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Question:

From Wilmington, North Carolina, USA:

My seven year old daughter is taking 11 units of NPH with 2 units of Humalog in the morning and 8 units of NPH with 1 unit of Humalog in the evening and eats up to 150 grams of carb each day. What would be a normal amount of NPH and Humalog to give a 53 pound seven year old? It would be great to have a scale, is there one?

Answer:

Giving insulin twice a day is an old fashioned way of providing insulin. It produces more problems with middle of the night hypoglycemia and often does not provide adequate pre-breakfast glycemic coverage.

General guidelines for insulin are on a weight basis -- in kids before puberty from 0.5-0.8 units/kilogram body weight/day. In puberty, this often goes up to the 0.8-1.5 units/kg/day range for a few years. After puberty, the dose frequently comes down very significantly.

SB

DTQ-20030312175420
Original posting 28 Mar 2003
Posted to Insulin

  
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Last Updated: Tuesday April 06, 2010 15:09:42
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