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May 27, 2003

Daily Care, Honeymoon

Question from Siena, Italy:

My four year old child was diagnosed with type 1 diabetes three months ago. After two months of four insulin injections daily, now he needs only two injections per day (before lunch and before dinner). Is this his honeymoon period? With an appropriate diet, can he stay without insulin?

Answer:

Insulin dependent diabetes can only be treated with injection of insulin. The reduction from four to two injections daily could be interpreted as a honeymoon period. It has been proven that the better the insulin replacement, the longer this period could last. So for better control, especially in the coming years, it is suggested to continue the insulin therapy. Indeed, today the only reliable and efficacious therapy is based on the injection of insulin three or four times a day.

AS