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Question:

From North Carolina, USA:

My 9 year old son was diagnosed with Type 1 two years ago. He takes 11 units of NPH in the morning and 3 units of NPH at dinner. He is on a sliding scale of Regular for blood sugars above 200. Sometimes he will go a few days without taking R. How unusual is this? The pediatric endocrinologist says he is on half of the insulin he should be given his weight (33 kg) and that it is unusual for him not to take more R than he does. The 3 units of NPH at dinner hold him all night and sometimes he is even low when he wakes up (even with a large bedtime snack). They are checking a c-peptide, but the results aren't back. What does this mean and if his body does continue to make endogenous insulin does the exogenous insulin he gets inhibit this production?

Answer:

Your son's clinical hystory suggests quite probably the honeymoon period and the C-peptide results will clarify this hypothesis. The phenomenon is relatively common among children recently diagnosed as type 1 even though it generally lasts shorter than 2 years. It is due to some residual insulin production by your son's endocrine pancreas, and it is very important for future outcome and to possibly prolong the honeymoon's length, that your son does stick to exogenous insulin therapy, even at a very low dosage, over this period of time.

MS

Original posting 1 Jan 1999
Posted to Honeymoon

  
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Last Updated: Tuesday April 06, 2010 15:09:02
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