Back to Ask the Diabetes Team Ask the Diabetes Team

From Mizpah, New Jersey, USA:

How can my six year old son, who only takes 2 units of Lente in the morning, wake up 24 hours later with a blood sugar of 61 mg/dl [3.4 mmol/L]?


The reasons may have multiple, possibly even interacting, explanations including reasons pertaining to meal planning, evening activities, duration of diabetes and "the honeymoon". You should take this concern to your son's pediatric diabetes team to see if his meal/insulin regimen needs to be adjusted.

There are several possible means of "attacking" this:

  1. Simply add more protein or a long lasting carb (like an Extend Bar) with the bedtime snack. This is easy and inexpensive. However, this presumes that the morning lower readings are relatively frequent. I like adding sugar-free Carnation Instant Breakfast with milk for the bedtime snack: increased protein for little extra carbs.
  2. Consider a switch to NPH, rather than Lente. Lente lasts a bit longer than NPH.
  3. Consider a switch to Ultralente. While Ultralente lasts longer than Lente, it tends not to "peak" as high.


Original posting 18 Feb 2002
Posted to Daily Care


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: (none)
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.