Do you count carbs for her meal bolus/injection? That may make things easier and more flexble for you both. When you count carbs you take an amount of short acting insulin that is appropriate for number of carbs eaten. for example, i take 1 unit of novolog for every 10 grams of carbohydrate I eat (everyone's insulin to carb ration is different so she may need 1 to 15 etc, her doctor can help you figure that out). This works well for me because like your daughter I am not a big breakfast eater, one day i may eat 20grams of carbs and take 2units of novlog with that meal and the next day i may eat 50 grams of carbs and take 5units of novolog. I usually take my insulin after I've eaten so that I take the right amount for what i ate. Carbohydrate counting take more effort in figureing out how much insulin to take but it is worth it for me for the flexiblity. I know i am an adult and your daughter is only 4 but I do have a friend with a 5yr old on an insulin pump that uses carbohydrate counting with her daughter and it has worked well, her daughter ahs been on a pump since age 2.5. :) I hope you can figure out a method that works for you both. keep us posted. ;)
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