Back to Ask the Diabetes Team Ask the Diabetes Team

From Rocky Mount, North Carolina, USA:

My niece, who is 15, is coming to spend two weeks with us. Her A1c level is at 10.5 and should be around 7. Her mother does not restrict her eating or require her to exercise. I certainly don't want anything to happen to her while she is in my care. Both of my parents are diabetic, so I have had some limited experience with the disease. If we limit her carbohydrates to what her doctor recommends, and provide her with alternate, healthy snacks, will the drastic change in diet put her at any risk? Is their imminent danger in her A1c being so high? What do we need to look out for?


Good for you for wanting to provide a safe two weeks for your niece! First, you are correct that an A1c of 10.5% is very high and suggests several weeks of average high blood glucose. There is no immediate danger in a high A1c value. Rather, the risk for diabetes complications is related to long term high blood glucose levels. What you will be doing for the two weeks will have some effect, but will not completely bring her A1c to target.

I would suggest that you follow her prescribed diabetes care plan as closely as possible. Adding exercise (physical activity) and decreasing carbohydrates may put her at risk for hypoglycemia. Become familiar with the usual symptoms and have carbohydrate snacks available during activities. At age 15, your niece will probably know just what to do to identify and treat hypoglycemia.

One more thing, try to avoid becoming the "diabetes police" during your time together. Teenagers enjoy independence and often believe they know what is best for their diabetes care. Your support and role as a coach, while avoiding constant questioning and correcting, will be a tremendous boost for your niece.


Original posting 29 Jun 2004
Posted to Daily Care and Meal Planning, Food and Diet


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

Last Updated: Tuesday April 06, 2010 15:09:58
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.