Sliding scales for high blood sugar can work, but it is important to remember that if blood sugars are routinely out of their target range, you should be contacting your son's diabetes team for a permanent change in insulin to help prevent those high blood sugars, rather than just routinely chasing them with a little extra Humalog . This means three or four injections with less insulin at any one time. Free diluent and free empty sterile vials are from the manufacturers, and there is no reason that your son's diabetes team cannot order this for you. However, diluted insulin is rather unstable. Make sure that you are only using the diluent supplied for this purpose.
Diluted insulin tends to lose potency after about a week, even if refrigerated.
Several pediatric endocrinologists are starting to suggest the use of insulin pumps in these very young children and believe that are seeing less of this swinging pattern since the absorption of the insulin analogs is consistent rather than erratic as seen with intermediate types of insulins, and the pump allows for very small insulin dose changes. I think you should set up a time with your son's diabetes team to discuss your concerns and possible alternative treatment options for your son. Make sure to bring a printout of this reply with you. Comments and Feedback . Privacy statement .