Topic
Insulin, Sulfonylureas & Treatment
Early insulin treatment, and the switch to sulfonylureas in responsive subtypes.
Insulin in the Early Weeks
Insulin is started immediately in almost every case, given in very small diluted doses, and often through a pump because the amounts are so tiny.
The Switch from Insulin to Tablets
Children with a potassium channel cause can usually stop insulin injections entirely and take a tablet instead, with better control than before.
Giving Oral Medicine to a Baby
Practical technique for giving a sulfonylurea to an infant — liquid preparations, crushed tablets, dosing accuracy, and what to do about a spat-out dose.
When Insulin Remains the Treatment
Some genetic causes of neonatal diabetes do not respond to tablets, and for those children insulin stays the treatment — which is manageable for life.
If Treatment Stops Working
Control drifting in a child who was stable usually has an explanation — growth, technique, a damaged supply, or another condition worth testing for.