Back to Ask the Diabetes Team Ask the Diabetes Team

From Pittsburgh, Pennsylvania, USA:

My seven year old daughter was diagnosed with type 1 in August 2004. Her recent A1c was 7.8, which I was told was good. At times, her control is good and at other times, usually at night, she's in the 200s mg/dl [11.1 to 16.0 mmol/L] at 12 a.m. and 3 a.m. She receives NPH and Humalog at bedtime, which I have been increasing to try and lower her at nighttime and in the morning when are readings vary from 120 to 170 mg/dl [6.7 to 9.4 mmol/L].

Obviously, I worry about nighttime lows with the increased insulin. Would an insulin pump help with nighttime highs with a lower risk of hypoglycemia? At what age or length of disease is a child considered a candidate for a pump? I am a nurse and have seen first hand the devastating effects diabetes can have when good control is not obtained. I spoke with my child's doctor, but was told she should be diagnosed for at least six months or maybe wait until she is out of the honeymoon period.


An insulin pump can help micromanage diabetes at any time after diagnosis. In addition to providing an easier way to dose for meals, pumps allow you to vary the "basal rate" of insulin delivery to best meet one's needs. If you have continued interest in using an insulin pump, I would encourage you to talk with your physician again to see if your child may benefit from a pump.


Original posting 16 Nov 2004
Posted to Insulin Pumps and 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.