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Re: [IP] Sliding Scale Insulin Dose

Get another pediatric endocrinologist who is up to date on how to treat
juvenile diabetics.  While it is true that generally doctors allow
childrens BG to run slightly higher in order to prevent hypos, your
doctor does not seem to be on top of things.  I think that not treating
a high is absurd.

email @ redacted wrote:
> Once again I am writing for advice.  My daughters Endo and our Pediatrician
> both say they do not believe in doing "sliding scale" for insulin dosages.
> They say we are just trading highs for lows and it is NEVER recommended for
> pediatric treatment of Type 1 Diabetes.   They say what is below the peaks is
> what counts and not the occasional peaks.   Whatever her readings are they
> want me to give the same amount of insulin each day.  (this makes no sense to
> me - why would you give the same amount of insulin for a 300 reading as you
> would for a 90?)
> Also, as a mother I struggle with not giving her Humalog to bring down an
> occasional high.  This doesn't happen frequently but on occasion it does.  I
> realize if this are happens frequently and we see a trend it is time to change
> the insulin dosage.   To not treat the high bothers me greatly.  When I give
> the extra Humalog I am careful to not do it in conjunction with the NPH peak
> (so far I have never sent her crashing).   Currently she is on a 2 shot/day
> regimin - before breakfast and dinner.
> If we have the technology available to bring quickly bring down highs then why
> not?  I don't want to be going against our doctors but I am sense there may be
> two schools of thought on this.   Any input will be greatly welcome.  Also if
> I am completely off base please set me straight!
> Sherri Lynn (Laura's mom)
> Insulin-Pumpers website   http://www.bizsystems.com/Diabetes/
Insulin-Pumpers website   http://www.bizsystems.com/Diabetes/