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I know, I know, "YDMV"....

Discussion in 'Parents of Children with Type 1' started by Charlotte'sMom, Oct 21, 2010.

  1. Charlotte'sMom

    Charlotte'sMom Approved members

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    But what's an average Lantus dose (or basal amount) for an average size 5 year old girl?

    (I didn't mean to post this in General, so I'm reposting here.)
     
    Last edited: Oct 21, 2010
  2. januaryblue

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    My 5 year old is on a total daily dose of 2.5 units of lantus (1.5 units in the morning and 1 unit at night). She's honeymooning, so I'm not sure if she's average. :cwds:
     
  3. NomadIvy

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    Mine is a teeny 6-year old. She gets 3 units at night. She's not honeymooning though. We skipped that part :(
     
  4. Charlotte'sMom

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    My almost 4 year old is on 4 1/2 units of basal (pumping). I have a friend who's endo said their 5 year old daughter is insulin resistant and just made a huge jump up to 8 units of lantus (from what, I don't know) and said she might have to go up to 12. That seems like a freakish amount of basal and I'm trying not to be worried. I don't want to question her doctor, but.... sheesh!
     
  5. Beach bum

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    When Abby was 4 and on MDI, she got 2.5u of lantus. We were still honeymooning at the time.

    Now, at age 9, when we go untethered, she gets 12.5u of Levimere

    We've come a long way baby:eek:
     
  6. Lisa1001

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    My 5 (almost 6) year old son gets 5 units at night.
     
  7. Mike&Dans.Mom

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    Everybody really is different. To put things into perspective:
    My 13 year old 120 pound son gets 79 units of Levimer a day.
    My almost 15 year old 140 pound son gets 76. There have been times where he was getting almost 25 units more then his brother. It just really depends.
     
  8. Jessica L

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    Riley just turned 10 and takes 25-27 units of levemir
     
  9. azdrews

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    Adam is on Levemir, not Lantus, and he is honeymooning, but he is a 48 lb. 4 year old. :) He's on 3 units of Levemir at night.
     
  10. twodoor2

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  11. wilf

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    There are a few variables that affect the amounts of insulin a child needs, but the ones that vary most profoundly are metabolism, body weight and whether they're honeymooning.

    For a non-honeymooning child, it would be "normal" for them to have a TDD of 0.5 to 1 insulin units per kg body weight per day. 1 kg is 2.2 pounds.
    So taking an average weight for a 4 year old - a 33 pound (15 kg) child would need a TDD of 7.5 to 15 insulin units.

    Now basal is normally 40% to 60% of the total amount a child is getting, so at the low end of our example the 33 pound child needing 0.5 IU/kg/day of insulin would have basal needs of 3 to 4.5 units. At the high end of our example the 33 pound child needing 1 IU/kg/day of insulin would have basal needs of 6 to 9 units.

    Bottom line after all the math - "normal" for a 4 year old weighing 33 pounds could be anywhere from 3 to 9 units. YDMV! :)

    And if weight goes up or down from there, these numbers would shift too. For a 44 pound (20 kg) child "normal" could be anywhere from 4 to 12 units. YDMV! :)

    Your friend's daughter is 5, so she'll likely be needing more - even if it seems freakish to you, it could be NBD.
     
  12. AlisonKS

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    Tony's not a girl (although his cousins say he talks like one) and he takes 5 units of lantus-not honeymooning. Usually when we do changes with his lantus it is a .5 unit at a time.
     
  13. Charlotte'sMom

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    Wow, that's a huge range! I had no idea. Thanks for that. That was helpful.

    I'll go ahead and keep my mouth shut now :eek:about how high I thought that dose was.
     
  14. Jessica L

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    ok have to ask cause as much as I try I cant figure out what YDMV means?

    your daughter might vary? is all I have come up with lol
     
  15. Jessica L

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    is the dosing for levemir and lantus WAY different? I thought they were the same. Riley is 75lbs and uses 25-27 units of levemir a night. I always thought she was taking way more insulin that he typical peers but wow a good 10 units more than one on lantus ouch.
     
  16. Beach bum

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    Right when she was diagnosed, Abby only weighed 26lbs. Now's she's 65.
    Weight plays a major factor.
     
  17. BKKT10

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    My CWD is on 4 1/2 units of basal (pumping) as well. She's 2.5 years old. It really seems like a pretty large amount (to me, anyways) but her D team isn't worried about it and her basal/bolus ratio is pretty close to 50/50.
     
  18. Mike&Dans.Mom

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    Just wait until the kids start to mature :eek: Their insulin needs can increase overnight!
     
  19. Amy C.

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    YDMV = your diabetes may vary

    Not everything in diabetes works for everyone.
     
  20. hawkeyegirl

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    When Jack was 5, his basal fluctuated between 8 & 9 units a day. Now at 6, his basal is 11 units a day.

    He's always been a big kid, though.
     

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