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<blockquote data-quote="phoenix" data-source="post: 106468" data-attributes="member: 12578"><p>I'm sorry that you're having problems, as has been said it may be that the honeymoon is coming to an end and that you will need some help from your team to adjust the insulin dosage.</p><p>I do hope that you managed to get on to them as levels 200 and 300mg/dl (11-160mmol) are too high and need to be dealt with fairly quickly.</p><p>Children are very different to adults which is why I hoped someone with some experience would have replied.</p><p> After Fergus's post, I checked the NICE guidelines for children in the UK, they were as I thought, higher than for adults.</p><p></p><p><a href="http://www.nice.org.uk/nicemedia/pdf/CG015NICEguideline.pdf" target="_blank">http://www.nice.org.uk/nicemedia/pdf/CG015NICEguideline.pdf</a></p><p>Elsewhere, leaflets issued by various paediatric depts seem to say that at bedtime levels should be between 7mmol and 10mmol (126-180mg/dl) and that a bedtime snack needs to be considered. (depending on prior activity and insulin type) </p><p><a href="http://www.nnuh.nhs.uk/docs%5Cleaflets%5C499.pdf" target="_blank">http://www.nnuh.nhs.uk/docs\leaflets\499.pdf</a></p><p> </p><p>Hope, that you've managed contact now.</p></blockquote><p></p>
[QUOTE="phoenix, post: 106468, member: 12578"] I'm sorry that you're having problems, as has been said it may be that the honeymoon is coming to an end and that you will need some help from your team to adjust the insulin dosage. I do hope that you managed to get on to them as levels 200 and 300mg/dl (11-160mmol) are too high and need to be dealt with fairly quickly. Children are very different to adults which is why I hoped someone with some experience would have replied. After Fergus's post, I checked the NICE guidelines for children in the UK, they were as I thought, higher than for adults. [url]http://www.nice.org.uk/nicemedia/pdf/CG015NICEguideline.pdf[/url] Elsewhere, leaflets issued by various paediatric depts seem to say that at bedtime levels should be between 7mmol and 10mmol (126-180mg/dl) and that a bedtime snack needs to be considered. (depending on prior activity and insulin type) [url]http://www.nnuh.nhs.uk/docs%5Cleaflets%5C499.pdf[/url] Hope, that you've managed contact now. [/QUOTE]
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