is well controlled, in the honeymoon phase right now. Is this common? I’m too new at this to know.