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Question:

From Saint John, New Brunswick, Canada:

Our 9 year old son has had type 1 diabetes for 4 years. He is taking Regular insulin 3 times daily, before each meal, and NPH just before bedtime. He is in good control and is a healthy energetic boy otherwise. Beginning this coming fall, the lunch time at school will be decreased from 1 hour to 1/2 hour. Would a switch to the new Humalog lispro insulin be recommended in order for him to be included in this new lunchtime with his peers? The school has advised us that they are prepared to make an exception in the time for our son because of his diabetes but when we discussed this with our son he became upset and wanted us to find a way to control his insulin shot so he could stay with his friends at school and not be taken out of class.

Answer:

It sounds like you, together your son, are taking really good care of the disease itself. Regarding your specific question, I agree with you that lispro could be a solution for the short lunchtime at school which would make it almost impossible to wait long enough before lunch if he were to continue taking Regular as he's doing now. I suggest that you ask your diabetes team what lispro dose your son should start with, although roughly it might be quite similar to the present dose of Regular.

MS

Additional comments from The Editor:

A pen injector with a Humalog cartridge is a great way to get Humalog at school. The B-D Mini even allows half-unit dosing.

JSH

Original posting 15 Sep 1998
Posted to Social Issues: School and Daycare and Blood Tests and Insulin Injections

  
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Last Updated: Tuesday April 06, 2010 15:09:00
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