I'm a pediatric endocrinologist and I work with diabetic children in my city. My methodology of control is done with urine examination, four times a day, checking for ketonuria and glycosuria, and one time a week, the patient does a blood sugar determination with a glucose meter at home. I do the clinic control of the patients monthly. I use NPH insulin twice generally. Would you suggest anything different or better to control these patients?
In Italy, for a long time, we have generally treated children and young adult Type 1 patients with an intensified insulin regimen (at least 3 shots a day, using Regular insulin before breakfast and lunch, and Regular and NPH before supper, more and more often switching them to Regular before each meals and NPH at bedtime). We don't use urine testing anymore (except for ketones). We can give patients, free from our National Health Service, strips and meters for self monitoring (generally 4 tests a day). We assess metabolic control during a visit with a HbA1c determination at least 4 times a year.
Original posting 2 Aug 97
Last Updated: Tuesday April 06, 2010 15:08:54
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.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.