Back to Ask the Diabetes Team Ask the Diabetes Team

From Providence, Rhode Island, USA:

My six year old daughter has had type 1 diabetes since she was 18 months of age and is in excellent control. We use a sliding scale to adjust her insulin dose based on her readings or how much she wants to eat. We recently were told by a pediatric endocrinologist that the sliding scale is not appropriate for a child so young. I need help! Is this true? This endocrinologists says most pediatric endocrinologists do not support a sliding scale.


The dosing of insulin and the way to calculate that dose varies depending on the preference and skill of the physicians in treating diabetes. I would suggest that you continue to be creative and flexible in how you dose your child's insulin and set reasonable goals. If, indeed, your child is in excellent control, then I would suggest that you are doing what is right for your child.

Sliding scales for insulin are sometimes frowned upon because if a child is frequently having to use a sliding scale for high blood sugars, then one should make a change to prevent those high blood sugars. However, in my practice, I have good success with sliding scales for high blood sugar but also instruct my patients that if they are having blood sugars that are routinely out of their target range, they should be contacting me for a change in their insulin to help prevent those high blood sugars -- rather than just routinely chasing them with a little extra Humalog or Regular insulin.


Original posting 30 Dec 2000
Posted to Insulin


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:18
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.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.