Sunday, May 9, 2010

Teenagers with type 1 diabetes- what is your a1c level?

I know what my a1c levels should be, but I really can't get them there. They're 9.9 right now, and it's been like that for about a year. I'm just wondering if all teenagers with type 1 diabetes are having trouble with it, because of hormones and stuff?Teenagers with type 1 diabetes- what is your a1c level?
You level of 9.9 is not because of your hormone -- it is because you are ';non-compliant'; with doctors orders. Presuming that you are making REGULAR visits to your doctor, the high A1C levels PROVE that you are not eating right. based on the amount of insulin you are taking, and you probably are not getting the increased exercise level that you need.





an A1C is 9.9 is DEADLY. a 9.9 shows that you AVERAGE Blood Sugar level is about 200. NORMAL is about 100!





You have GOT to do better with your lifestyle, or you are going to be REALLY sick. Every MINUTE your blood sugar level is high you do damage ALL OVER your body -- brain, eyes, heart, lungs, stomach, intestine, nerves -- even your sex organs.





Your avatar show you as female. With your blood sugars this high, you may have problem having children when you are an adult. Your blood sugar goes even higher when you are pregnant. High blood sugars can cause babies to be born with birth defects, and mothers with diabetes are more likely to have miscarriages.








TAKE CARE OF YOURSELF! You canNOT eat anything you want and then compensate with insulin. you MUST control your diet -- NO sugars, low carbs, high fibers, and more protein. Get a Diabetic Cookbook -- the book stores are full of them.





The problemm is not your hormones. They play a part, but not that big. the problem is you own personal choices you make. Ask your doctor to refer you to a Diabetes Educator who can tell you ALL about the disease, give you good solid hints to help you live day-by-day.





Diabetes is NOT a death sentence! it CAN be controlled, but ONLY through a high level of self-discipline. you MUST learn self-discipline, or the disease will beat you.








.Teenagers with type 1 diabetes- what is your a1c level?
Gary seems to be completely oblivious to the fact that it's not easy for some people, oh and the medication might be wrong too.





Speak to your doctor, and make sure you find a good one you can actually talk to.


You know you can't keep this up. An insulin pump might be a good thing for you.


It is hard during puberty, hormones raging, throwing everything into chaos. It is a lot harder.





Maybe you need a different type of long acting, or short acting... maybe a pump would help.





Ignore GaryB. He's always doom and gloom for absolutely everything.


If what he said was true absolutely everyone who even so much as looked at chocolate would be dead.





You know this isn't good, and you know you have to deal with it. Good.


You really have to learn what your body reacts too, and what insulins work for you.





Good luck :) Mail me if you want to.
A lot of Type 1 teenagers have trouble controlling their blood sugar levels. Life is stressful and demanding at that age, and stress hormones, in addition to all the other hormones affecting your body, are known to raise blood sugar considerably. Since you are experiencing so much difficulty, perhaps you should talk to your parents and doctor about using an insulin pump. With an A1c that high, you could be a candidate.
Gary overlooked that even though its 9.9 is been like that for not even a year, which isn't deadly. For a longer period than that, then yes very dangerous and eventually deadly.





It may not be that you are defiant and ';non compliant';, but I find there are lots of diabetics out there that just don't have all the knowledge or tools that are necessary. There is a LOT to learn about diabetes, nutrition, your diet, and YOUR body. On top of that all the physiological and emotional changes in a teenager play a definite roll in fluctuation of sugar levels.





When I was your age, I would just eat what I wanted and take a bunch of insulin to compensate for it. Well that鈥檚 a horrible habit and not the proper way to manage your diabetes if you are serious about it. The goal is to take less insulin, not more. The more you take the more you will over shoot or under shoot your dosage and the less control you will have. Talk with your Dr and work out a practical number of carbs per day. It鈥檚 an important guideline and will keep you on track. It is the same concept as loosing weight. We all know you need limit your calories and count the calories of what you eat, otherwise you will never lose weight. But how can you properly count carbs? Well use tools like http://www.nutritiondata.com/ to look up any food and learn its nutritional value. I prefer http://www.calorieking.com/foods/ which includes popular brands, and restaurants and even has a small book you can carry around for quick reference. It totally takes the guessing out of counting carbs and makes it easy to stay within your total target range.





You can reach beyond your Dr鈥檚 office for experienced advice. Join forums and meet other diabetics where you can share and exchange thoughts and information. Honestly I always found that extremely helpful. There are also diabetic camps for all ages, or nutritional seminars. Try meeting with a nutritionist a few times, and you will be surprised at how much info there is when it comes to diet and diabetes. Its also important to find out how certain foods affect you and what works with or against you. Yes we all know generally what foods are good and bad but everyone鈥檚 body is different and affects our sugar levels a little differently.





Test often and test at the RIGHT times. Always before your meal, and about 1 陆 to 2 hours afterwards (anytime before that and you won鈥檛 get a very accurate reading). Of course test anytime in between during the day or night. Shoot I test 10x a day.





You can switch up your insulin. See if Lantus or Humalin NPH works better for you for your long acting鈥ork with your Dr on adjusting your dosage and sliding scale. Are you sure to dose BOTH for the carbs you eat and correction of high sugar levels? I am surprised at how many ppl were never properly informed by their Drs about the difference between carb ratio鈥檚 and insulin sensitivity/correction. For me my carb ratio is 1 unit for every 10 carbs and my sensitivity is 1 unit for every 50 points. So if my blood sugar is 150 before eating 25g of oatmeal I take a total of 3.5 units to cover my meal and correct my sugar levels





Have you considered an insulin pump? Trust me I was so against it, and only tried it for a week before going back to manual injections. A few years ago I gave it another shot and I wish I had just stuck with it from the beginning. It works wonders and does things manually injections can never do. Plus I use a remote control on my key chain to deliver insulin. Its so discrete!





Activity helps also. Regular exercise really contributes to lowering blood sugar levels.





It is a learning process and eventually you will find your groove but it won't happen unless you buckle down with your diet and really count those carbs, or find the right insulin scale.
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