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.
October 9, 2002
Question from Buffalo, New York, USA:
We recently switched our two and a half year old son (diagnosed at 13months) to Humalog at meals with 5 units of Lantus in the morning, which is keeping his glucose readings within a better range, but he gets hypoglycemia between 4 am and 7 am. I try to give him a protein at his 8 pm snack along with his 1 carb. I hate to lower the Lantus dose because his numbers are so good. Any suggestions?
Five units seems like a lot for a 2 year old. I might suggest splitting the Lantus (insulin glargine) into two doses — 3.5 units in the morning and 1.5 units at bedtime as a start. Discuss with your son’s doctor.
Additional comments from Dr. Stuart Brink:
I agree that switching to a lower dose of Lantus seems reasonable. Sometimes splitting the dose to some at bedtime and some in the morning will also help. Other times, we use Lantus at bedtime rather than morning.
You need to experiment with different times while doing a lot of blood glucose readings and then review these with your diabetes team to see what works best. Each child is different.