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  Back to Ask the Diabetes Team Questions from September 2006

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  1. My daughter has had abdominal pain for five years and now feels pins and needled in her extremities. Might she have autonomic neuropathy? What tests should she have? Do others diagnosed with diabetes at a young age suffer these same symptoms? (29 Sep 2006)

  2. My son, who has Down Syndrome, congenital glaucoma, and hypothyroidism, has had many high blood sugars, even when taking insulin. Does he definitely have diabetes? Why do his blood sugars vary so much? (29 Sep 2006)

  3. My daughter's laboratory results were within normal ranges, but what are the normal ranges? (29 Sep 2006)

  4. Sometimes, my daughter's eyes look really dark, like a very sick person. Could she be developing a more severe problem? Her blood sugars are well controlled. (29 Sep 2006)

  5. My son has low blood sugars that then go high before normalizing. Is this a sign of diabetes? He has undergone testing for a metabolic condition. (29 Sep 2006)

  6. In recent blood tests, my fasting and postprandial numbers were higher than two years ago. Are they normal? Why is there such an increase? Do I need further tests? Should I be concerned about my urine test results? (29 Sep 2006)

  7. With out of control blood sugars, my teen son is not coping well these days. Some of his classmates tease him about missing gym and such. How can I submit his name for a transplant? (29 Sep 2006)

  8. What food scales do you recommend? (29 Sep 2006)

  9. Our son uses Teflon infusion sets and Humalog with his Paradigm pump, but we are seeing higher blood sugars after two days. Why is this? We know others whose sites work fine for up to four days. (29 Sep 2006)

  10. Is laser eye surgery (LASIK) appropriate for type 1 diabetics? (28 Sep 2006)

  11. Have you any information regarding Milagro de la Selva and his claims about a cure for diabetes? (28 Sep 2006)

  12. I am taking glyburide for MODY. It is causing weight gain and nighttime lows. The doctor expects ME to figure out which medication to take. As a vegan, I want to try a living foods diet. Is this a good option? (28 Sep 2006)

  13. Since I worry about getting diabetes, I had an OGTT. The results were normal, but I still check my blood sugars. I was quite high after Chinese, nuts and a candy bar. Does his mean I have diabetes? (28 Sep 2006)

  14. My daughter, who was diagnosed with type 1 in March, has had a viral illness with fever twice. Is it caused by high blood sugars or causing the high blood sugars? (28 Sep 2006)

  15. I read on a JDRF web site that insulin "is not a cure for diabetes, nor does it prevent its eventual and devastating complications..." Is this true? (27 Sep 2006)

  16. Can you explain how T cell destruction could help cure diabetes? Why haven't recipients of beta cell transplants regenerated islets? (27 Sep 2006)

  17. My three and a half year old son, diagnosed in June 2006, was put on Lantus and Apidra. Since both have not been tested on children under six, should he be on older, "tried and tested" insulins? (27 Sep 2006)

  18. My dad's A1c was just 5.2. How can that be if he has been from 120 to 220 mg/dl [6.7 to 12.2 mmol/L] for the past couple of weeks? (27 Sep 2006)

  19. We give our grandson insulin, then he won't eat. What should we do? Where can we find local support groups? (27 Sep 2006)

  20. Can a type 2 diabetic become a type 1 diabetic? (27 Sep 2006)

  21. Since her diagnosis 18 months ago, my teen daughter has had poor control. She takes Lantus at night, NPH in the morning, and lispro with breakfast and dinner. Is this the best plan for her? (26 Sep 2006)

  22. My two year old has a CHD, a fundoplication, and has a g-tube. She has had low blood sugars, but now has elevated fasting blood sugars that go down throughout the day. What do you think is going on? She doesn't really have many symptoms of diabetes. (26 Sep 2006)

  23. After years, I finally found a "cool" medical identification bracelet. How do we get more people to wear medical identification? (25 Sep 2006)

  24. Can your body become immune to insulin? (25 Sep 2006)

  25. Before, my son took Lantus at bedtime, NovoLog for meals, nothing for his three 15 gram snacks. Our new doctor says insulin for all foods. What is your opinion of these two different regimens? (25 Sep 2006)

  26. With a total cholesterol of 135, my son was given a prescription for lovastatin. How common is it for a teenager to be on cholesterol medication? What is a normal cholesterol level for a teenager with or without type 1 diabetes? (24 Sep 2006)

  27. With metformin and Avandia, my blood sugar is around 100 mg/dl [5.6 mmol/L]. Can I skip the medications to see what happens with my blood sugar? (23 Sep 2006)

  28. Since his diagnosis in 2003, my young son has been complaining about leg and stomach pains. Are these related to his diabetes? (23 Sep 2006)

  29. I am hypoglycemic. Does this mean I can develop diabetes? If so, which type? Why do I feel low about three hours after breakfast? (21 Sep 2006)

  30. Despite symptoms and high blood sugars, my daughter was not diagnosed with diabetes based on a normal fasting reading. Could she still have diabetes? She is still symptomatic and still having high blood sugars. (21 Sep 2006)

