My daughter 16 years old, she declared type-1 diabetic when shy was 12 years old. She is taking Insulin 4 times a day. Before Breakfast 10 units of Human actrapid , before lunch 8 units and before dinner 6 units and after dinner at 10 o' clock Lantus 16 units. But sugar is still not controlled. Fasting is more that 250 regularly and after food 310 and above. She is taking very controlled food as per advised by doctor. Please advice us what to do. Can we change the insulin ?

Dt. Rekha GuptaDietitian/Nutritionist31yrs exp

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Hi she is taking the best regime of insulin. The only option left is now to go in for a insulin pump. But please meet a doctor or a diabetic educator who can guide you for insulin adjustments. You should know carbohydrate counting and insulin sensitivity factor (isf) to adjust your doses and take corrective doses of insulin. As for fasting try increase the dose of lantus to correct the fasting. I hope lantus is taken at fixed tie everyday. Try to do some exercise like walking lightly after dinner. All the best 

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