From Palmdale, California, USA:
My 25 year old son was diagnosed 4 weeks ago with Type 1 diabetes. He is currently taking 35u Regular & 20u NPH per day. His blood sugar levels are not in control. Last week his doctor said that maybe he has Type 2 diabetes. Is it possible for him to have Type 2? Why isn't the insulin bring down his blood sugar?
If your son has Type 1 diabetes and is requiring doses of insulin that high in the morning, he might do better splitting the insulin dose into at least two different doses a day. Normal blood sugar depends on a balance between food intake, insulin, and exercise.
If your son is overweight, he may have Type 2 diabetes and may be "resistant" to insulin - that is the insulin may not work normally to lower the blood sugar. If this is the case, high insulin dose may be increasing his appetite. Weight loss is critical in the control of an overweight type 2 diabetic. Oral agents which help his own insulin work better may also be of use. Insulin administration may also be necessary in the treatment of type 2 diabetes.
If your son is not under the care of an endocrinologist, it would be helpful to see one to help sort out what is the best treatment. He should not make any changes in his treatment without the advice of his own physician.
Original posting 21 Nov 1998
Posted to Diagnosis and Symptoms
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Last Updated: (none)
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