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From Salem, Oregon, USA:

We have an 8-year old, Type 1 diabetic son. He was diagnosed when he was four. Where can we find information about a sliding-scale vs. pattern-based insulin schedule? We have two different care providers and each believes in opposing insulin schedules! How do we determine which is better for our son?


There is an excellent book called Stop the Rollercoaster by John Walsh, P.A., C.D.E., Ruth Roberts, M.A., and Lois Jovanovic-Peterson, M.D., published by Torrey Pines Press and available through at a reasonable cost.

In general, sliding scales should only be used to compensate for an acute situation (e.g., illness or overeating). When sliding scales are used routinely the problem is often never fixed and blood sugar levels fluctuate dramatically. In addition, if you use a sliding scale to fix a "stress high" or at bedtime, you put your child at great risk for severe hypoglycemia.


Original posting 28 Jan 98


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Last Updated: Tuesday April 06, 2010 15:08:56
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