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From Ohio, USA:

Our son will be 13 in about a month, and was diagnosed with Type 1 diabetes 3 years ago. He is 62 1/2" in height and weighs 108 pounds. His HA1c's have consistently been good, staying in the 7 range. It is obvious that over the last six months he has entered puberty. Currently he is on 60 to 65 units of insulin a day, a combination of R and NPH. His doctor seems to think this is too much insulin. Do you agree?


No, not necessarily. During puberty the insulin requirement can rise as high as 1.5-2U/Kg. However, doses have to been seen in the context of blood sugar control, injection sites (are they lumpy?), and body weight (excessive weight gain is a feature of over insulinization). In addition, too many hypos would indicate too high an insulin dose. Taking account of all of this, the correct insulin dose is the dose he needs to maintain control.


Original posting 24 Jul 97


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Last Updated: Tuesday April 06, 2010 15:08:54
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