I am worried about my granddaughter, Rose. She is 12 and was diagnosed type 1 at age 3. She has had a lot of issues; now she has been running 500+ high ketones. She doesn't want to go back on the pump; she just doesn't seem to care about taking care of herself. Help me find the way to get her back on track and want to be better. I think there is some depression going on.
It is very important that you have Rose see an endocrinologist who specializes in pediatric diabetes, and have her work with a team of educators and psychologists who understand the issues that can occur in young adolescent women. Most large cities have a children’s hospital with teams dedicated to helping children with diabetes. If her blood glucose levels are running in the 500s and she is having ketones, she is likely not taking much insulin. This is concerning, as she could be depressed or have other issues that are interfering with her ability to take care of herself. As stated, attention from a center specializing in pediatric endocrinology will be extremely important for her and will be worth the effort in the long run.