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From Red Wing, Minnesota, USA:

My six year old daughter was diagnosed with Type 1 diabetes seven months ago. We are having some difficulty adjusting her insulin doses to avoid as many lows and highs as possible. We count carbohydrates and have a set schedule for meals, snacks, blood glucose checks and insulin injections. Her school has ben great with assisting us.

She weighs 53 pounds and has always been a good eater and semi-active. Here is an example of her varying days:

A.M. 94 (1/2 R & 7 1/2N)lunch 59dinner 139 (1R)bed 314 (1N)
A.M. 161 (1/2 R & 7 1/2N)lunch 185dinner 149 (1R)bed 90 (1N)
A.M. 130 (1/2 R & 7 1/2N)lunch 199dinner 235 (1R)bed 200 (1N)
A.M. 124 (1/2 R & 7 1/2N)lunch 372dinner 109 (1R)bed 235 (1N)
A.M. 86 (1/2 R & 7 1/2N)lunch 53dinner 59 (1/2R)bed 103

Her two week average is 160.

I call the nurse when I need advice but it seems if we increase her Regular insulin by 1/2 unit she will have a low reading. Is there anything you would suggest?


For a six year old, I don't think that you should be too unhappy with these results. I know that they are up and down a bit but there's no particular pattern other than perhaps a mild tendency to be a little high before dinner and in the evening. You should discuss dose changes with your team.


Original posting 3 Jun 1998
Posted to Insulin


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