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From Newfoundland, Canada:

My 6 year old son was diagnosed with Type 1 diabetes in January 1996. He is receiving 2 shots of slow acting insulin, one in morning and one before dinner. During the past 2 weeks he has had low blood sugars in the morning. Can you suggest a reason for this, and a possible remedy?


This is an interesting question and one which many parents will be asking at this time of year. Your son has had diabetes for about 6 months and quite a number of such children will be on twice daily long acting insulin. This is fine, but the effect of the second dose (at teatime) will not be at its peak until the middle of the night.

Because of the longer days (and probably school holidays) your son will be more active into the evening and thus using more energy. You should speak to your diabetes team about reducing the evening insulin dose, increasing evening snacks or both. They may also consider changing the type of insulin that you use.


Original posting 27 Jul 96


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