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  Back to Ask the Diabetes Team Questions from April 2007

Do you have a question you want to ask to an experienced team of diabetes Health Professionals? The health care professionals of the Diabetes Team lend their many years of experience to answer your questions. Be sure to read the Diabetes Team Disclaimer and the Message from the Diabetes Team. You can review the credentials of our Diabetes Team members by clicking on their names below or on their initials in each answer.

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  1. My nine-year-old has had elevated glucose readings at home. She's always in range when we get to the hospital. Her A1c was 5.1. Should I continue to check her? Does that A1c rule out diabetes? (27 Apr 2007)

  2. Do certain viruses actually lead to beta-cell destruction? What will I learn from the Anti-GAD and Anti-ICA tests I had done? (27 Apr 2007)

  3. Does hypoglycemia mimic stroke? I am trying to understand my son's dysphasia and hypoglycemia. (27 Apr 2007)

  4. What part do adrenal glands and cortisol levels have on type 1? (27 Apr 2007)

  5. Does it make any sense to try using oral insulin instead of injections for type 1? (27 Apr 2007)

  6. Currently on nasogastric feeds for an IPEX-like syndrome, my toddler has erratic blood sugars. He cannot take Lantus or Regular. What do you recommend? (27 Apr 2007)

  7. Which age groups are most commonly diagnosed with type one diabetes? Are there more children or adults diagnosed, generally? (27 Apr 2007)

  8. Is it safe to treat the sores on my foot with salicylic acid? I am active and have no other health problems. (27 Apr 2007)

  9. With an initial blood sugar of 272 mg/dl [15.1 mmol/L] at the pediatrician's office, followed by lower numbers at the ER, it is not clear that my daughter has diabetes. We are awaiting antibody test results. What could this be? (27 Apr 2007)

  10. Is diabetes, type 1 or type 2, always hereditary? (25 Apr 2007)

  11. I am losing my Healthy Families and CCS coverage because our family gross income is just over the limit. Where can I find other insurance or help? (25 Apr 2007)

  12. Since giving birth in February, I have needed to decrease my insulin doses and I still have lows. Could there be a medical reason for my needing less insulin? (25 Apr 2007)

  13. Is it possible to shift your diabetes from type 2 to type 1 and cure it gradually by just following all the treatment plans given by the doctor? (25 Apr 2007)

  14. My younger son is displaying some of the same symptoms his older brother showed before the latter's diagnosis with type 1. Is there anything we should do at this time? (25 Apr 2007)

  15. After nine months on a gluten-free diet, my son still has a high transglutaminase level. Why would this be? He does not "cheat" on his diet. (25 Apr 2007)

  16. Why is there so much emphasis on fasting blood glucose levels when this is the time at which cortisol levels are the highest? Can the stress of living in big cities affect glucose levels? (25 Apr 2007)

  17. What Disney World rides have magnetic fields that require people to remove their insulin pumps to prevent damage? (24 Apr 2007)

  18. Since a recent rotavirus, my child has been having higher blood sugars even with more insulin. Could the illness have caused further islet destruction, if there were any left? (24 Apr 2007)

  19. Last year, my daughter had positive antibodies and was said to be developing type 1. Now, her antibodies are negative. What does this mean? (22 Apr 2007)

  20. I've had type 2 for three years. After my recent tests, my doctor recommended an ACE inhibitor. What stage kidney disease do I have? Is it reversible or controllable? (20 Apr 2007)

  21. My husband and I are going through an unpleasant divorce, which has caused our son to be upset. Could this be why his blood sugars are running high? (20 Apr 2007)

  22. As a nursing student with diabetes, I am unsure how to react when my instructors ask if I have "brittle" diabetes. I'd thought that term was outdate. How should I respond? (19 Apr 2007)

  23. If he does not have diabetes, why does my son behave aggressively when he eats sugary foods? Is it harmful to give him food containing artificial sweeteners? (19 Apr 2007)

  24. With a slightly elevated fasting blood sugar and some symptoms of diabetes, should our daughter be seen by the pediatrician or the endocrinologist who sees our son? (19 Apr 2007)

  25. Is it safe for my teen daughter, just diagnosed with type 1, to receive the Gardasil immunization? (19 Apr 2007)

  26. Our nine-year-old is checking her blood sugar up to 20 times a day because she is insecure/low. What can we do to support/reassure her? (19 Apr 2007)

  27. Can I take sorbitol instead of Canderel? Does sorbitol have any side effects? (19 Apr 2007)

  28. I have been taking my daughter to an adult endocrinologist. Should I take her to a pediatric endocrinologist? Should I have my younger children screened for diabetes? (19 Apr 2007)

