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Re: [IP] Sliding Scale Insulin Dose
> >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
> >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
Bull S--t !!
With comments and treatment like that they ought to have their
liscenses to practice medicine revoked. They are clearly way behind
the times in terms of the treatment of pediatric diabetes. They are
obligated to stay current by their respective medical review boards.
1) GET A NEW ENDO.
Contact MiniMed and Disetronic reps in your area
(through factory) and get referrals to progressive ENDO's. See the
web page for both companies
2) Get a copy of Pumping
Insulin or got to the website HOWTO page
Determine your daughters basal needs and put her on MDI of 3 to 4
shots a day with NPH only at night (and maybe while at school
when she is asleep or out of your reach). Preferably at night only.
An injection of regular every 4-5 hours when there is no NPH will
cover nicely. She can skip snacks and adjust her doses for meals
as a pumper does. You (and she) must learn to carbo count. Lily has
done this on a 24hr basis a few times when her pump was being
repaired over a 3 day weekend. Before the days of Quick Release, she
drowned her pump several times in the pool (leaky waterproof case).
There is no reason she can not enjoy the same stability and freedom
as a pumper, albiet with a little more effort.
Michael (Dad of Lily, diabetic since 11 pumping since 11.5
3 years now)
email @ redacted
Insulin-Pumpers website http://www.bizsystems.com/Diabetes/