Question of the Week

Q. I have an 11-year girl, weight 25 kg, diagnosed with T1DM in 2007 and on human insulin since then but on some erratic schedule and not monitored properly. She was taking regular insulin 10 units thrice with 16 NPH at night. She presented with a respiratory tract infection with very high sugars but not in ketoacidosis.
I am finding it difficult to control her sugars in spite of giving approx 100 units per day which comes to approx 4 units/kg/day.
I changed the preparation to a new bottle of insulin and also the brand of insulin but no help. Currently, she received human insulin regular 20, 14, 18, and NPH 28, nil, 24. Her sugars are still in the range of 200-300.

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