Treatment for type one diabetes.
There are several different ways of treating a person with type one diabetes.
Tonight I will cover using multiple daily injections (mdi) for treatment.
A person with diabetes needs to have insulin shots. A regime is worked out based on the child's weight and nutritional needs.
The regime will include a couple of different insulins. There will be a background insulin and some fast acting insulin.
When Tom was on mdi's he had lantus insulin for his background. I gave him 7 units each morning.
He then had an injection of fast acting insulin each time he ate a main meal. The fast acting insulin was novorapid. For each 15 grams of carbohydrate we gave him 1 unit of insulin.
Each time Tom ate we checked his bsl. If his bsl was over 15, he needed to have extra fast acting insulin to bring him back into his target range.
As well as giving insulin, a caregiver for a diabetic needs to measure carbohydrates and make sure they get enough carbohydrates to cover the insulin regime.
Tom had 45-60 grams of carbohydrates for main meals and 15 grams of carbs for snacks when he had mdi's.
If he was still hungry after eating the maximum carb intake for main neals or snacks, he would need to have carb free foods.