Back to Ask the Diabetes Team Ask the Diabetes Team

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


  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.