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Question:

From Milwaukee, Wisconsin, USA:

My granddaughter is not yet 3 years old. At times her baseline insulin requirements are as low as .5 units morning and evening. If she gets too high on this I would like to give her 0.2 units of Regular or lispro insulin [Humalog® brand]. Half a unit will sometimes drop her below 50 (she has gone as low as 22).

I know we can dilute, but would like to avoid it if possible. Do you know of anyone who makes a device to administer insulin in 0.2 unit increments?

Answer:

As far as I know, there is no device to inject insulin in 0.2 unit increments. Diluting short-acting insulin for young children can work very nicely. For example, if you diluted the standard U-100 insulin (100 units per ml) to U-10 insulin (10 units per ml), each line on your syringe would be 0.1 units, so you would draw up 2 lines to get a dose of 0.2 units.

Insulin pumps deliver increments of 0.1 units, but are not usually prescribed for children so young.

LM

Original posting 22 May 1999
Posted to Blood Tests and Insulin Injections

  
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Last Updated: Sun Jan 15 12:25:09 2006
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