Stuart A. Weinzimer, MD

During my training, most pediatric endocrinologists were using the "70/30 rule" or the "rule of fifths" to determine the insulin dosage for patients with new-onset diabetes. Now that I am in practice, I have heard that carbohydrate counting is a more accurate method of determining a child's insulin needs.

What should primary care pediatricians do--and what should we not do--when we encounter a patient with newly diagnosed diabetes?

What are the indications for use of an insulin pump in veryyoung children (infants and preschoolers)?