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From New Jersey, USA:

Tomorrow, we are going on two week cruise to Europe. The time difference is seven hours. How should I give Levemir to my son? He takes 13.5 units at 8 a.m. and 12 units at 8 p.m.


You didn't leave a lot of time to get this question answered. What did the child's primary diabetes specialist recommend?

I presume that your child also gets rapid acting insulin with meals and also has a "correction formula." Yes? So, without knowing many details, I would recommend that you give your child the "usual" doses of Levemir based on his own "body clock" while you travel. After you arrive and start eating/sleeping on the time difference, I would suggest (if you were MY patient) you simply adjust the Levemir to the "new" time. Yes, there may be some overlap of insulin, which could increase the risk for a low, but you will have to monitor and adjust his mealtime insulin doses accordingly. Alternatively, you could do a complicated routine of giving his Levemir an hour or two earlier/later to adjust for the time over the next few days.

You will need to switch back similarly on the return.


Original posting 30 Apr 2009
Posted to Traveling and Daily Care


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Last Updated: Tuesday April 06, 2010 15:10:18
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