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girl on irregular and scanty periods

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Dear doctor,

I am a 19 years old lady with type 1 diabetes. It started since I was 13 years old. Since I got diabetes, my periods are on irregular basis. Now a days it is getting bad and worse and it makes me moody. At times, there appears acne on face and it also makes a boiling feeling in my legs. These all are for a day or not even for that long. My fasting blood sugar level is between 150 and 200 mg/dl. I have been on Lantus and tried making adjustments with it, which seemed not working fine. Even after an increased dose of Lantus, I am not getting desired effects. Can this affect my periods worse? Does having irregular periods and type 1 diabetes make me fat? AA few months back, my doctor asked me to stop taking metmorfin (Glucophage), when my weight was around 170 lbs. I usually engage in exercise for at least half an hour a day. Now please suggest some corrective steps I need and advise on weight management.

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Category: Family Physician-GP
 26 Doctors Online

Thanks for your question.

It is a pleasure knowing that you are doing physical activities well and on a healthy diet. Anyway, irregular blood sugar levels are associated with high blood glucose (sugar) levels. Moreover, researches show that this happens more in teenagers. This is due to the hormonal changes occurring in your body while you are on your periods. Due to higher glucose levels in blood, need of insulin also increases. Making things a little worse, having type 1 diabetes can affect your entire menstrual cycle also.

I would like to suggest you to see your doctor for more information and help. Tell him about your monthly sugar level fluctuations. He will be able to explain how the monthly hormonal changes affect your diabetes management. After a close monitoring of glucose levels in the time of your periods, your doctor will help adjusting insulin for coming months. By the time, you will be well aware of how your insulin needs changes with your menstrual cycle. During the time of monitoring, you should maintain a balanced diet plan also to contribute in sugar control. Your concern about weight maintaining will also help you in achieving greater results in no time.

Test your glucose levels at around 2.00 and 3.00 am to know more about rebound hyperglycemia, which is also called Somogyi effect. Low blood sugar levels are what causing this effect.

Stay healthy and young. Good luck.

Dr. John Fuller
Category: Family Physician-GP
MD - New York Institute of Technology, New York College of Osteopathic Medicine
Internship, Family Medicine - Lutheran Medical Center
Residency, Family Medicine - The Mount Sinai Hospital
Dr. John Fuller and 4 other Medical Specialists are ready to help you

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