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Dr. Oh-- Please pardon me for contacting you. I found your email address online looking for pediatric endocrinologists in Korea. I am a pediatric endocrinologist in the US. Today, I admitted a 10 year old Korean girl to our children's hospital with a new diagnosis of Type 1 diabetes and diabetic ketoacidosis. She is visiting in the US with her mother for the next 6 months. Her mother is very intelligent and is a visiting scholar at my University. I would like to ask you about the usual management strategies for children with Type I diabetes in Korea. I would like to prescribe and educate the family about an insulin treatment plan which will transition easily when they return to Korea. The patient's mother was also concerned that the care be similar. In my practice, children do self-glucose monitoring 4-6 times daily. We typically prescribe insulin glargine or insulin detemir to provide basal insulin. Children also take lispro or asparte at each meal (3 times daily). The rapid acting insulin analogs are adjusted at each meal according to the number of grams of carbohydrates consumed and the pre-meal glucose level. Is this comparable to the usual practice in your country? I also use NPH or insulin pump therapy in some patients, but this is less common. If you have any specific advice or experience related to unique aspects of diabetes care in your country, I would appreciate it. Thank you for your time and consideration. Your colleague, OOO OOOO, MD Instructor of Pediatrics Emory University School of Medicine Division of Endocrinology and Metabolism Aflac Cancer Center
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