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Ginger Vieira says

Simply put, blood sugar fluctuations can and will impact behavior whether it's during the honeymoon period, or twenty years from now when you're daughter is a grown adult and experiencing the kind of fluctuations we all experience from time to time. With age, maturity and experience, she can gain more control of those behavior changes, but at the same time, your brain relies on second-by-second delivery of glucose, and when we mess with the amount of glucose being pumped through our bloodstream, it effects our mood, our behavior, how we literally feel.

As an adult I can tell you that when I have low blood sugars, I sometimes feel impatient, irritable, and I always feel very tired and grouchy. When my blood sugar is high I feel like maple syrup is running through my veins and I don't have enough energy to think thoughtfully and clearly. When my blood sugar is too high, I just want to curl into a ball and pull a blanket over my head.

The best thing you can do, I think, is to help your daughter become aware of the feelings and changes that come with those fluctuating blood sugars, so she can not only control the impact it has on her behavior, but also so she can stop and think, "Oh, I'm suddenly feeling very impatient, maybe I should check to see if my blood sugar is out of range...."

Alicia H. McAuliffe-Fogarty says

This is a very loaded question and without more information about your daughter's medical history, development, etc.,  it is difficult to answer.  I do know that many people have mood changes when their BG is high, but I would talk with your child's doctor or diabetes educator.

Gary Scheiner says

 That is very observant of you.  In all likelihood, it is not the immune system activity or cell destruction causing these mood changes.  It is the upward swing in her blood sugar levels.  Even temporary rises in blood sugar can make people tired, lethargic and grouchy, and it can make it very hard to focus mentally and perform physically.  My recommendation is to watch for the first signs of higher (and lower) readings, and work with your healthcare team to adjust her insulin quickly.

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