New Insulin Has Campers Marching to a Different Drummer

Apr 1, 1997

Vivian Murray, RD, a type I for 32 years, is a camp director for children with diabetes. She was recently anticipating the possible problems she might encounter this summer supervising 230 enthusiastic kids.

As any parent of a child with diabetes knows, being responsible for the metabolic control of just one child is extremely stressful. Imagine watching over 230!

Every night at 3 a.m., Murray, armed with a flashlight, begins her nightly patrol from tent to tent searching for signs of hypoglycemia.

Her biggest concern about the upcoming camp sessions is scheduling insulin injections. In the past all the kids took their mealtime injections in the main building, then hiked a half-mile up a hill to the dining hall. This schedule worked because the walk made the recommended 20 minute wait before eating a necessity. However, with the introduction of lispro, all that is changed. Now the kids on lispro will need to take their insulin right before they eat. For Murray, a lispro user herself, this means an organizational nightmare.

Should she have the camp doctor put the kids back on R while at camp? Or will this create chaos when the children return home and switch back to lispro?

A diabetes educator from Walnut Creek, Calif., who wishes to remain anonymous, has encountered all kinds of trouble with her patients going on lispro. She says she spends hours on the phone helping her clients adjust to the new insulin. Patients' blood sugars go high between meals and in the morning, and in some cases their basal dosage has been increased to as much as 70 to 80 percent of their total daily insulin requirements.

Another educator, Evelyn Fleury-Milfort, RN, MSN, FNP, CDE, of Los Angeles, has seen similar experiences in her patients. She points out that in addition to the problems mentioned above, many people on lispro need to be more attuned to covering mid-day and bedtime snacks. The fast-acting lispro doesn't have the same tail-end action that they were previously accustomed to on R. These reactions could cause havoc in a camp environment.

Ultimately, Murray decided to keep the children on the insulins they had been taking before they came to camp. The camp has already begun readying itself for the new influx of lispro users. "An auxiliary health lodge will be added next to the dining hall so that kids on lispro will be able to inject right before mealtime," she says.

Murray feels that in the long run, lispro will have a positive effect. It will decrease the number of nighttime lows, plus it will provide her with a good educational opportunity. One camper might wonder why she has to inject a half-an-hour before mealtime while another injects right before he eats. Answering this sort of question will give counselors an opportunity to emphasize what campers need to consider when timing their injections in relation to meals.

And finally, lispro might mean less stressful 3 a.m. patrols for Murray - and a better night's sleep.

Click Here To View Or Post Comments

Categories: Adolescent Boys, Adolescent Girls, Blood Sugar, Camps for Kids, Diabetes, Insulin, Kids & Teens, Low Blood Sugar, Teenagers, Type 1 Issues


Take the Diabetes Health Pump Survey
See What's Inside
Read this FREE issue now
For healthcare professionals only
  • What's on the Horizon with Diabetes Research and Therapy
See the entire table of contents here!

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View

See if you qualify for our free healthcare professional magazines. Click here to start your application for Pre-Diabetes Health, Diabetes Health Pharmacist and Diabetes Health Professional.

Learn More About the Professional Subscription

Free Diabetes Health e-Newsletter

Latest
Popular
Top Rated
Print | Email | Share | Comments (0)

You May Also Be Interested In...


Comments


Add your comments about this article below. You can add comments as a registered user or anonymously. If you choose to post anonymously your comments will be sent to our moderator for approval before they appear on this page. If you choose to post as a registered user your comments will appear instantly.

When voicing your views via the comment feature, please respect the Diabetes Health community by refraining from comments that could be considered offensive to other people. Diabetes Health reserves the right to remove comments when necessary to maintain the cordial voice of the diabetes community.

For your privacy and protection, we ask that you do not include personal details such as address or telephone number in any comments posted.

Don't have your Diabetes Health Username? Register now and add your comments to all our content.

Have Your Say...


Username: Password:
Comment:
©1991-2014 Diabetes Health | Home | Privacy | Press | Advertising | Help | Contact Us | Donate | Sitemap

Diabetes Health Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Opinions expressed here are the opinions of writers, contributors, and commentators, and are not necessarily those of Diabetes Health. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website.