  31. I am urinating frequently and have some of the other symptoms of diabetes. My parents said it was just hormonal changes. What should I do? (21 Sep 2006)

  32. Are there any organizations that offer financial support for diabetics for their clinical trial treatment? (21 Sep 2006)

  33. My daughter has symptoms of diabetes. Her fasting numbers are fine, but random numbers are elevated. Should she see the doctor soon or wait until her next check in six months? (20 Sep 2006)

  34. Is it safe for some with diabetes to get a tattoo? (20 Sep 2006)

  35. My son had a glucose tolerance test because he was having headaches. The doctor said it might be diabetes and to give him orange juice to help with the headaches. What do you think is going on? (20 Sep 2006)

  36. Is it necessary to wipe the top of insulin vials each time with alcohol wipes before drawing up the insulin? (20 Sep 2006)

  37. Although she eats a lot, my toddler is not growing. She is also drinking a lot of water. If she were to have diabetes, would this have stunted her growth? Would it affect future growth? (19 Sep 2006)

  38. The doctor suspects my son has hyperglycemia.Why does he have it? Is it because I had gestational diabetes? Will my other child have it, too? (18 Sep 2006)

  39. I heard about a little girl with type 1 having a gene called Kir6.2 allowing her to take a sulfonylurea instead of insulin. Are there studies about this? Is this legitimate? (18 Sep 2006)

  40. As a police officer, my daughter, who uses a pump, has "ground fighting" as training. Afterwards, her blood sugar is very high causing her to be ill that day and the next. What should she do? (18 Sep 2006)

  41. If my daughter eats dessert right after dinner, how should calculate her bolus on her pump? When should we be correcting post exercise highs? When do most people feel symptoms of hypoglycemia? (18 Sep 2006)

  42. I have hypoglycemia. After weightlifting, my blood sugar rises before it falls and then I can't sleep. Do I need a longer recovery time for my muscles? (18 Sep 2006)

  43. My son takes Levemir in the morning, plus Regular insulin for breakfast. He is usually high two to three hours after breakfast, but then comes down. Why is this? (18 Sep 2006)

  44. When she moves in with me, my girlfriend will no longer be on her parents' insurance. What insurance company should she use to get insulin and other medical supplies? (18 Sep 2006)

  45. Where is insulin manufactured? Is there a plan to ensure American diabetics will be able to get insulin in the event of global war? (18 Sep 2006)

  46. One evening, my toddler had a very low blood sugar, which we treated. The next morning, his blood sugar was still low, but he had urine ketones. How can this be? How does a low affect his brain? (18 Sep 2006)

  47. My teen son has symptoms of hypoglycemia during gym class and migraines during sports. Should he get blood work to rule out diabetes? (18 Sep 2006)

  48. How would a medical professional determine if my son's kidneys are damaged? Do most endocrinologists make this determination? How does an endocrinologist determine if the ACE inhibitor dose is the correct amount? (15 Sep 2006)

  49. Is it true that insulin manufacturers would stop insulin production to make avian flu antivirals should a pandemic occur? (15 Sep 2006)

  50. Since she has the mental capacity of a toddler, my 29 year old daughter can't swallow her glipizide with water. Is it okay to give it to her in sugar free pudding? She takes other pills this way. (13 Sep 2006)

  51. I'm having a colonoscopy tomorrow and am on a clear liquid diet today, including Gatorade. My blood sugar is high, so should I drink water instead? Should I mix the prep with Gatorade or water? (13 Sep 2006)

  52. Is insulin a growth hormone that will increase one's muscle mass and give a "buff" look? (12 Sep 2006)

  53. Can high blood sugar levels interfere with HCG readings? I have type 2 and suspect I am pregnant. (11 Sep 2006)

  54. When I compared my ACCU-CHEK Aviva meter readings to those done by a laboratory, the meter results were higher. Does this meter run on the higher side? (11 Sep 2006)

  55. From ages five to nine, my son was bigger and taller than his peers. Now, he is shorter. Could it be related to his diabetes? (11 Sep 2006)

  56. My father had a heart attack in June that may have caused damage to his pancreas, leading to him needing Lantus. Is this common? Will his diabetes go away? (9 Sep 2006)

  57. I often use blood samples from my leg to test my blood sugar. Why would these readings differ from those of a fingerstick sample? (9 Sep 2006)

  58. The other morning, I was very violent and uncooperative, in and out of consciousness. I was fighting with my husband and the paramedics. Why would a low cause this? Was this a "bad low" or a "seizure low?" (8 Sep 2006)

  59. The ADA suggests a reduction in the amount of sodium consumed. How? Which foods have sodium? (8 Sep 2006)

  60. I have been on thyroxin for 10 years and metformin for about two years. For a year, I have had muscle fasciculations. Is the twitching caused by the metformin or an interaction of the two medications? (8 Sep 2006)

  61. My daughter has several symptoms of diabetes, including high blood sugars. Her A1c was 4.9. So, if she doesn't have diabetes, why is she symptomatic? Should I ignore this or keep watching her blood sugars? (7 Sep 2006)

