From Arizona, USA:
My 14 year old son is a freshman in high school and was diagnosed with type 1 diabetes about a year ago. He takes three shots of insulin a day; Humalog and NPH in the morning before breakfast, Humalog before dinner, and NPH before bed. He averages about 10 units of Humalog and 22 units of NPH before breakfast, and 4 units of Humalog before dinner. He eats around 70 to 75 grams of carbohydrate with each meal. Why does he require so much more Humalog before breakfast than he does before dinner? His blood glucose levels have been good (HbA1c levels of 6.5 to 7.5%).
That's a lot of carbohydrate to have for breakfast but I don't know how big your son is. However, the insulin dose required at breakfast time is a reflection of the fact that the blood insulin level has fallen overnight and needs pushed up again to cope with food intake.
Original posting 4 Mar 2000
Posted to Insulin
Last Updated: Tuesday April 06, 2010 15:09:10
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.