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My son has been a diabetic for the past 3 years. His levels are constantly changing but remain for the most part in the upper 200's then crashing to the lower 60's. With all the exercise and proper dieting he does, what should be considered a normal level?

Most of the doctors we speak with are not concerned about his individual situation, they only speak in generalities and sometimes with no help at all. Is everyone different? Does 200 or so blood sugar levels sound normal?


We strive for as "normal as possible" control in children with diabetes. This is usually about 80-120 before meals and less than 140 two hours after a meal. Since we can't give insulin exactly the way the body makes it, it is usually very difficult to attain these goals, especially in children who are growing and whose insulin and food needs are frequently increasing.

It sounds like your child's blood sugars are bouncing around a lot. If your child is eating a healthy, consistent diet, and exercising, it sounds like you need to work with his physician to rearrange the insulin to avoid these extremes of blood sugars. As we have discussed previously, low blood sugars can lead to high blood sugars (rebound hyperglycemia or Somogyi effect).


Original posting 14 Apr 97


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