From Apple Valley, Minnesota, USA:
Our 8 year old daughter was diagnosed 8 months ago, and during the last two months we have had difficulty controlling blood sugars. It seems like we change insulin every day. She currently takes 4U Reg and 12U NPH in AM and takes 1/2 R and 8 NPH in the evening. Our team is talking about going to three shots a day. Blood sugars are always high late afternoon, sometimes at lunch, has occasional low blood sugar in evening. (Last A1c was 8.7, prior had been 8.4, was 11.9 on diagnosis.)
What would be most likely type and regime of insulin? If Lispro, how does this affect snacks?
There are many different types of insulin programs out there. It sounds like you are getting wonderful diabetes care if your team is considering tailoring your daughter's care to an insulin program that will work for your her.
There is not really a "most likely" change that is made. It all depends on your child's blood sugar patterns. You mentioned high numbers pre-dinner. In a case like that, they might think that her morning N is not carrying her through, and are considering a pre-lunch shot. You might want to ask your team what they are considering and give input as to whether or not you think their plan is compatible with your daughter's and your lifestyle.
Original posting 8 Mar 1998
Posted to Daily Care
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