Carrie,

This subject had come up on the Academy of Breastfeeding Medicine's
listserve. I believe that the general consensus was to put the toddler on
the long acting [lasts for 24 hours] new insulin - don't recall the name and
don't have new enough reference books at home to look it up - and to give
Humalog [very quick acting] after the breastfeed, dose based on how
well/long/etc the child breastfeeds. They usually use the very quick acting
insulin after meals with the real little kids because you never know how
well or how much they'll eat. Hope this helps.

Gail S. Hertz, MD, IBCLC
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