From Milwaukee, Wisconsin, USA:
My granddaughter is 3 years old, 36.0 pounds, and eats a target 247.5 gm carb/day. She was diagnosed 16 months ago. Her current insulin requirement is 5 units/day, all NPH. It is my feeling that 5 units/day can not possibly be enough to metabolize 247.5 gm carb (less brain usage, etc.). Therefore, she must still be making some endogenous insulin.
She is very difficult to control: on any given day her blood glucose typically varies 200 - 300 mg/dl. When I suggested the partial endogenous mechanism to my daughter-in-law she seemed incredulous. I described it as a partial honeymoon. She doesn't seem to think there is such a thing. She views a honeymoon as all-or-nothing.
Could you steer me to references on how to manage a child who requires very low insulin dose?
You will find lots of questions related to the honeymoon period on this website. I am sure you are correct about your supposition that your granddaughter is still making some insulin.
Original posting 13 Aug 1999
Posted to Honeymoon
Last Updated: Tuesday April 06, 2010 15:09:04
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by Children With Diabetes, Inc, which is responsible for its contents.
© Children with Diabetes, Inc. 1995-2014. Comments and Feedback.