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 14, 2003
Question from Michigan, USA:
My friend has a 10 year old with type 1 diabetes who is on 25/75 insulin, and I've been asking her to confront her "team" and ask them for some evidence that 25/75 works for kids with type 1. Her son's A1c is now over 10%. Do you know off-hand of any abstracts or articles I could send her to present to the team that 25/75 isn't the best route for kids and teens?
I think that you should be a little cautious about advising your friend against two shots a day of 25/75. It is not, of course, a regimen designed to achieve the optimum in control; but it is still a pattern of insulin administration that is used occasionally as quite an effective compromise in any situation where the family may be dysfunctional.
I have an idea that the person to talk this over with in the diabetes care team may be the Medical Social Worker.
Additional comments from Dr. Larry Deeb:
I sometime use 75/25 three times a day. Why: some kids can’t carb count very successfully. And some do skip doses — the A1c of 10+ makes you wonder about this.
The small frequent doses seem to cover the day and night and avoid the very highs when doses are skipped.