This is my first post. I joined a few weeks ago, just haven't been on the site much. My 10yo was diagnosed in October, but had his first dka last week. He was sick, and still being "new" at this, his ketones got out of control. No coma or loss of consciousness, just a miserable child on a helicopter to the nearest children's hospital. It was scary. Anyway, we have been seeing an general (adult) endocrinologist since October due to the inability to travel to a pedi (nearest is 3 hours away). But since the dka, I decided it would be worth it to travel to the pedi who oversaw his case while we were in the hospital. The new endo has made pretty drastic changes to his insulin. The old regimen was 6 units flat at every meal (target 55-60 grams carbs per meal), plus 2 units for every 50 over 150 mg/dl. The pedi endo has changed him to 1 unit for every 15 grams, plus 1 unit for every 50 over 150 mg/dl. In a practical example, say his glucose was 180 at a 60g meal, he would have gotten 8 units before, but now only gets 5. at first, I thought the changes were great because it allowed him more freedom to choose meals. Also he's now injecting after eating instead of before so we don't end up with an over-injection, or practically force-feeding to match his dosage. That was beautiful to me. But his glucose levels have been running so crazy. It's such a roller coaster. Sometimes his wake-up will be in the 300's. I don't understand that because he goes to bed in the 90's but wakes up in the 300's?? Anyway, I guess I'll discuss that with his endo. But my question for now is... how delicate are the Novo pens? Just today I noticed that even when we covered his carbs at a meal and took the additional units to drop his bs, 2 hours later his bs was still the same (in the high 300s). So I gave him 2 corrective units with a new Novo pen, and then just 20 minutes later it dropped 100 points. So it seems to me that the initial pen was acting slow. Is that a thing? The leaflet with the pen says they last for 28 days, but how real-world accurate is this? Just looking for anyone else's experience with this. I hope I made sense, as I'm new to this, plus I have a retarded sticking keyboard. Thanks!!