From Oklahoma, USA:
I am a general pediatrician who has cared for a small number of diabetic children including one infant. I read several of the questions and responses regarding the use of diluted insulin for infants.
Could I see a "straw poll" of programs at larger children's diabetes centers that routinely use diluted insulin for young children and infants and those who do not? And why.
I am not aware of any formal poll evaluating what percentage of pediatric endocrinologists use diluted insulin. At one of the presentations at the American Diabetes Scientific Session last June  in Boston, there was an informal "show of hands" how many people were using diluted insulin in young children. To my surprise, it was not 100%. If I remember correctly, it was closer to 60- 75%, though I have no information about the exact make-up of the people in the audience who answered. It was my understanding that some pediatric endocrinologists felt it was too confusing for parents to dilute insulin. In my experience, I don't know how many young children can be managed without diluting insulin (which is I assume the reason the insulin companies provide it for free).
[Editor's comment: My daughter was diagnosed when she was 24 months old. We used Regular diluted to 1/4 strength (four units of diluted Regular equals one unit of undiluted Regular) for many years. Often we gave her half a unit of diluted regular, or one-eighth of a unit of Regular. I cannot imagine caring for an infant or very young child with diabetes without the use of diluted insulin. JSH]
Original posting 5 Apr 1998
Posted to Insulin
Last Updated: Tuesday April 06, 2010 15:08:58
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