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Question: From San Diego, California, USA: My daughter's pediatric endocrinologist is suggesting a new insulin regimen to include Lantus, NPH and NovoLog. She is currently taking NPH and NovoLog and is out of control. Her last A1c was 9.1. We are not sure if she is out of the honeymoon yet or not. She has a very limited diet due to the fact that she is also lactose intolerant and during the food elimination process to track what was happening to her, she did not accept some of the foods she previously had eaten when they were reintroduced. She is six years old and receives NPH/NovoLog at breakfast, NovoLog at dinner NovoLog and NPH at bedtime. I have never heard of this type of treatment before and would like to know what advantage/disadvantage it may have. She is not a candidate for an insulin pump due to dermatology issues. We are currently awaiting an appointment. Answer: The addition of Lantus provides another "background layer" of insulin. Lantus does not have the peaking and waning effects of NPH. While a more classic "basal-bolus" insulin plan would suggest a long-lasting insulin, like Lantus as the baseline/background/basal insulin and then a rapid-acting insulin, like NovoLog to be taken with virtually EACH food intake at meals/snacks, this would require a six-year-old to get a shot of insulin at lunchtime at school, which may not be convenient. The continued use of NPH at breakfast might obviate the need to take the mealtime NovoLog at lunch. I'd bet, given an A1c of over 9%, that her "honeymoon is over." In my experience, the typical diabetes honeymoon only lasts one to one and a half years. DS DTQ-20070306215715 Original posting 16 Mar 2007 Posted to Insulin Analogs and Daily Care

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ 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 Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Fri Mar 16 14:52:48 2007
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