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The Question
05/13/09 11:19 AM

"Is it safe for a 6 y.o. type 1 diabetic to wait one hour for insulin? 7am bg 460. comes to school @8. eats and gets insulin@school..."
Asked By: petro1  
Category: Children's Issues

Background Info Hide
School Nurse questioning if harm can be done to child by waiting so long for insulin. Student receives insulin at lunch also but tests right before lunch and recives insulin within 15 minutes. The morning is an issue because no one is on the clock till 8AM, but child leaves home early in order to get school breakfast, catch bus , etc.

Expert Answers (1)

05/18/09 10:49 AM

First of all, a 7am blood gluose of over 400 if this is consistant is extremely dangerous and needs to be addressed with the family and health care team. If the child eats with no insulin on board and a blood sugar level over 400, this can cause tremendous harm in terms of blood vessel, kidney damage, and eye issues. The longer this continues, the more dangerous this can get. You can give insulin after the fact, but the high blood sugars over time can cause a lot of damage. I would say perhaps the child may benefit from an insulin pump, but the school and health care team need to get involved.
Answered By: susan sloane
Accreditations: B.S.,Rph.,C.D.E.,Nutritionist
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Community Answers (1)

05/19/09 08:47 AM

I agree with the expert over 400 is a dangerous zone. Is your child on lantus at night. Just maybe an adjustment in that dose needs to talked about with the doc. I would let them know of those highs, they can not continue at that level. You dont mention levels at other times are they that high.
Answered By: furball64801
FLAG
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