Insulin is essential for survival of patients with type 1 diabetes. The aim of treatment has changed from just helping patients survive the disease to having children live longer without any complications. Insulin is preferably given by 4 or more injections. The aim is to adjust the doses according to food and activity so as to keep the blood sugars on target. Most children will require short acting insulin with every meal and a long acting insulin once daily.
Developments in the insulin technology has resulted in long acting insulins like Glargine (20-24 hours action) and Degludec (more than 24 hours) action. These insulins have revolutionized the way we manage children with diabetes. This has resulted in lower risk of night time hypoglycemia.