me and my girls

Q:

What is the best treatment for 1.5 diabetes and what should the carb intake intake be for an 11-year-old? If my daughter has insulin resistance what does that mean? She was diagnosed in June 2011. Should we be on the pump by now? thanks

Amy Campbell

A:

Type 1.5 diabetes is also called LADA, or latent autoimmune diabetes in adults. It may help to consider type 1.5 diabetes as a more slowly progressing form of type 1 diabetes. The treatment for this type of diabetes can range from using oral medications, meal planning and physical activity, to insulin. In fact, some experts believe that starting someone with type 1.5 diabetes on insulin early on can help the beta cells in the pancreas produce insulin for a longer period of time. I’m not sure if your daughter has type 1.5 diabetes from your question, but her treatment options should be discussed with her healthcare team. A dietitian can give you more specific guidance on how much carbohydrate she should aim for, and as for using an insulin pump, again, that’s a discussion to have with both your daughter and her healthcare team. Many children and adolescents with diabetes use an insulin pump, but a pump is not for everyone, nor is it essential for good diabetes control.

March 20, 2012 at 1:34 pm