Twice in the past few weeks our endocrinologist and CDE have said that Q is still honeymooning.
Both times this came as a bit of a surprise to me as I assumed that the honeymoon period lasts only about six months to a year, if that. We are at the two-and-a-half year mark here.
Q’s basal rates are relatively low. They range between 0.20 and 0.30, depending on the time of the day. I have no real reference as to what basal rates of other children the same age or weight are (she’s 6 1/2 and weighs about 52 pounds), but I assumed this was typical. The endo said that she is probably making some of her own insulin based on these low basal rates.
When I was called about the iPro CGM results, the CDE iterated the endo’s suggestions and thoughts based on the data. Again the term honeymoon was brought up. According to the iPro, Q is not spiking after some of her meals and they suggest it’s because she is still producing some of her own insulin.
I assumed that lack of spike after a particular meal was a triumph of pre-bolusing, accurate carb counting, and a great combination of foods.
Does it matter if she’s honeymooning or not?
Probably not. We are going to correct blood sugars and bolus for meals according to what ratios are working right now.
But I guess we might be in for a rude awakening when her pancreas stops producing insulin altogether and her rates double seemingly overnight and everything we know if thrown out the window.
DiabetesMine: Five Diabetes Dogmas That Need to Go…
I already had this post written when I read their post last week, but it’s good to know that people with diabetes may have some functioning beta cells even years after diagnosis because you just never know where a cure or better treatment options are going to come from.
This is Caleb: Honeymoon Schmoneymoon
Joslin Diabetes Center: Will Diabetes Go Away?