Daily Care

My daughter is on MDI, a CGM. She gets morning Lantus, is sometimes high when school ends in the early afternoon. Should I be doing more? Should we try to get a pump? We are in Curacao, have limited access to a doctor.

From: Curacao

I was living in Venezuela when my daughter was diagnosed with type 1 diabetes when she was 4. She is now 7 and is very bright, full of energy and very positive. I haven't had very good access to profesional help. The doctor I would visit was a days' travel away so we would try to see him every 6 months. I have now moved to Curacao, a small island where there is only one children's doctor with whom I have made an appointment. I recently bought a Dexcom CGM and we try to keep her within the range of about 80 to 200 mg/dl [4.5 to 11.1 mmol/L]. My daughter is on injections. In the morning, we give her 15 units of Lantus. She also gets Humalog. She goes to school from 7 until 1:15. During this time, we don't give her any insulin so sometimes she goes high. I have a nagging feeling I'm not doing enough. Should I be aiming for much tighter levels? When she is at school, should I find a way to give her insulin? At what point should we get a pump? It's very hard when you are self funding the cost of the CGM and the Omnipod is like another mortgage. Am I doing the best job of looking after my daughter? Any advice would be greatly appreciated.

Anaheim 2018

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