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From Germany:

Could you please tell me how a one to two year old child with Type 1 diabetes is optimally treated? Is it enough to inject insulin on a regular basis? What kind of insulin is best today? Thank you for your help.


It sounds like you should longer discuss your toddler with a pediatric endocrinologist or pediatric diabetologist well experienced in taking care of small children with Type 1 diabetes. In such small children, it is very important to establish a close contact and dialogue with the pediatric diabetes team in order to monitor their sugar levels and to adjust (sometimes on a daily basis) their insulin dose and food more than to inject insulin on a regular fixed dosage. Don't worry about type of insulin: every modern insulin, either semisynthethic human, or analogue lispro insulin [Humalog®] if available, is effective. What counts is that good metabolic control is achieved based on a high quality level of education (to permit parent's self control and self management ability in this very young age and in the child themself in older ages).


Original posting 9 Jul 97


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