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.
February 16, 2002
Question from Columbus, Georgia, USA:
My 20 month son was 16 months old when diagnosed, and he receives six shots a day (Humalog, NPH, and Ultralente). He goes to an endocrinologist, and I want to know what the difference in treatment is compared to a pediatric endocrinologist.
I don’t know if a pediatric endocrinologist would do anything different, but, my bias, as a pediatric endocrinologist, is that children should be seen by pediatricians. A 16 month old is not the same as a six year old, a 16 year old, or a 60 year old. I might go so far as to say that an adult endocrinologist has little business in treating a 16 month old child with diabetes especially if you have a pediatric endocrinologist available. This may be a very important argument to make with a third party payor, such as an insurance company.
I think a pediatric diabetes team can try to balance out the realities and practicalities of your child’s diabetes management, meal planning (for a toddler), insulin dosing and timing, activities, and the social issues of parental work schedules, Family Medical Leave Act, and others. Six insulin shots a day seems a bit excessive to me, but if it works for you and your child is well controlled, and not having hypoglycemia, then perhaps nothing need change. The insulin “cocktail” that he receives is an interesting one, although it sounds as if things may be more complex than they really need to be. At this age, “tight” control is not the primary goal.