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My daughter is 11 years old and has been diagnosed with DM1 last December after being almost in coma. We were in the hospital for some days and there we have learned the complete care we should do, the bg tests, the insulin injections, etc… In two weeks’ time we had it under control, we thought we found the right dose from the long acting insulin, and we were getting confident.  Ten days ago she had hypoglycemia, and we couldn’t figure out why (no intensive sports, she had eaten enough, no apparent stress, no fever, not sick at all, …). That was frightening. And the next two days she had the same!!! We have called the nurse who told us that it could be the “honeymoon” period. We are now injecting much less insulin, and I have some questions about it: how long will she be in the honeymoon period? Will she get more hypo in this period? Wouldn’t be better to stop insulin and control her bg every day??

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As you may already know this honeymoon period happens because not 100% of the insulin producing cells in her body are destroyed, so the remaining cells, after you start giving insulin (and her bg values go to normal values),  give some sort of  “relief feeling”  and they start to work  again. But it is not possible to tell you how much it will last, because it depends on so many individual factors: it could last from various months to more than a year. Your second question whether she will get more hypo, probably not as soon as she is stabilized (but be aware that hypos are part of a diabetic patient’s life with or without honeymoon). And the last question about stopping insulin, actually we believe nowadays that leaving a small amount of insulin may protect and prolong the honeymoon period, so we avoid stopping it completely even with normal BG values.

 

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It would be better to continue the insulin as your daughter's physician recommends. She can eat carbs to keep her blood glucose up to normal levels. The fact that she is in the honeymoon period won't change the fact that she should still watch her blood sugar levels just so she knows what they are running. It could be anytime when her blood sugars will start leaving this period. It would behoove her to just make sure she eats enough carbs to make up for the extra insulin. Above all, follow the doctor's recommendations.
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