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Alicia H. McAuliffe-Fogarty says

Insulin resistance and unpredictable BGs!

Gary Scheiner says

Because girls tend to hit puberty earlier than boys, their insulin needs usually begin rising significantly around age 11.  Both basal/long-acting and bolus/rapid-acting insulin requirements may need to be taken up on a frequent basis due to the production of pubertal hormones which cause insulin resistance.  It is not unusual for insulin requirements to double or triple between ages 10 an 15 in girls.
 
Keep good records and stay in touch with your physician frequently during this phase.  If your physician is not responsive to your needs, give my office a call.  We can work with you by phone/internet to keep things on track.

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