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Mistakes happen and sometimes we get phone calls that parents/guardians/young people have given the wrong dose of insulin or the wrong insulin. This is a general guide only as situations, insulin doses, timing of doses and ages of children all vary. The Royal Children's Hospital's (RCH) patients can always
call the “diabetes sick day service” if you have made a mistake and you don’t know what to do. If you are not an RCH patient and make a mistake, please contact your treating diabetes team for support on managing the situation.
We take many calls about wrong doses, here are a few examples with suggested solutions:
It is dinner time. My child usually has 5 units of NovoRapid® and 15 units of Optisulin®. Instead of 5 units NovoRapid®, I gave 15 units.
My 16 year old thinks he gave his Optisulin®/glargine but is not sure. He usually has it at 9pm, it is now 11pm. We don’t know what to do.
For example, if NovoRapid® was given at 6pm, check BGL at 11pm if it is
<15 mmol/L continue monitoring every 2 hours overnight. If the BGL is >15 mmol/L at any point overnight, check blood ketone levels.
Click here for instructions on what to do if glargine is missed
If BGLs stay
<15 mmol/L overnight it is likely the glargine was given. In the morning continue usual insulin doses and usual diabetes care.
To avoid this in the future, here are some tips you might find helpful:
My child is on twice daily insulin (NovoRapid® and Levemir® pre breakfast and pre dinner) and I have given the breakfast dose (a much larger dose than their usual dinner dose) at dinner time.
It is 8am, my child has their glargine at 9pm each night however they have given their glargine dose instead of their usual NovoRapid® dose before breakfast.