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April 15, 2000

Daily Care, Insulin Pumps

Question from West Palm Beach, Florida, USA:

My 14 year old son was diagnosed with Type 1 diabetes when he was 12. He is on both H and NPH insulin shots, twice a day. On school days, he is up by 6 A.M. and breakfast is 6:30 A.M. On weekends, he insists on sleeping in until noon or later like his friends do. How is this schedule change affecting his body for both the short and long term?

Answer:

Although we try to normalize life for all children with diabetes, your son is risking having a low blood sugar by sleeping in until noon on the weekends. You may wish to talk to your diabetes team about using an insulin pump. With insulin pumps, although eating healthy meals remains important, the scheduling of meals is not as important as with injections.

MSB