Question from Wayland, Massachusetts, USA:
My daughter's insulin regime is NPH and extra Humalog at breakfast and dinner. I am finding that the NPH is unpredictable. She drops to 40 to 50 mg/dl [2.2 to 2.8 mmol/L] at the weirdest times, even though we follow the carbohydrate, snack and timing regimen. She has been on insulin for about a month. I would like to switch to Lantus because I have read that it has a more steady release and less of a peak. I am concerned about these low sugars. She is symptomatic, dizzy and lightheaded. I think it's due to the NPH peaking and, if she doesn't have a good lunch at school, she's low. My goal is to get her on a pump as soon as possible because I do think the pump provides better control and flexibility. We still need to work on carbohydrate counting and diet education before we can feel comfortable, but, in the mean time, do you see Lantus as a better choice of insulin? I do think the honeymoon is contributing to the lows, but would like to feel that she can get through the day without dropping to such low levels.