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.
November 14, 2004
Question from Chile:
Some other parents and I have been asking and researching, with no result, the consequences of using more insulin (Total Daily Dose-TDD) than the amount that is supposed to be used relative to the weight of the child. If there is a problem, what is the percentage of additional insulin, over the TDD, that would be considered dangerous, and why? Particularly, I am concerned about the comment that Detemir would mean more units of insulin than Lantus, which is what our endocrinologist has told us and what I have read.
It is very important to understand that every patient is different and that insulin requirement is therefore an individual thing. However, most toddlers, after the honeymoon period, will require approximately 0.9-1 units per kilogram of body weight. It is not my experience that the doses of Lantus, Detemir or NPH are actually terribly different, but what matters is the result, i.e. the blood sugars. Your team should be able to guide you on what dose is working best.