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Message: <blockquote data-quote="Jen&amp;Khaleb" data-source="post: 220840" data-attributes="member: 13077">I thought so but it is generally referred to as MDI (multi daily injections) or Basal/Bolus.  My son is on Levemir X 2 and Novorapid X 3 a day.  He has always been on this regime so I actually have no experience with a mixed insulin.  Carb counting works well with MDI.  My son also has a 20gm carb morning tea, 15gm carb afternoon tea and 20gm carb supper that he is not given Novorapid.  His meals can vary and he usually has 1u Novorapid to 10gm carb in the morning and 1u to 15gm carb at lunch and dinner.  By trial and error I also know that 1u of insulin will drop Khaleb's blood sugar by 8mmol and 10-15gm carb will raise it by 8mmol.There are still pitfalls.  One example would be eating too closely together and stacking insulin - causing hypos.  Another would be that he would have to inject at school.  You will be facing some massive growth and hormones in the next few years that will seriously impact his levels where he may need varying insulin amounts and possibly more injections than you expect.  It may still be difficult for children to skip/delay meals even on this regime.The biggest pros are that it is easier to eat normal everyday things at meal times, sick days can be a little better to manage and it can be a way of getting good levels.  Khaleb's hba1c is currently 6.2%.  He does have periods of instability but the majority of the time he is in a range of 4.0 - 10.5mmol.  You still have to remember that diabetes management involves insulin/diet/exercise and, with kids, growth, all staying in balance at the same time.  Never easy, especially when the effects of exercise might show up at anytime!Have you also been offered a pump?  If you were able to get a pump on a child subsidy scheme it would be worth pursuing as it can be difficult for adults to get them.  Hope you have a smooth change over if you decide to go ahead but you might have to expect a few sleepless nights checking the basal overnight.</blockquote>

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