Back to Ask the Diabetes Team Questions from March 2007

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  1. Is it necessary for our daughter to be seen by the endocrinologist at every visit? Or, is it okay if she is seen by a nurse practitioner only? (31 Mar 2007)

  2. Last June, I was put on insulin. Since then, I have improved my lifestyle and have been able to stop taking it. Is this a honeymoon or something else? (31 Mar 2007)

  3. Diabetes treament has come a long way in the past 25 years. What was the typical blood glucose level and A1c level 25 years ago? (31 Mar 2007)

  4. My daughter, who takes Lantus and NovoLog, has normal bedtime blood sugars, but is very high overnight. What do you suggest we do? (31 Mar 2007)

  5. When you give yourself insulin, is it possible to have adverse symptoms other than hypoglycemia? (31 Mar 2007)

  6. Are there any trials being done on an implanted device that checks your blood sugar and delivers insulin? (29 Mar 2007)

  7. Where can I find a computer program to help with diabetes management? I need something that will monitor phenylalanine since my daughter has PKU. (29 Mar 2007)

  8. Why doesn't someone do a study about teenage girls and DKA during their monthly cycles? Even when I monitor my daughter, she still goes into DKA. (29 Mar 2007)

  9. At my recent doctor's appointment, the doctor said I had diabetes based on an in-office test. Then, I discovered the meter I'd been using was higher than a newer meter. Which meter do I trust? Have I been misdiagnosed? Could the small amount of insulin I've taken have harmed me? (28 Mar 2007)

  10. Is injecting insulin into muscle instead of subcutaneous fat an acceptable way to bring down a high blood sugar level? (27 Mar 2007)

  11. Other than injections, the pump, and Insuflon, are there any other ways to do basal-bolus therapy? (27 Mar 2007)

  12. For the last few nights, my daughter has been waking with leg pains and tremors. Are they related to her diabetes? With which doctor should I discuss this? (27 Mar 2007)

  13. Over the past three weeks, my son has had many low blood sugars, even after we reduced his Lantus by two units. What do you suggest we do? Could puberty be causing the lows? (26 Mar 2007)

  14. At 28 weeks, I had a blood sugar test when I was getting over a stomach virus. Are the results still accurate? Should I go ahead with the next screening? (23 Mar 2007)

  15. To achieve glucose control, does one need a greater amount of Lantus than any other long acting insulin? Can Lantus cause tissue damage due to its low pH? (22 Mar 2007)

  16. Recently diagnosed, yesterday, my son was 169 mg/dl [9.4 mmol/L] at 8 p.m. He drank water over the next hour, yet his blood sugar went up. Why did it go up? (22 Mar 2007)

  17. With the encouragement of her father, my teen cousin keeps eating sweets and junk food. Her diabetes is out of control. What can we do to help her? (22 Mar 2007)

  18. My daughter previously tested autoantibody positive, but she has yet to develop type 1. She does run high when ill. What does this mean? Do non-diabetics normally have high blood sugars when ill? Where can I find support groups or such for others in a similar situation? (21 Mar 2007)

  19. What are the most important features to consider in choosing a pump? My teen son has been given approval to get a pump, so we are looking for information. (21 Mar 2007)

  20. Does diet have anything to do with foot problems later in life and blood flow to the feet? (21 Mar 2007)

  21. We are considering a pump for our grandson, but I'm concerned he could damage it as he is very athletic. How could he handle the pump for karate class? (21 Mar 2007)

  22. The doctor has diagnosed my teen son with "low blood sugar." Isn't that the same as hypoglycemia? Where can I find diet information? (20 Mar 2007)

  23. During a random CBC, my son's blood sugar was 156 mg/dl [8.7 mmol/L]. Many of his non-fasting blood sugars are 140 mg/dl [7.8 mmol/L] to 160 mg/dl [8.9 mmol/L]. What does this mean? (20 Mar 2007)

  24. When my recently diagnosed son uses his nebulizer with non-steroidal solutions, his blood sugar goes up. What should we do? Should we give him Humalog before the treatments? (20 Mar 2007)

  25. I have type 2 with relatively normal A1cs and fasting blood sugars. Should I be on medication given your statement that the ADA recommends metformin for those diagnosed with type 2? (19 Mar 2007)

  26. Can Lantus help someone with type 2 who has persistent hyperglycemia? What side effects does it have? (19 Mar 2007)

  27. Is excess/more unutilized insulin or glucose for glucose uptake, due to insulin resistance, a reason for people with type 2 to get dyslipidemia? Are higher glucose levels but lower lipids levels less harmful in type 2 than normal or some higher level of blood glucose with higher lipids levels? (19 Mar 2007)

  28. How does a diabetic foot ulcer develop? (16 Mar 2007)

  29. Six students at my daughter's school have diabetes. Is this unusual? Secondly, why does my daughter suddenly need less insulin? We were told her honeymoon was over. (16 Mar 2007)

  30. My daughter's blood sugars are high after she disconnects her pump for four hour dance sessions. Would the untethered regimen be a good idea for these dance days? (16 Mar 2007)

  31. Since my daughter's blood sugars are out of control, the endocrinologist has suggested adding Lantus to her regimen of NPH and NovoLog. What would this do? I've never heard of such a regimen. (16 Mar 2007)

  32. My son has been complaining of foot pain around the ankle and lower leg pain. Is this from lack of movement or related to his diabetes? (16 Mar 2007)

