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How To Reduce The Dosage Of Insulin For Type 1 Diabetes In Children?
Question: Hello Dr, My son Master XXXXXXX is diagnosed by Type I DM recently . He is just 3 years and 7 months currently pursuing LKG. Daily 4 times we are giving insulin to him . Apidra daily 3 times ( morning , Afternoon and Night ) , Lantus only at evening . Now his blood sugars are at normal while checking daily . Average level at morning is 90 and by afternoon it was around 120 and evening in it was around 100 to 120 . Is there any possibilities to change the 3 time insulin to 2 times . Kindly advice
Brief Answer:
Type 1 Diabetes.
Detailed Answer:
Hi,XXXXX ,
Thanks for your question.
After going through your question, I can understand your concern.
What ever the blood sugar level readings you have mentioned are perfectly within normal range for your child.
If you really want 2 doses of insulin instead of current 4 doses then it can be possible with
1) Use of premixed insulin preparation (Short acting and intermediate acting insulin in combination in one preparation). or
2) By using Separate vials of short and intermediate acting insulin, with two different insulin filled in single syringe before injecting.
But 2 doses are not possible with current insulin preparations (Apidra is short acting and Lantus is long acting insulin both are not compatible with each other in single preparation).
Also with premixed insulin preparation dose adjustment become sometime difficult, also risk of low blood sugar level (Hypoglycemia) is more as compared to your current insulin preparations.
And with two different insulins in single syringe, proper education of withdrawal of insulins in single syringe is needed (it is really difficult to give small doses of insulin with syringe) and one can not use pen.
You should discuss your issues with your treating doctor.
Hope I have answered your question.
I will be happy to answer your follow up questions if any.
Otherwise you can close the question and rate the answer.
Regards,
Dr. Abhay Mali.
Diabetologist.
Type 1 Diabetes.
Detailed Answer:
Hi,XXXXX ,
Thanks for your question.
After going through your question, I can understand your concern.
What ever the blood sugar level readings you have mentioned are perfectly within normal range for your child.
If you really want 2 doses of insulin instead of current 4 doses then it can be possible with
1) Use of premixed insulin preparation (Short acting and intermediate acting insulin in combination in one preparation). or
2) By using Separate vials of short and intermediate acting insulin, with two different insulin filled in single syringe before injecting.
But 2 doses are not possible with current insulin preparations (Apidra is short acting and Lantus is long acting insulin both are not compatible with each other in single preparation).
Also with premixed insulin preparation dose adjustment become sometime difficult, also risk of low blood sugar level (Hypoglycemia) is more as compared to your current insulin preparations.
And with two different insulins in single syringe, proper education of withdrawal of insulins in single syringe is needed (it is really difficult to give small doses of insulin with syringe) and one can not use pen.
You should discuss your issues with your treating doctor.
Hope I have answered your question.
I will be happy to answer your follow up questions if any.
Otherwise you can close the question and rate the answer.
Regards,
Dr. Abhay Mali.
Diabetologist.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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