His endocrinologist is extremely good and has an excellent reputation but has not made any creative suggestions to achieve better control. We simply administer NPH at breakfast, NPH at bed and supplement with Humalog at breakfast or dinner when he is over 350. I would like a more predictable sugar level.
Toddlers are among the most difficult age group to control.
It's not hard to see why when you watch one tearing around the garden one minute and fast asleep the next. Equally, one day he will eat like a horse and the next refuse even his favourite food. Don't worry too much about trying to get perfect sugars. The HbA1c will guide you on whether you are in the ballpark. Your endocrinologist may suggest a different insulin regimen but really the management has to be tailored to the individual.