Back to Ask the Diabetes Team Ask the Diabetes Team

From Dallas, Texas, USA:

My 10 year old daughter has had type 1 diabetes for nine months. Since her mother and I live in the same city, we split custody (and have for the last six years). The problem is when she is with her mother, her blood counts spike.

On a normal day, my daughter is given three shots a day and blood glucose check four times. Her mother does not seem to grasp the need to keep my daughter's meal times on a schedule. She lets her have a burger and fries (usually 100 carbs) for a "treat". When she is with her mother, her blood count seems to run between 150 and 350 mg/dl [8.3 and 19.4 mmol/L].

What will happen if her blood count keeps spiking like that? How long will it take for serious irreparable damage begins happening in her body? I need some facts because even with my daughter's diabetes team talking to her mother, she continues to not grasp the seriousness. Perhaps, it's because she can't see any outward physical damage happening to my daughter yet. However, my daughter does sleep a lot.


You have a situation that may be nothing but which may grow to be a large problem. I don't know how well you and your child's mother get along but I strongly suggest that, together, you visit with your daughter's diabetes team. This way, there is less chance of poor communication. Relay your concerns to your ex and the team members.

Periodic glucose "spikes", unassociated with ketones, are probably not harmful in the short-term. However, if they are reflected by ongoing higher hemoglobin A1c values, then risks of complications will rise as well.

I am fearful that this will be a matter of "he-said/she-said" and distrust and resentment in the two households and that your daughter will be in the middle.


Original posting 29 Jul 2001
Posted to Tight Control and Other Social Issues


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

Last Updated: (none)
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.