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.
March 17, 2004
Blood Tests and Insulin Injections, Insulin
Question from Geneseo, Illinois, USA:
My son is currently on a two shot regimen. He is using regular and NPH. His A1cs range from 6.8 to 7.2 We met with a specialist who is sold on the four shot routine, using Humalog at meals and Lantus at night. The doctor is set on the four shot routine and only briefly talked about our other options. I would like to set up a three shot routine with Humalog and a long acting insulin. Is the four shot approach so much better as to not consider any thing else? How do I approach this medical professional with my thoughts on the three shot approach?
The purpose of giving insulin is to achieve good control of diabetes with minimal lability of blood sugars. Usually, one cannot achieve such control using the older insulins, such as regular and NPH, and insulin dosing styles such as you are currently using. Making a change to Humalog or NovoLog and Lantus is appropriate. The various styles of taking those two insulins, three shot versus four shot regimens, is up to you and your physician. I hope you feel comfortable discussing your wishes with your physician. If you aren’t comfortable, then it’s time to find someone with whom you’ll be comfortable discussing all aspects of your child’s diabetes care.
Your physician should be very happy that you’ve put so much thought into this and should welcome your comments and suggestions.