Type 1 -puberty- and the pump

momoftype1
By momoftype1 Latest Reply 2008-10-08 14:33:25 -0500
Started 2008-10-04 04:33:28 -0500

I am just looking to get some insight as I have heard that the hormonal changes of puberty can have huge effects on bs-knowing that for my 10 year old it is right around the corner I am wondering if anyone has any info they can share. We currently are at about 80 units in the pump for 2 to 2 1/2 days, but were advised to get the larger pump to accomodate growth and puberty-I have not seen any info to give us a heads up on what kind of changes we may see…
Thanks
Dawn


7 replies

jillann
jillann 2008-10-08 04:01:52 -0500 Report

going thru puberty with diabetes is like the world largest and longest rollercoaster ride with blood sugars. with all the flux's can cause alot of the diabetic damage . With the pump you'll be able to keep it in better check, I can understand the recommendation of a bigger capacity pump.

jillann
jillann 2008-10-08 04:32:23 -0500 Report

I also wanted to mention…you don't get a warning, think back to your yrs going thru puberty. Now here's the thing I learned the hard way, the physical changes of puberty happen, but it;s the body chemisty changes(things you don't see with the eyes), THAT is what causes the huge flux's in bs. chemisty changes can happen before,during and/or after the physical changes.
i am writing as a T1 for 32 yrs went thru puberty with them (Dr.'s) not really knowing what was going on with me until i was 21 and found out, damages had already been done. You have no pre-warning on puberty

momoftype1
momoftype1 2008-10-08 14:33:25 -0500 Report

Thanks Jillann-

I know that we will have to just take one day at a time, but I think the more info I can get the better prepared we can be. I am so glad that the members here vary so much in their experiences that you can get and answer and info on almost anything you ask. Thanks again for the info.
Dawn

John Crowley
John CrowleyCA 2008-10-07 06:13:38 -0500 Report

Here's my input. Yes, your child's insulin needs will definitely change over the next few years.

The best thing you can do is to make sure in the two weeks before your regular doctor's appointment, that you do before and after meal testing. With that information, your doc can make the needed adjustments. If you don't do before and after meal testing, it is much harder to make accurate adjustments.

As for getting a new pump, as Midnight Mom said, it's probably wise to be planning that someday you'll need one. But I certainly wouldn't replace the pump until you have to.

momoftype1
momoftype1 2008-10-07 13:32:41 -0500 Report

Thanks John, if I understood replacement is about avery 4 years. I have to say that it has been a wonderful addition and was the best time investment with the diabetes eduacator to insure that we "got it". She just let me put her site in her belly for the first time this last week, and now it is already just part of the every day plan. I am so proud of her and I am thankful for this site to get info share questions and concerns and help vent sometimes on those tough days.
Dawn

Midnights Mom
Midnights Mom 2008-10-04 16:09:19 -0500 Report

Hey mom! Congratulations for being able to maintain a pump for your 10-year old. Many children are not mature enough to handle it at that age. My suggestion is to continue with the pump you have and plan to meet with your diabetes educator/endocrinologist/diabetes specialist every few months to review BS logs and make adjustments as necessary. Puberty will most likely change some of the basal rates, but keeping in close contact with those who can determine adjustments as necessary will ease a lot of stress and worry over it. Get a different and/or newer pump when you reach that hurdle.

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