My 12 year old son had his first follow-up with his endo yesterday after being diagnosed with type 1 in November. As she was asking him about how much of his care he did himself versus me doing it (shots, carb counting, record keepong, etc.), he mentioned that he does all his own Humalog shots, but that he likes me to do his Lantus. He prefers his Lantus in his bottom as the sting bothers him less there. It’s also a little awkward for him to handle the vial and syringe - he can do it, but it’s not comfortable for him. (We have a Solostar pen, but I prefer to use the pen for Humalog and the syringe for Lantus so I never accidentally, in a sleep-deprived state, mix them up.) If we’re out when it’s time for his Lantus or if he’s away camping or doing something with friends, he’ll do his Lantus shot himself in his leg or abdomen.
The doctor picked up on us saying the Lantus stings and suggested he try Levemir because it doesn’t sting. According to her, about 80% of people get 24 hour coverage with Levemir. It seems that everything I read, though, indicates most people take Levemir twice a day. I’m sure her thoughts are based on scientific literature, while mine are purely anecdotal.
My initial thought is that 1) yes, Lantus sometimes stings, but it isn’t something my son complains about or that is a major issue for him and 2) we’re getting good control (a1c of 6.1) with the Lantus, and 3) if it’s not broken, don’t fix it.
If we tried Levemir and my son didn’t get 24 hour coverage, we would definitely go back to Lantus as he’s not willing to trade one stinging shot for 2 non-stinging shots. My biggest concern, I guess, is that his numbers have been really good, we’re not experiencing night time lows, and I worry that if he begins running high because the Levemir doesn’t cover him well enough, we might be risking shortening his honeymoon period (5 months so far and praying for many more).
What do you think - should we give Levemir a try or stay with something we know works but that has some very minor discomfort? Our endo is fine either way but wants my son’s treatment to be as easy and painless as possible.