Back to Ask the Diabetes Team Ask the Diabetes Team

From Toronto, Ontario, Canada:

I'm 16 years old, and have had diabetes for almost two years. My question relates to treatment options. For the majority of my first year with diabetes, I was taking three shots a day. However, after a HbA1c of 8.8%, I switched to Intensive management, and got my HbA1c in the 7's (7.0-7.4%). With this better control, I have been going low very frequently (five to eight times a week), and have now been considering a pump. Is it good for me, or anyone to constantly change their routine after a relatively short period of time? I mean, I don't know if I should be jumping from one treatment option to another, or if I should stay and work with one. How long do you usually recommend your patients to try a treatment option before switching to a new one?


I would recommend using whichever treatment gives you the lowest HbA1c, fewest high and low blood sugars, and best fits your lifestyle. Most frequently for teenagers, an insulin pump with proper training probably will best meet your needs. In combination with the new glucose sensor (CGMS) it is possible to intensively and accurately manage your insulin dosing to best meet your needs and provide you with the level of control you are interested in. I would not hesitate to look into insulin pumps in your situation.


Original posting 20 Aug 2000
Posted to Daily Care


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:12
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.