At what point are you put on insulin with type 1 diabetes?

Question

After a few crazy weeks and several posted questions (thanks everyone for the answers) my son has been diagnosed as a type 1 diabetic. He is six. The doctor told me that his pancreas is still functioning at this point. While we're waiting to see an endrocronologist I was wondering.... at what point would he be given insulin? Will they wait until his pancreas is deystroyed or start him sooner? It just seems that it would be hard to regulate.
Thanks

Answer 1

My son was diagnosed with CF related Diabetes a few months ago. They treat it as type 1. Although his pancreas is still producing insulin they put him on 1 shot a day of Lantus. A 24 hour long lasting insulin. This will preserve the pancreas and help it to last longer. The insulin injections will more than likely begin immediately. My son was 11 when diagnosed and was horrified. It was emotionally devastating but in a few days he was dealing with it. He gets up in the morning tests his blood sugar and takes a shot. Then he checks his blood sugar a couple more times during the day and that is really all that is necessary. We got lucky. I hope your son is this lucky. Please tell him the shots do not hurt and the needles are small. Get the 8mm ones. If he needs several shots during the day, a insulin pump may be good for him in the future. I feel your pain, we are fresh out of that storm and getting on with our lives. Be strong, this is not the end of the world although it may seem so to you and your son right now. Good luck.

Answer 2

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Answer 3

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Answer 4

My 11 year old daughter was diagnosed with type 1 almost 4 months ago. I had taken her to the doctor for what I thought was a bladder infection and found that her blood sugar was through the roof. When we arrived at the emergency room her blood sugar was 486 and you would have never known it by looking at my daughter. The endrocronologist put my daughter on insulin immediately. She is now on Lantus and Novolog. Since she has been diagnosed and started the insulin, my daughter is like a whole other child. She is so outgoing and seems more alert. I know she hates the needles, but she loves the fact that she actually feels better.

Answer 5

It is different for everyone. I am a type 1 and I have taken insulin from day 1, I started out with 1 shot and went up to 5 a day after probaly 5 months.

Answer 6

Generally right away, although that can vary in your case, since it was caught early from what I understand. The risk here would be low blood sugar.

I will point out that it appears to be beneficial to give small amounts of insulin early on, even if he is still making a good amount of his own insulin.

This is thought to extend the "honeymoon" stage and preserve and beta cells he has left. The better his control is, the longer this will last.

Your endo will decide what the best plan is, but he/she most likely will put him on a very small amount of basal (Lantus) insulin, or fast-acting (Humalog) for meals.

Answer 7

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Answer 8

Type I diabetes is an autoimmine disease, or is at least caused by an autoimmune reaction. Right now, his immune system is destroying the beta cells in his pancreas, but he still has enough active beta cells to provide him with enough insulin. As the beta cells go away, the pancreas will produce less and less insulin. It's what's referred to as the "honeymoon" period. The endocrinologist may very well start him right off depending on how his tests look.

Answer 9

he's probably in the honeymooning stage. thats where the pancreas still makes a little insulin but not enough to cover all the carbs...so he will probably start insulin very soon

for me the honeymoon stage lasted 2-3 months, but everyone is different. my numbers were really good during that time but when that stage is over you'll know it cause your blood sugar will go a little crazy until the amount of insulin is adjusted

Answer 10

With type I diabetes he will be started on insulin very soon, probably after he sees the endocrinologist. In type one diabetes insulin levels rapidly disappear. It is the lack of insulin that is the problems, unlike type II where it is insulin resistance that is the problem.