Orlando is a 16-year-old who was diagnosed with type 1 diabetes in 2007. Orlando likes to run and enjoys playing video games. He is a sophomore and participates in his school’s Reserve Officer Training Corps (ROTC) program. He lives in Philadelphia with his parents and his older sister, Yeeimy. Orlando’s family speaks Spanish.
Orlando has had some trouble managing his diabetes over the last few years. He doesn’t like to test his blood sugar or giving his insulin all of the time.
Over the last year or so, the Diabetes Center at the Children’s Hospital of Philadelphia has worked with Orlando and his sister to figure out a plan that might work for him. Orlando wanted to try an insulin pump. We made a plan for him to test and give his insulin more consistently to get his A1c down. Hemoglobin A1c is a measure of a person's average blood glucose level over the past two to three months.
He did it! And in the summer of 2011, Orlando and Yeeimy worked with the Pump Trainers to start an insulin pump.
Orlando came back to his first visit with the pump and his A1c had come down to 6.8 percent! Orlando’s sister helped him to upload the pump data using Medtronic’s Carelink® program so that we could all look at the numbers. A1cs don’t come down by magic, and the Carelink® download showed lots of testing and bolusing and insulin numbers that were low most of the time. What a change!
Orlando still works with his sister to manage his diabetes. Yeeimy checks in with him frequently to make sure he is following his doctors and nurses’ recommendations to keep his diabetes under control. Our team is committed to working with you and your family to accomplish the best outcome possible for our patients with diabetes.
Orlando is looking to achieve his next big challenge — participating in high school sports. With his new pump, his new attitude and his good diabetes control, we know he can do it!