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From Ohio, USA:

My daughter will be 15 shortly, and has IDDM since age 5. We recently went through an eating disorder where a lot of weight ntly went through an eating disorder where a lot of weight was lost. She is on the upswing now, and is beginning to put some weight on. She just began using Humalog and likes it better than Regular insulin. She would like to stop taking her AM NPH and use the Humalog throughout the day, just using NPH at bedtime. Is this a possibility? She doesn't like to worry about lows at school. Does anyone have a workable solution?


No matter what regimen your daughter uses, she will always have to be prepared for low blood sugars as we still can't perfectly match the food to the insulin.

I assume your daughter wants to take Humalog [lispro insulin] at least 3 times a day (before each meal). Usually one tries to provide 24 hour "basal" insulin (the insulin you need when not eating) in addition to supplemental insulin when you eat (often referred to as "bolus" insulin). NPH once daily at bedtime might be enough to cover the basal insulin requirement, if she takes Humalog at least 3 times a day, but ultralente at bedtime or given twice daily (AM and PM) might provide a more even basal insulin. (Humalog doesn't last as long as Regular. If you are only giving Humalog during the day, you might have periods during the day after the Humalog wears off during which you don't have enough "basal insulin" and during which the blood sugar may increase.)

Your daughter should work closely with her physician to determine what works best for her.


Original posting 15 Jan 97


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Last Updated: Tuesday April 06, 2010 15:08:52
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