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Question: From Athens, Greece: I am 17 years old and I am from Greece. I was diagnosed with diabetes two and a half years ago. This is my last year at school and the Panhellenic exams are close. This is my chance to enter a university. I wasn't really able to control my diabetes like I'd hoped as I had to study five to 12 hours a day and have lessons up to 10 hours a day except for the exams I had to take. My last A1c was 4.8, but I usually experience hypoglycemia and sometimes rebound hyperglycemia which I treat with extra units of insulin. I am on a Lantus/NovoRapid regimen and I test my blood sugar seven to 10 times a day. What are the possible effects of my numbers? What can I do to avoid hypoglycemia during the examinations? Would it be a good idea not to have breakfast as the exams start at 8:30 a.m. and finish at 11:30 p.m.? Lastly, I want to start using a pump. What choices do I have in regard with pump models? Am I considered a good candidate? Answer: You might be able to avoid lows just by reducing or even skipping NovoRapid before meals and assuring basal coverage with a proper dosage of Lantus that generally lasts until 22 to 24 hours. This should help in order to avoid hypoglycemia unawareness, which is very likely with a value of A1c of 4.8%, and also a pump might be the right choice for an adolescent like you. Please ask your doctor for further advice on insulin dosages and regimen and whether you might be referred to a diabetes center with experience with young patients with type 1 treated with pumps. SB [Editor's comment: You may wish to review our web pages on Insulin Pumps. BH] DTQ-20060501095916 Original posting 4 May 2006 Posted to Hypoglycemia

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:10:06
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