My 16 month old daughter, diagnosed at 10 months, takes 3.5 units of NPH (Novolin N) in the morning and 0.5 unit NPH before bedtime, and eventually 0, 5 Humalog when she's over 400 mg/dl [22.2 mmol/L]. The morning NPH seems to be acting a lot longer than it should, producing peaks (often with hypos) 14 to 16 hours latter, often between 12:00 pm and 2:00 am, and having her with readings around 100 mg/dl [5.5 mmol/L] even when she didn't have her 9 pm night shot (which seems to be bringing her to the 100s around noon the next day). However, her readings in the afternoon and before dinner are constantly above 400 mg/dl [22.2 mmol/L], but will go down to around 200 mg/dl [11.1 mmol/L] at 1:00 am, so we never use Humalog after 5 pm. Is NPH possibly having an extra-long action on her metabolism? Does it happen frequently with toddlers? Is there any other insulin we could expect to have intermediate action between Humalog/regular and NPH that she could use to cover between 12 and 7 pm and still be sure its action is over by bedtime?

Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.

Kacie Doyle-Delgado, MSN, APRN, NP-C, was diagnosed with type 1 diabetes at age 11 and attended her first Friends for Life conference in 2002. Since then, she has attended several FFL and regional conferences. She earned her BSN and her MSN as a Family Nurse Practitioner at Westminster College in Salt Lake City, UT and she is currently enrolled in a DNP program. She works for Utah Physicians Care Center in a diabetes specialty clinic. Kacie lives in Salt Lake with her husband, Justin Delgado, and their dogs. She is looking forward to volunteering with the teens again.

Marissa Town, BSN, RN, CDE, graduated from the University of Cincinnati with a Bachelor of Science in Nursing and later earned her Certified Diabetes Educator credential. She has had type 1 diabetes since the age of two and has grown up with a passion for helping families living with diabetes. Marissa is currently working as a research nurse at Stanford University. She has always enjoyed working with families with diabetes at Children with Diabetes conferences, camps, and support groups. She and her husband Adam have two young children, Connor and Everly.