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Question: From Port Hadlock, Washington, USA: My 12 year old daughter, who has had type 1 diabetes for three years and has been on an insulin pump for the last 15 months, has a hemoglobin A1c of 7.8%. I feel her basal rate is extremely high (1.7 units per hour at night and 1.6 units per hour during the day), and I need to increase it because she is running very high at night. Do these basal rates seem outrageous for a 12 year old? Answer: Your daughter's dose will depend upon her insulin sensitivity and her weight. 1.6-1.7 units/hour is not unheard of for a pubertal teenager. Our experience is that teens usually get 50% of their total daily insulin through their basal rates and the other half through boluses. If you are "needing" to bolus her overnight, then either she is going into the evening with blood sugars too high (as a result of bedtime highs or a misadjusted carb/insulin ratio at bedtime snack) or her basal rate needs to go up. Determining which is the case is a matter of looking at her patterns and profiles. LAD DTQ-20020305214559 Original posting 13 Apr 2002 Posted to Insulin Pumps

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:32
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