My seven year son who has type 1 diabetes and is on Monotard and Actrapid twice a day, sometimes has hypoglycemia accompanied by vomiting. Is the vomiting due to hypoglycemia? A few doctors have recommended the use of Extendbar (available only in USA). Do you think it is appropriate?

Actually, vomiting in children might be due to many reasons. Even though it is s not a feature of low blood sugar, it may accompany hypoglycemia.

Lows might be treated efficiently with any simple source of carbohydrate such as cola, fruit juice, even 2-3 tablespoons of sucrose with water, followed by a light snack of slow absorbing carbohydrate such as crackers.

Even though your son’s insulin daily dosage is reasonable, I don’t think the scheme is the best to assure optimal metabolic control. (What’s his hemoglobin A1c?) In order for him to grow the best and be the healthiest. I’d rather see him switch him to an intensified insulin regimen using Humalog or Novolog in combination with Lantus (insulin glargine). at bedtime. Ask his doctor about this regimen.

MS