From Amesbury, Massachusetts, USA:
My 10 year old son has had type 1 for two and a half years. For the past six months, he has been waking up in the morning with a pretty high blood sugar reading. For example, when he goes to bed at 210 mg/dl [11.7 mmol/L], I'll check him at 2:30 a.m. and he'll be 180 mg/dl [10.0 mmol/L]. When he gets ups at 7:30 a.m., he'll be close to 300 mg/dl [16.7 mmol/L]. This goes on most nights, however, there are nights he does wake up below 100 mg/dl [5.6 mmol/L]. Why does this occur? Is it harmful to him?
He is currently on injections of Humalog and NPH. It's really hard to know exactly what to give him at night. Right now, he gets seven units of NPH before bed. How long does this go on? I know it's something to do with growth hormones. I'm afraid that the night I decide not to check him at 2:30 a.m., he will have a very low reading in the morning.
At this stage, you should talk to your son's diabetes team about using nighttime Lantus (no peak) instead of NPH (six to eight hour peak). In addition, you would give your son fast-acting insulin, lispro (Humalog) or aspart (NovoLog) for meals and snacks.
Last Updated: Tuesday April 06, 2010 15:10:06
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.