Back to Ask the Diabetes Team Ask the Diabetes Team

From Burton, Ohio USA:

My 21 month old son was diagnosed at 14.5 months of age, and his team of nurses have recommended that we consider putting him on Lantus because he is very sensitive to the peaks of NPH, particularly in the evenings. I know that it is not yet approved for children under six. I would like some objective opinions on what any of you think about putting a 21 month old on Lantus and what I might expect if we decide to make the change.


There are several toddlers on Lantus (insulin glargine) in this center. Given as a single injection at bedtime it does greatly reduce the problem of early morning hypoglycemia from suppertime NPH. Some other modifications are called for, though.

First of all, the bedtime snack is less important and can often be omitted in the interest of having the before breakfast blood glucose be an accurate reflection of the basal glargine action. As a first step, the insulin in the morning is usually switched to Humalog plus NPH to cover the middle of the day. This avoids having to give two extra injections (one for the glargine and another for the insulin cover at lunchtime). Eventually however you may elect to give Humalog again at midday and omit the morning NPH. Suppertime insulin is again Humalog. There seem to be no disadvantages of this approach except perhaps for the need for more blood sugar monitoring, so you might at the same time consider using one of the forearm sample meters like the FreeStyle or One Touch« Ultra.


Original posting 16 Jan 2002
Posted to Insulin Analogs


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

Last Updated: Tuesday April 06, 2010 15:09:30
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.