From Cincinnati, Ohio, USA:
My 15 year old brother, who has had type 1 diabetes since age nine, has had a very hard time controlling his blood sugar for the past year or so. Around 11:00 pm he drops to around 40 mg/dl [2.2 mmol/L] and is up testing and drinking juice or pop until 1:00-3:00 am trying to bring it up. Then in the morning he is in the 400-500 mg/dl [22.1-27.8 mmol/L] range. He has talked to doctors and nurses, but no one can seem to give him an answer on how to fix this problem. He is having to miss a lot of school and I'm afraid this will severely hurt his health. Any suggestions?
First you live in a city with a spectacular pediatric diabetes service. Is your brother you using them? Is he using a multiple shot regimen -- at least four? Or a pump?
Tell your brother to ask his diabetes team about trying Lantus (insulin glargine). I have had great success with it. It doesn't seem to have a peak and is just a baseline insulin. He can then add Humalog in appropriate doses to match the food and the blood sugar at the time. I think it will work better.
Original posting 18 Jun 2001
Posted to Daily Care
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Last Updated: Tuesday April 06, 2010 15:09:22
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