Is The Honnymoon Over?

[Deannas mom]

Deanna's BG numbers have been consistantly rising in the afternoons. (Only in the afternoons.) She has been needing a 1/2 unit of insulin almost every day either before lunch or at her 3 pm snack. This trend is out of the normal for us. Up until now she has only needed insulin in the morning, before dinner, and at bedtime. Her endo said it looks like her honnymoon is starting to end..:( Deanna was DX just 4 months ago. we have been keeping very good control of her BG. Her last A1C was at 5.7 it was 9.8 at DX
how could the honnymoon end so soon? :confused: has anyone else on here had a very short honnymoon?

[karonray]

it is diferent for every child. You never know when it might end.....but since she was dx'd only 4 months ago..... maybe a growth spurt or weather is responcible for the higher number.

[Haley'sMom]

My daughter was diagnosed three days before Deanna and she has been consistently needing more insulin the last few weeks. She had the flu three weeks ago and since then her insulin need has been rising. I thought the Honeymoon phase was going to last a little longer myself. :(

[Deannas mom]

Deanna did have the flu shot a few weeks ago, she has not gotten sick at all, but maybe thats why the higher BG numbers are happening. Maybe its like what Karonray said..a grwoth spurt or the weather.. I hope so...its to soon for the honnymoon to bo over...:(

[Kirsten]

When Griffin was diagnosed (at 18 months), I was told that the honeymoon could last from 6 weeks to a year. They were surprised that he had such a strong honeymoon since they don't normally see one in such young kids.

It's sounds though that your insulin use is still pretty low. We went from 0 to 6 Units/ day in the first 4 months and then from 6 Units to 12 Units/day in the second 7 months.

GL!

Kirsten

[Deannas mom]

Yes her insulin need is low. It wasnt when she was first DX. she is getting a lot less insulin now than when she was in the hospital. and her dosage scale has not changed much in the past 4 months. until now.

[wendyc]

As just about everyone says around here: YDMV. Everyone is different. Generally, the honeymoon lasts from 6 weeks to a year. There are some kids who have honeymooned up to two years. We went about 14 months.
When Abby was first diagnosed, her insulin needs were higher, then they reduced, then slowly went up.It was on probably increase every 1-2 weeks. We're holding steady now, but I see an increase in basal coming again.

This is where charting becomes so important. By keeping track of her numbers, you will see any patterns. Keep in touch with your CDE or endo, if this continues they definitely will want to rework the numbers.
What kind of regimine are you on? Is it Novolog/Lantus? If you're counting carbs, maybe her ratios need to be adjusted.

Hopefully, it is just the flu shot or a growth spurt, but unfortunately, all good things must come to an end:(

Good luck!

[payam7777777]

Deanna's BG numbers have been consistantly rising in the afternoons. (Only in the afternoons.) She has been needing a 1/2 unit of insulin almost every day either before lunch or at her 3 pm snack. This trend is out of the normal for us. Up until now she has only needed insulin in the morning, before dinner, and at bedtime. Her endo said it looks like her honnymoon is starting to end..:( Deanna was DX just 4 months ago. we have been keeping very good control of her BG. Her last A1C was at 5.7 it was 9.8 at DX
how could the honnymoon end so soon? :confused: has anyone else on here had a very short honnymoon?


If your TDD is less than .2 body weight in kgs then you're definitely honeymooning.

If your TDD is less than .5 body weight in kgs then you're honeymooning.




An A1C of 5.7 MIGHT not be good. You MIGH have had 'undetected lows'

[madde]

The honeymoon has really been puzzling to me. My daughter was diagnosed when whe was 4 1/2 years old in August of 2004. She has been a diabetic a little over two years now. I haven't really noticed much of a change in her insulin needs. Only have increased during illnesses only to go back to her normal dosages after sickness. She is currently on about 10 units per day. She weighs 50lbs and is 50inches tall. I don't think she ever had a honeymoon. I would think she would've ended it by now, if she had.

But, her treatment hasn't been more or less difficult over the past two years.
I don't know if some kids do have a honeymoon and some don't. Maybe she still is honeymooning. So hard to tell.

I have read alot about it, but have found nothing that applies or anything to compare it to regarding her diabetes.

[Momof4gr8kids]

Julia's TDD should be around 20u, but her average is about 10u. Her doc says she is in a stronghoneymoon, and that she could honeymoon for a few years.

[Twinklet]

Emily has been diagnosed for 6 months. We've had episodes where I thought the honeymoon was ending, as her insulin needs skyrocketed, only to bottom out 2-3 weeks later. Currently, she's on less insulin than she was at diagnosis, and we may have to decrease again, as she is continuing to have lows!

So it could be a number of things: growth spurt, illness, stress, hormones.....who knows. But don't give up on the honeymoon just yet. Give her what her body requires, but don't be surprised if her insulin needs decrease again.

[Deannas mom]

How much more confusing can this get??:o How do you determin her TDD?:confused: (that means total daily dose, right? )
She gets , on a normal day,
2 units of novolog with 4 units of Novolin NPH in the mornoing
2 to 3 units of Novolog with dinner
1 unit of Novolin NPH at bedtime

This will vary a little depending on her BG numbers

lately she has been needing 1/2 unit of Novolog either before or after lunch.
she only gets novolog in the middel of the day if her BG is over 181

she is on a tight strict meal schedule. everything is timed

30 carbs in the morning
45 for lunch
60 for dinner with snacks at 15 carbs

we log everything!!!
always
we test at least 10 times a day


The BG's of over 181 in the afternoon are very out of the "normal" with no apparent reason. she has been having BG's of anywhere from 187 to 234!:eek: than the next day everything is back to "normal"
Our endo said it looks like she might be comming out of her honnymoon, but until her numbers climb consistantly every day , without having a "NORMAL" day in between, she really doesent want to make any changes to her insulin schedule for fear of Deanna having lows
she doesent get very mant lows, only a few a month

I thought I had a handel on all this, now I feel like I know nothing!!

[madde]

I know how you feel. It can be very frustrating, just when you think you got it down for the most part, something changes and you feel like you are starting all over again.

Like your daughter, Madison is also on a strict schedule, she typically has
about 30/50/50 carbs breakfast/lunch/dinner snacks around 20carbs 3-4 times a day. I have learned that what meals for dinner require about a .5 increase or decrease in Humalog to maintain good numbers. She is taking humalog lispro and humulin nph. I also test about 7-10 times a day, depending on how her bs are running and sickness.

I think she may be still honeymooning after a little over two years. I can't imagine it becoming any more difficult than it is already.

I don't want any more changes, I wish it would just maintain itself, and stop the roller coaster ride, so to speak.