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Insulin
Insulin regimens
No insulin injection regimen satisfactorily mimics normal physiology
- The choice of insulin regimen will depend on many factors including: age, duration of diabetes, lifestyle (dietary patterns, exercise schedules, school, work commitments, etc), targets of metabolic control and, particularly, individual patient/family preferences
- At least two injections of insulin per day are advisable in most children. Occasionally, particularly during the partial remission phase in younger children, one injection per day maintains satisfactory glycemic control
- Most regimens include a proportion of soluble short-acting or rapid-acting insulin analog , but some young children or those in the partial remission phase maintain satisfactory metabolic control on intermediate or long-acting insulins alone
Recommendation
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Whatever insulin regimen is chosen it must be supported by
comprehensive education appropriate for the age, maturity and
individual needs of the child and family
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