  62. I have an avulsion fracture of my fifth metatarsal in my right foot. My calf muscle is extremely painful and my blood sugars are spiking. Could this be a blood clot? What kind of stationary exercise could I do? (7 Sep 2006)

  63. I often have hypoglycemia two hours after meals. The last episodes left me with a severe headaches, nausea, and vomiting for three days. Is this normal? (7 Sep 2006)

  64. My 12 year old has folliculitis and has had recurrent styes and oral thrush. A fasting glucose test was normal, but I'm concerned. Should I ask for more testing or continue to monitor her? (7 Sep 2006)

  65. Using a home meter, my daughter's blood sugar was 191 mg/dl [10.6 mmol/L]. Is this something to worry about? Should we push for more testing? We are concerned as she is drinking and urinating a lot, and not gaining weight. (7 Sep 2006)

  66. Ants are attracted to our toddler's urine and wet pants, but he has no other symptoms of diabetes. Is this alone reason to suspect he has diabetes? (5 Sep 2006)

  67. At 6 feet, 340 pounds, I am having trouble losing weight. Would whey products and workout supplements help? Why is my post-exercise blood sugar elevated? All my other blood sugars are mostly in range. (5 Sep 2006)

  68. My teen son feels ill most of the time. Our family doctor checked him and ran blood tests, but nothing was conclusive. Is this normal for someone with type 1 diabetes? Should we look for some other problem besides the diabetes? (4 Sep 2006)

  69. My daughter has type 1 and celiac. Her thyroid test came back borderline so the doctor wants to wait to put her on medication. Do you know if anyone who has been put on medication when their blood results have come back borderline? (2 Sep 2006)

  70. I heard that cinnamon would help people with type 1 diabetes maintain more normal blood sugars. Is this true? (2 Sep 2006)

  71. Where can one donate the placenta after giving birth? I am specifically looking for someone who will use the placenta for diabetes research. (2 Sep 2006)

  72. Are the targets of 115 mg/dl [6.4 mmol/L] fasting and 120 mg/dl [6.7 mmol/L] postprandial correct for people with pre-diabetes? (2 Sep 2006)

  73. Although his blood sugar was 560 mg/dl [31.1 mmol/L] at diagnosis, my nephew is now taking less than five units of insulin daily. Could he have type 1b? Can he ever be taken off insulin? (1 Sep 2006)

  74. When I was diagnosed with type 1 about a year ago, the endocrinologist said I'd go through a honeymoon and need little, if any insulin. I've always had to use insulin and have no wild blood sugar swings. Will things remain this way? Have I had good control all along because I have been in my honeymoon? (1 Sep 2006)

  75. Since my last A1c was a bit high, I made dietary changes. But, my blood sugar is higher in the morning than at bedtime even though I have not eaten anything. Why does this happen? (1 Sep 2006)


The Diabetes Team

Physicians
Bill Jones, MD (Specialist in the management of diabetes during pregnancy, member since April 1997)
Marco Songini, MD (Italy) (Pediatric, adolescent, and adult endocrinologist and diabetologist, member since April 1997)
Larry Deeb, MD (Pediatric Endocrinologist, member since July 1998)
John Schulga, MBChB MRCGP MRCP FRCPCH (UK) (Consultant Paediatrician in childhood and adolescent diabetes and endocrinology, member since July 1999)
Stuart Brink, MD (Pediatric Endocrinologist, member since October 1999)
Matthew Brown, MD (Pediatrician and a Pediatric Diabetologist, member since January 2000)
Jim Lane, MD (Adult Endocrinologist, member since November 2000)
David Schwartz, MD (Pediatric Endocrinologist, member since May 2001)
Andrea Scaramuzza, MD (Italy) (Pediatric Endocrinologist, member since October 2003)
Fran Kaufman, MD (Pediatric Endocrinologist, member since August 2006)
Linda DiMeglio, MD (Pediatric Endocrinologist)

Nurses
Barb Schreiner, RN, MPH, CDE (Diabetes Nurse Specialist, member since July 2002)
Jane Seley, RN, GNP, MPH, MSN, CDE, CHES (Diabetes Nurse Practitioner, member since August 2002)
Joe Solowiejczyk, RN, MSW (Family Therapist, member since April 2010)
Linda Mackowiak, RN, MS, FNP, CDE (Diabetes Nurse Specialist)

Psychologists
Jill Weissberg-Benchell, PhD (Medical Psychology and Psychiatry, member since January 2000)

Dietitians
James Michael Schurig, MS, RD, LD, CDE (Dietitian, member since December 2000)

Exercise Physiologists
Rick Philbin, M.Ed., A.T.C., C.S.C.S (Sports Medicine, member since July 2004)

Researchers
Lois Schmidt Finney, RD, MPH, CDE (DPT-1 Research Coordinator, member since July 1998)
Heather Speer, MPH, CCRC, CDE (Clinical Diabetes Research and Education Coordinator, member since July 1998)

Social Workers
Debbie Butler, CDE, MSW, LICSW (Licensed Clinical Social Worker, member since October 2004)


And Our Occasional Experts



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