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Question: From Murrieta, California, USA: My son, diagnosed with diabetes nearly two years ago, is on NPH and Regular without a sliding scale. He wakes up with good blood sugars (80-120 mg/dl [4.4-6.7 mmol/L], then peaks at snack to about 400-450 mg/dl [22.2-25 mmol/L], and by lunch, he goes back down to the mid 100s mg/dl [11.1 mmol/L]. The doctor thinks this is excellent control because his A1cs are good, and at meals his blood sugar is fine, but he is spiking like this every day, and I know he cannot feel good. Whenever my son gets high at a meal the doctor simply raises the NPH. This could not be right. What should I do? Answer: I would suggest changing his insulin in consultation with your son's physician to one that is less likely to contribute to his spikes. I have had good success in this age group using Lantus (insulin glargine) as the long-acting insulin and Humalog or NovoLog for meals and highs. You may wish to speak with your son's physician regarding making a change. MSB DTQ-20030403104235 Original posting 27 Apr 2003 Posted to Daily Care

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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 15:09:44
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