Hi There,
My son is 2 yrs old. T1 diagnosed 6 months ago.
My Endo recommended a PRE meal BG Range of (100-180) and POST (<250). She’s also recommended an overnight BG between 100 – 200.
She also said a person w/o diabetes will have PRE (70-130) & POST (<180). I was wondering what other endos have recommended for your son / daughter?
Thanks for your input & God bless.
My son is now 12 and was diagnosed at 2. We were always told to go with the adult guidelines (which have changed over the years). We started out looking at premeals and overnight being under 7mmol or 126 mgdl and 2 hours after eating to be under 180 mgdl or 10mmol. Ideally one hour after eating should be under 13 mmol or 234 mgdl.
I test a lot and have been able to maintain tight control. With CGM technology and changes in regimens, I would think that this should be a lot easier to aim for than it once was.
Good luck!
Hi,
I have a 3 yr old (pumper for 14 mos) and she her target for the day is 120 and for night 150. She prefers a higher target at night so we make sure she does not have a low.
We’ve been using this targets since she started on the pump and her A1C is 7 so they’ve been working pretty well.
Our Dr establishes her targets and they are not the same as what adults use. A 2 yr old does not compare to an adult who can feel a low at night. Kids sometimes wake up and sometimes don’t so we have to be careful.
Hope it helps !
.
Thanks Gisela for responsding, My son is in OmniPod for 3 months now, but I feel our targets are higher than most… 150 during the day, and 200 for the night. I’m waiting for his second A1c result after being diagnosed. The other question I have was what are the parameters used on your pump for Sesitivity (correction) factor. Santi’s is set at 100 for the day & 200 at night. Thanks
As a new T1 you can expect some downward insulin needs over the first two years before you will find that an upward swing is needed for growth, etc. I would expect that your endo has given the targets provided, to ensure that Santi does not experience a significant downward swing, particularly one that might require a glucagon treatment, between visits / updates. The best thing to do is to be vigilant with logs at wake up or earlier if parents are up earlier, pre meal testing, two hour post meal testing and so on. The more feedback you give, all the better for Santi’s endo to finetune his basal setup and bolus ratios.
My son is vigilant with his a.m. and p.m. test as well as the pre-meal tests. Often his endo and I hope for regular two hour post meal tests to confirm whether or not an adjustment is needed and also to figure out whether a bolus ratio or a basal change is more appropriate. At the age of my son, I have to nicely push for a few post meal numbers, and willinging set my alarm for a few weeks of 2 a.m. or 3 a.m. numbers, in advance of our scheduled 1/4 ly visits.
My sister is an RN and when my son was diagnosed in 2003, she came to emergency when we were waiting for more information and spoke with us while we were waiting, she was very clear that a short term high will not harm our son… while one ore more severe lows… could do damage beyone words.
Be safe. If you think the targets are too broad, ask the endo what she or he suggests to safely tighten up the range.
Cheryl
DN is 12. fasting blood sugars 70 to 100, premeal is the same; one hour postprandial should be no more than 200; two hours post 150 (HA, not without cgms on). Overnight 70 to 100, which we usually bump up to 100 to 120 or 130. Person without diabetes will have pre less than 100, even 100 is a bit high, I think. Post prandials for non-D 120 for a brief period of time. Postprandials can go up to 140.
Cheryl, thanks for replying. Your input is very helpful. I’ll follow your advice & ask the Doctor. My son’s been very erratic with his numbers, specially at night. The Doc says he has not established patterns yet, so he might be on the honeymoon period. By the way, why is it called a honeymoon? There’s nothing good about this period. Thanks for your input again.
Sorry I took so long…I just saw your post…
Her sensitivity is 12MN - 200 and 8PM 250.
When she was diagnosed her A1C was 9.6…now it’s 7.2 and it’s been steady for the past 6 months. Thank god !
I do pay a lot of attention to food too…
I read a little book about the glycemic index (that is how different foods impact your blood glucose differently) and I bought a little scale that tells me carbs of the foods (veggies, pizzas, breads, etc) so I basically weight everything and I try to give her low glycemic foods every time I can (like whole wheat bread or pasta instead of white, I make little fruit salads instead of loading her with just one fruit at a time, I try to include protein,etc). I found it did help with her numbers…
Although as almost all the kids she sometimes pops a 300 and I’m left wondering what was…
These are little things that helped me…good luck ! 
Hmm. Interesting to view other treatment plans. My daughter is 10 and was diagnosed in November. The endo she was assigned to in the hospital (great doc but he already had plans to relocate to PA before she was diagnosed ): ) wanted her between 80 and 180 for the first two months post-diagnosis and 80 to 150 long-term. He also indicated she could go on a pump as early as 6 months if things were going well. The endo she was re-assigned to after he left wants her between 100 and 200 and won’t even consider a pump until 12 months post-diagnosis. GGGGRRRR. The practice itself doesn’t ask patients to do post-meal blood glucose checks. They also want kids over 100 at bedtime.