Back to Ask the Diabetes Team Ask the Diabetes Team

From Hampton, New Brunswick, Canada:

My 13 year old son has type 1 diabetes which is presently has well managed at night by taking advantage of the peak of the bedtime NPH to address the increased insulin needs in the pre dawn hours. I am curious to know how this increased need would be managed using Lantus instead of NPH. Would not most patients with type 1 experience a spike in those pre-dawn hours?


With NPH, you have to be careful and hope the peak occurs at the right time in the night. Do you really know the glucose is okay in the dead of the night and not low?

With Lantus, I am comfortable with a much lower bedtime glucose, a very small snack and then lower glucose in the morning. I now see and accept glucoses below 100 mg/dl [5.6 mmol/L] in the morning using Lantus.


Original posting 6 Nov 2003
Posted to Insulin


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

Last Updated: Tuesday April 06, 2010 15:09:52
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.