Back to Ask the Diabetes Team Ask the Diabetes Team

From Cape Town, South Africa:

My two-year-old daughter was diagnosed with diabetes on December 3, 2007. We were in hospital for a week to stabilise her levels. When she came home, she seemed to stabilise well but, in the last few days, her levels are constantly high, even at 2 a.m. She wakes up with a reading of 15 mmol/L [270 mg/dl] and is given five units of Protophane plus one unit of NovoRapid for breakfast. Today, her lunchtime level came down to 8 mmol/L [144 mg/dl] and I gave her half a unit of NovoRapid. She seems to climb again at suppertime, and even with a unit of NovoRapid at supper, she climbs again and goes over 20 mmol/L [360 mg/dl] sometimes at bedtime. Her 2 a.m. readings the past few days have also been over 15 mmol/L [270 mg/dl] every night. The diabetes clinic has told me to increase her Protophane from one to two units at 9 p.m. What could be causing these high levels? Is it possible she has not had a honeymoon period and won't have one? The diabetes clinic is worried she is getting sick, but she appears perfectly healthy. What could be causing this?


I think you should discuss with your diabetes team switching your daughter to glargine (Lantus) as the only basal insulin, eliminating the Protophane. Lantus is a non-peaking insulin you normally give at bedtime.This regimen should be completed with NovoRapid at meals before any further action is taken regarding her elevated blood sugars.


Original posting 27 Jan 2008
Posted to Hyperglycemia and DKA


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

Last Updated: Tuesday April 06, 2010 15:10:16
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.