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reoccuring large keytones
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Britt1997 posted:
I am 16 and have been a type 1 diabetic since I was three. I started having problems with DKA and reoccuring Keytones when I was 13. My mom and doctor thought it was due to my period starting. I was on birthcontrol to help but I had a nonstop period for 4 weeks so they took me off that. I was in and out of the hospital for a year and a half with DKA, and two times pancreatitis. Ever since that time, we can not get my blood sugars under 200 and I frequently have moderate or large keytones when I wake up. We don't know what to do. My mom has taken me to lots of doctors and researches everything she can. I feel awful all the time. I don't have celiac or a thyroid problem. Does this sound familiar to anyone? I am really worried because I miss so much school I might not graduate. Even when I'm at school, I ususally feel bad.
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mrscora01 responded:
It is possible that due to your age and hormones, you have developed insulin resistance. Some docs will prescribe metformin to help, or others simply say to take more insulin. At your age, my insulin requirements were all over the map. I had to take a lot more than I did before for the same amount of carb. Do you carb count? What is your insulin to carb ration as that may change too. Basically, as you mature, you are going to have to do a lot of insulin adjustments and at some parts in your life you may have to take a lot more than you did before. This doesn't mean you are getting "worse", it just means your requirements have changed.

I would strongly recommend the books "Think Like a Pancreas" and "Using Insulin". Both will give you a good grasp on dosing and hopefully you will be able to help yourself during this phase. Don't be surprised if you end up taking a lot less (as I did) when you hit about 20 or so.

Cora


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