My son is taking Novo Rapid insulin in the morning, lunch, and supper. His food intake is 35 grams of carbohydrates in morning, 10 grams for snack, 35 grams for lunch, 10 grams for snack, and 35 grams for supper. This insulin is regulated according to his readings of blood glucose levels. Before going to bed we give him 20 grams of carbohydrates at 8 p.m. We give him five units of NPH when putting him to bed. We have been finding that his sugar level readings are very high between 16.0 to 20.0 mmol/L [288 to 360 mg/dl] during the night and in the morning when he gets up. We have been increasing his night units from three to five units and still are troubleshooting his high levels. We have checked every two hours from 8 p.m. until 7 a.m. and seen no lows, just highs. Should we increase his NPH by half units every night until we see that its working for him? We do watch him closely and need more insight on treatment.

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.

Kacie Doyle-Delgado, MSN, APRN, NP-C, was diagnosed with type 1 diabetes at age 11 and attended her first Friends for Life conference in 2002. Since then, she has attended several FFL and regional conferences. She earned her BSN and her MSN as a Family Nurse Practitioner at Westminster College in Salt Lake City, UT and she is currently enrolled in a DNP program. She works for Utah Physicians Care Center in a diabetes specialty clinic. Kacie lives in Salt Lake with her husband, Justin Delgado, and their dogs. She is looking forward to volunteering with the teens again.

Marissa Town, BSN, RN, CDE, graduated from the University of Cincinnati with a Bachelor of Science in Nursing and later earned her Certified Diabetes Educator credential. She has had type 1 diabetes since the age of two and has grown up with a passion for helping families living with diabetes. Marissa is currently working as a research nurse at Stanford University. She has always enjoyed working with families with diabetes at Children with Diabetes conferences, camps, and support groups. She and her husband Adam have two young children, Connor and Everly.