From Columbus, Georgia, USA:
My 20 month son was 16 months old when diagnosed, and he receives six shots a day (Humalog, NPH, and Ultralente). He goes to an endocrinologist, and I want to know what the difference in treatment is compared to a pediatric endocrinologist.
I don't know if a pediatric endocrinologist would do anything different, but, my bias, as a pediatric endocrinologist, is that children should be seen by pediatricians. A 16 month old is not the same as a six year old, a 16 year old, or a 60 year old. I might go so far as to say that an adult endocrinologist has little business in treating a 16 month old child with diabetes especially if you have a pediatric endocrinologist available. This may be a very important argument to make with a third party payor, such as an insurance company.
I think a pediatric diabetes team can try to balance out the realities and practicalities of your child's diabetes management, meal planning (for a toddler), insulin dosing and timing, activities, and the social issues of parental work schedules, Family Medical Leave Act, and others. Six insulin shots a day seems a bit excessive to me, but if it works for you and your child is well controlled, and not having hypoglycemia, then perhaps nothing need change. The insulin "cocktail" that he receives is an interesting one, although it sounds as if things may be more complex than they really need to be. At this age, "tight" control is not the primary goal.
Original posting 16 Feb 2002
Posted to Community Resources
Last Updated: Tuesday April 06, 2010 15:09:30
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 T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2017. Comments and Feedback.