  33. How can we find out if our son's diabetes is one caused by a genetic mutation? Our son was diagnosed in August 2006 at the age of three. (15 Mar 2007)

  34. If I were to harvest blasto cells from the placenta of a newborn, could it they help my son who has been diagnosed with type 1 diabetes? (15 Mar 2007)

  35. Since two surgeries in 10 days, my son has had hyperglycemia. I know the surgery could have contributed to it, but how long should it last? What should I do about it? (15 Mar 2007)

  36. I am taking long acting insulin once a day and short acting insulin before every meal. Is an insulin pump for me? (14 Mar 2007)

  37. My son, diagnosed last October, has been having consistently high blood sugars. Our endocrinologist has suggested small increases in his NPH, but he's still usually over 200 mg/dl [11.1 mmol/L]. Does this sound right? (14 Mar 2007)

  38. I have reactive hypoglycemia and feel low in the 80s mg/dl [4.4 to 4.9 mmol/L]. Is this normal? (14 Mar 2007)

  39. Are type 1 diabetics more prone to bladder infections, even in young men? Will tighter control help prevent this from happening? If they are more prone,"why?" (14 Mar 2007)

  40. My son has hypoglycemia. Does this mean he will eventually develop diabetes? Is there a connection between steroid use and type 1 diabetes? Our current endocrinologist is very lax. What should we do? (14 Mar 2007)

  41. The blood sugar of a symptomatic student was 414 mg/dl [23 mmol/L]. It was normal when the grandmother arrived, so the child was not taken to a doctor. What can I do to make sure the child's health is not neglected? Could this be indicative of diabetes? (13 Mar 2007)

  42. My niece has lost a lot of weight and had protein in her urine. What could this be? (13 Mar 2007)

  43. Do in-range blood sugars in a GTT rule out diabetes? If so, why does my daughter have intermittent symptoms of diabetes and high postprandial blood sugars? Is my daughter still at risk for diabetes? (13 Mar 2007)

  44. My daughter's blood sugar was not checked before she took a standardized test. Do I have a legal right to insist she get another chance? Why did the elementary school say my daughter would not need a 504 plan until middle school? (12 Mar 2007)

  45. My sister has diabetes and manic depression. Is there a connection between the two? Shouldn't there be more research about this? (11 Mar 2007)

  46. A soccer and basketball player, my son disconnects his pump and takes a shot of Regular before playing. Sometimes, he is still very high, making him feel ill. What do you suggest? (11 Mar 2007)

  47. My teen son has had diabetes for 12 years. Tall and thin, he wants to gain muscles. Is it okay for him to consume protein shakes? (9 Mar 2007)

  48. If a two-year-old, diagnosed in December 2006, is not speaking, could it be related to the high blood sugar she had before diagnosis? (9 Mar 2007)

  49. Does diabetes cause one to be bad tempered? (9 Mar 2007)

  50. Newly diagnosed, my son has fluctuating blood sugars during basketball practice. What should his target blood sugar range be before practice? What should he consume for lows during practice? (7 Mar 2007)

  51. A competitive gymnast, my daughter did not feel well and was out of energy during her second event at a recent meet. What should she eat to ensure she has enough energy? (7 Mar 2007)

  52. Our son was cut from a travel hockey team because of his diabetes. What rights does my son have? How can be prevent this in the future? How should we educate others about diabetes? (7 Mar 2007)

  53. What can you tell me about children with type 1 and the issue of retinal exams? (7 Mar 2007)

  54. A six-year-old student at my school has blood sugars from 45 mg/dl [2.5 mmol/L] and 306 mg/dl [17.0 mmol/L] in a single day. What kind of meals/snacks can we provide to help prevent this? (7 Mar 2007)

  55. Diagnosed with type 1 in September 2006, I've had some high blood sugars with ketones since then. Now, I have lows, even with no insulin. Could I have been misdiagnosed? (6 Mar 2007)

  56. Do you have any advice on how to count carbohydrates at the Sugar Shack? (6 Mar 2007)

  57. I've had type 2 for three years. Although my A1c is fine with diet and exercise, my fasting blood sugar is slightly elevated. Should I also take metformin? (6 Mar 2007)

  58. I've had type 1 for 27 years with no known complications. I had Rou-en-y surgery in 2003 and also have had my appendix and gall bladder removed. I have severe pain in the upper right quadrant of my abdomen. An endoscopy found nothing. Could this be gastroparesis or something else related to diabetes? (6 Mar 2007)

  59. Has there been any research into the topical application of insulin to enhance wound healing? (5 Mar 2007)

  60. Three weeks ago, my daughter was prescribed eye drops for an eye infection. She is still complaining about her eyes. Could she still have an infection? (5 Mar 2007)

  61. What does it mean if you have high blood sugars with lower to normal lipids? Does injected insulin affect lipid levels? (3 Mar 2007)

  62. I've had type 1 for 20 years and experience fluctuations in my blood sugars. I often feel a nagging pressure at my temples that worsens throughout the day. What could be causing this? (3 Mar 2007)

  63. Now that we are considering getting a pump for our son, should we pursue a pump with or without a continuous glucose sensor? (3 Mar 2007)

  64. Do children with type 1 diabetes need to wear socks made of a particular type of fabric? (2 Mar 2007)

The Diabetes Team

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)

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)

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

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)

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 15:10:12
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