Lg Cwd
icon-nav-help
Need Help

Submit your question to our team of health care professionals.

icon-nav-current-questions
Current Question

See what's on the mind of the community right now.

icon-conf-speakers-at-a-glance
Meet the Team

Learn more about our world-renowned team.

icon-nav-archives
DTeam Archives

Review the entire archive according to the date it was posted.

icon-question-mark
December 5, 1999

Insulin

Question from North Babylon, New York, USA:

I am the mother of a 12 year old son diagnosed with Type 1 four years ago. Is there some type of scale for age or body weight in relation to amount of insulin to be given or is totally individualized and based on readings? I am mostly referring to long acting N.

Answer:

Generally speaking, for a child with established diabetes (that is, beyond the honeymoon phase) and before puberty, the insulin requirement is of the order of 0.9 to 1.0 units per kilogram per day. However, when puberty begins, this requirement can rise markedly to as much as 1.7 units/kg. You are absolutely correct, however, to appreciate that what matters is the results and so insulin type and doses have to be individually tailored.

KJR