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Question:
When we know we are going to eat dinner early (3 PM instead of 5 PM) should we give our son his insulin doseage (NPH and REG) before we are going to eat or at his regular time? Isn't it important to maintain a regular schedule for his injections so that insulin stays in his system throughout the night? If we give him his insulin when we eat early, there won't be any NPH left during the night at some point. If we give it to him at his regular time his BG is higher for a little while but is brought back under control with his normal doseage of insulin and his body has insulin.

Answer:
What we'd advise our kids and their parents to deal with the odd hours of mid-afternoon holiday meals:

  • Encourage the child to have a snack at lunch; then eat dinner at 3PM with the family. (Borrow food from lunch and supper, and make the holiday feast into a big "afternoon snack:" so he can eat whatever everyone else is, when everyone else is eating!)

  • Give the PM Insulin at the usual time of supper.

  • Give a little extra R if the blood sugar is high at the time of the PM insulin.

  • Give the evening snack at the usual evening time.

If his blood sugars are a little high, write "Happy Thanksgiving" (or whatever holiday it is) in the logbook, and forget about worrying about the numbers for that day!

Original posting 23 Nov 95

  
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Last Updated: Tuesday April 06, 2010 15:08:52
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