Humulin or Lantus, Which Insulin For Your Child?

Humulin or Lantus? When my daughter, who was 8, was first diagnosed the Children's Hospital that was treating her put her on an insulin program of short acting Humalog NPH and long acting Humalin N. You should have seen me that first day of training after a long night in the emergency room where she was diagnosed. I was a raving lunatic to begin with so my brain was mostly mush at that point. Add to that everything began with "H". Mix this "H" with that "H" but first charge this "H" with air, then draw this "H" first followed by that "H" but make sure you roll this "H" between your palms and for crying-out-loud don't shake that "H". Anyway I guess osmosis worked and all of that information finally seeped in. We were officially diabetic now.

For those of you who may not be familiar with it, Humalog and Humalin (short and long acting insulins) are mixed in the same syringe and injected 3 times a day usually before meals. Your child is allowed a certain amount of carbohydrates for each meal that the doctor figures out based on age, weight, etc., and that's your number. My daughter's was 65 carbs max per meal and 35 max per snack. However your child hits their magic number that's it. Whether it's 65 slices of ham or half a pop-tart. Plus she had to eat 6 times a day at certain times everyday.

Well the time came when she decided she wanted a little more freedom of choice and asked me about trying Lantus. My first thought was if it's not broke don't fix it. But I can have a cupcake whenever I want so I decided my opinion was secondary. So we looked into it. Lantus is a long lasting insulin. One shot at night and she had a 24 hour basal dose of insulin. "One shot" I'm thinking to myself "that's great". But wait, you also have to take a shot of short acting insulin (a bolus) everytime you eat. 10 meals 10 shots, 3 meals, 3 shots. Even I could figure that out. You base the amount of short acting insulin on the number of carbs you are about to eat. Talk about freedom! Compared to what she had been doing it was like being re-born. she didn't care that it would mean more shots. All she heard was she could eat what she wanted when she wanted. Birthday cake, pizza parties, popcorn at the movies, boy she was ready to go. The first thing she wanted to have was a Blizzard from Dairy Queen. I looked at the chart on the wall and it read 125 carbohydrates. That was half a days carbs in a paper cup! After a couple of days of gluttony things got back to normal pretty quickly.

Remember that freedom I mentioned, it came at a price. This insulin regime is a lot of shots. Add those to the required blood tests and your talking about a lot of holes per day in a little girl. One more thing, her nighttime Lantus shot was 19 units. that's a lot of insulin all at once. In her case it went in like battery acid. These shots are no fun. However, after several months on the Lantus regime her life and the rest of my family's lives are pretty close to pre-diagnosis normal. All in all it was the right thing to do. If your doctor is suggesting Lantus or your child is asking about it, consider all of the above. We're glad we did it.

Russell Turner is the father of a 10 year old diabetic daughter. He realized early on that he could find all the medical information about diabetes he could ever need on the internet. What he couldn't find was information that told him how to keep his family's life normal after the diagnosis. He started his own website dedicated to just that. Visit http://www.mychildhasdiabetes.com Prepare you child for life with diabetes!

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President-elect Barack Obama, left, stands with Secretary of State-designate Sen. Hillary Rodham Clinton, D-N.Y., center, and National Security Adviser-designate Ret. Marine Gen. James Jones, right, at a news conference in Chicago, Dec. 1, 2008. (AP Photo/Pablo Martinez Monsivais)AP - President-elect Barack Obama picked a national security team headed by former campaign rival Hillary Rodham Clinton and Bush administration holdover Robert Gates on Monday, and said he wants to consult with military commanders before settling on a firm timetable to withdraw U.S. combat troops from Iraq.



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Tape covers bullet holes in the windows of the newly-reopened Refresh Cafe in the landmark Chhatrapati Shivaji Terminus train station, in Mumbai, India, Monday Dec. 1, 2008.  This scarred and traumatized city struggled back to its feet Monday, reopening schools and businesses, as residents tried to come to terms with the string of terror attacks that brought bloodshed to the heart of Mumbai. The owner of the cafe said he had little choice but to reopen the fast food restaurant in the station, even though its glass wall is scarred with bullet holes, half his staff refused to come back and his brother is on a ventilator in the intensive care unit after being shot in the abdomen by the attackers. (AP Photo/Lefteris Pitarakis)AP - India demanded Monday that Pakistan take "strong action" against those behind the deadly Mumbai attacks, and Washington pressured Islamabad to cooperate with the investigation.



Alaska Gov. Sarah Palin, center, waves to a crowd during a campaign stop for U.S. Sen. Saxby Chambliss, R-Ga, Monday, Dec. 1, 2008 in Savannah, Ga. Chambliss and Democratic challenger Jim Martin are   in a Tuesday runoff that will shape Democrats' hold on power in Washington. (AP Photo/Stephen Morton)AP - Alaska Gov. Sarah Palin urged Georgia voters to back Sen. Saxby Chambliss in Tuesday's runoff in an election eve appeal that underscored her popularity within the Republican Party and the GOP's efforts to stave off erosion of its shrinking Senate numbers.



U.S. Secretary of State Condoleezza Rice smiles during a press conference with  Britain's Foreign Secretary David Miliband after their meeting  in London, Monday, Dec. 1, 2008. President-elect  Barack Obama  announced Monday that Hillary Rodham Clinton  will be the next Secretary of State. (AP Photo/Akira Suemori)AP - Happily contemplating another woman as the top U.S. diplomat, Secretary of State Condoleezza Rice said Monday she will offer advice, privately, and then get out of the way.



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President-elect Barack Obama announces that Sen. Hillary Clinton will be his choice for Secretary of State during a news conference in Chicago December 1, 2008. (John Gress/Reuters)Reuters - U.S. President-elect Barack Obama named former rival Hillary Clinton as secretary of state on Monday and said Robert Gates would remain defense secretary in a national security team charged with recasting America's leadership role in the world.



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Members of ZAKA, Israel's non-governmental rescue-and-recovery organization which specializes in collecting human remains to ensure a proper Jewish burial, speak with policemen after performing religious rituals in front of Nariman House in Mumbai's Colaba area, December 1, 2008. (Jayanta Shaw/Reuters)Reuters - India demanded Pakistan take decisive action over deadly attacks in Mumbai it said were carried out by militants from its nuclear-armed rival, while the West urged cooperation to ease tension.



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