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

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

 
Principles of insulin therapy

 
 
Consensus Guidelines 2000
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IDF Type 1 Guidelines
IDF Type 2 Guidelines