Respected Sir, I want to enquire about my niece. She is 10 years old and suffering from type 1 Diabetes mellitus for last 4 years. Her weight is 30kgs & she is on insulin therapy but her blood sugar is not under control. She is getting 24 units of insulin (6units plain & 18units monotard) in morning at 7am and 13 units mixtard in evening at around 8pm.She takes her tiffin in school at around 11am & when am measuring her blood sugar at 2.30pm her sugar comes 250+ invariably. She takes 1 chapatti and sabzi/pickle with her. Her morning blood sugar comes normal around 110 mg%. I want to know how I can further manage her as her insulin requirement is already higher than 1U/kg and her sugar is not getting under control. Recently her eye sight became weak and she was put on glasses…-2.5 both eye. If u can suggest any way so that I can manage her in better way.