Question
An 11-year-old boy weighing 60 kilograms was diagnosed with type 1 diabetes in March 2009. He is currently receiving insulin therapy, injecting NovoRapid before each meal and using Detemir before bedtime. How should treatment be conducted?
Answer
In treating an 11-year-old boy with both type 1 diabetes and obesity, in addition to continuing insulin therapy, it is necessary to strengthen dietary control and post-meal activities. Although there is no definitive conclusion on the suitability of certain medications for children, such as the use of metformin which remains questionable, in adults this drug has shown good effects in lowering blood sugar levels and also aids in weight loss.