From Hubbard, Nebraska, USA:
My six year old son has had type 1 diabetes for about two and a half tears and takes 9 units of NPH at breakfast, 10 units of NPH at bedtime and a sliding scale of Humalog at breakfast and supper. Lately, he has very high numbers (200 to 400+ mg/dl [11.1 to 22.2 mmol/L]). What do we do? Should we add another type of insulin to the mix or increase the Humalog?
Very high numbers despite what seems a reasonable dosing of insulin that happens within a couple of years of diagnosis is usually the end of the honeymoon period. It sounds like your son's insulin dose needs to be increased. He may also benefit from using a different type of insulin that provides for better coverage during the day and night than NPH at breakfast and bedtime. There is a new type of insulin available, called Lantus (insulin glargine) that may be a great tool for your son to try. Talk with your son's diabetes team about different insulins and different dosing strategies to keep his blood sugars at target levels.
Original posting 15 Jun 2001
Posted to Diagnosis and Symptoms
Last Updated: Tuesday April 06, 2010 15:09:22
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