Alistair brownlee 70/30 insulin dosing guidelines

Q: During my training, most pediatric endocrinologists were using the "70/30 rule" or the "rule of fifths" to determine the insulin dosage for patients with new-onset diabetes.

Alistair brownlee 70/30 insulin dosing guidelines

Now that I am in practice, I have heard that carbohydrate counting is a more accurate method of determining a child's insulin needs.

Is carbohydrate counting, in fact, a better approach to determining the insulin dosage for a patient with newly diagnosed diabetes?

If so, how is this done for both regular and long-acting insulin? Do age and weight play a role?

A: There is no one "right"method for determining the appropriate initial insulin dosage for children with new-onset type 1 diabetes (T1D).

Choosing an insulin regimen often involves a trade-off between accuracy and simplicity.

The split-mix regimen. Until recently, most pediatric patients with T1D were started on a &qu