Back to Ask the Diabetes Team Ask the Diabetes Team

From Istanbul, Turkey:

My four-year-old daughter was diagnosed with type 1 diabetes two years ago. Since then, we have been using NovoRapid as bolus insulin and NPH Humulin N as basal insulin. Her A1c was 7.5, however, her blood sugars are really instable. She often has unexpected highs and lows. We inject NovoRapid after each meal and are carbohydrate counting. We inject NPH twice a day, at 1 p.m. (five units) and 11:30 p.m. (three units). If we switch her to Levemir, would her blood sugars be more stable? Is Levemir safe for children?

My daughter weighs 16 kg (35 pounds) and is 103 cm (3 feet, almost 4 inches). She also has celiac disease.


I think that the best basal insulin for your daughter is glargine (Lantus) given once a day. This will make a real change towards her blood sugar stabilization leading to a significant lowering of A1c as well.

As far as celiac is concerned, it's often associated with type 1 diabetes as both diseases are autoimmune mediated.


Original posting 20 Oct 2010
Posted to Insulin 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.