  29. Since starting on a pump, my daughter's blood sugars are fluctuating even more than before. She disconnects for sports. What do you recommend? (18 Apr 2007)

  30. Where can I find about the safety of oral insulin tablets? My daughter has been asked to participate in a study using the tablets. (18 Apr 2007)

  31. My daughter's blood sugar is high at bedtime, then somewhat high at 1 a.m. Is this normal? She takes NPH in the morning. (18 Apr 2007)

  32. Lately, I've been having trouble giving myself injections. I have been experiencing bruising and little bumps, plus insulin leaking. What do you suggest? (17 Apr 2007)

  33. My husband's twins from his first marriage both have diabetes. Last year, my daughter was diagnosed with it. Could she have gotten it from the twins? (15 Apr 2007)

  34. My son is making weird faces, sometimes causing a headache. Is chronic motor tic disorder or Tourette's syndrome associated with diabetes? (14 Apr 2007)

  35. Is there some way to determine the bolus ratio and duration for a dual wave bolus for "stubborn foods" like pizza and pasta? (14 Apr 2007)

  36. Because she was feeling faint at school, my daughter had a GTT. After two hours, she was only 48 mg/dl [2.7 mmol/L]. Is this something we should worry about? How soon should she see a specialist? (14 Apr 2007)

  37. What happens to a person's body when they become hypoglycemic or hyperglycemic? Which is more harmful? (14 Apr 2007)

  38. Where on the web can I find the guidelines for weight versus carbohydrate to insulin ratio? (12 Apr 2007)

  39. My niece lives in a rural town in Ethiopia. She has little access to medical equipment. She has sores at her injection sites. What can I do to help her stay healthy? (12 Apr 2007)

  40. Although my teen sister's post-meal blood sugars are in-range, her pre-meal blood sugars are elevated. Why is this? (12 Apr 2007)

  41. I suspect my daughter had undiagnosed gestational diabetes with both her pregnancies. Could this explain why my one grandson has some signs of diabetes? (12 Apr 2007)

  42. How do NSAIDs or other anti-inflammatory agents and antibiotics affect glucose levels and insulin resistance? (12 Apr 2007)

  43. Can a blood sugar problem be causing my daughter's hands to shake? According to the doctor, her thyroid is fine, but she's had varying blood sugars measured at home. (12 Apr 2007)

  44. My young granddaughter has had seizures, including this past Sunday after eating a lot of candy. Are the seizures related to her blood sugar or diabetes? (12 Apr 2007)

  45. I am concerned about elevated fasting blood sugars. If I were to take NovoMix 70/30, would it help bring them in range? Could I have an adverse reaction other than hypoglycemia? Could I have an adverse reaction other than hypoglycemia? (12 Apr 2007)

  46. My toddler has developed urticaria in the last month. Could she be allergic to the preservatives in her NovoRapd and Insulatard? (12 Apr 2007)

  47. Because he has a high BMI and possible symptoms, my son had laboratory tests done. Based on the results, do I have anything to worry about? (11 Apr 2007)

  48. Because he was symptomatic for diabetes, I checked my toddler's blood sugars. After meals, his blood sugar is elevated. Should I be concerned? Are varying levels okay? (11 Apr 2007)

  49. Since my toddler was not well, we took him to the ER where his blood sugar was slightly elevated and he had small ketones. Test results were normal and he was fine the next day. What does this mean? Could this be the "honeymoon period?" (9 Apr 2007)

  50. What is the duration time for Humalog? The nurse says it's gone in three hours, but it seems to last longer in my son. Should I change his pump accordingly? (8 Apr 2007)

  51. We have been battling with the school nurse all year. She recently gave my daughter 6.3 more units of insulin than needed. What are our options? We submittted a 504 plan in August. (8 Apr 2007)

  52. My son has had some slightly elevated fasting blood sugars at home, but his laboratory reading was normal. Is there any test to see if he's in the early stages of type 1 or type 2? Should we restrict carbohydrates to rest his pancreas? (7 Apr 2007)

  53. During the Spring, my son's allergies cause his blood sugars to be out of control so we have to increase his insulin by 150%. Is this normal? Should he try a different allergy medication? (7 Apr 2007)

  54. Recently, my daughter has been hungrier and thirstier. The doctor gave her water, then tested her urine, which was dilute. Could she have diabetes insipidus? Could the water have made her urine more dilute? (4 Apr 2007)

  55. Diagnosed in December, my 11-year-old son has been feeling lightheaded and having headaches. Is this related to his diabetes? (4 Apr 2007)

  56. My daughter was just diagnosed with type 1. With long-acting insulin, her blood sugars have returned to normal. Is it possible she doesn't have diabetes? Could her UTI have caused her high blood sugar? (4 Apr 2007)

  57. Just before his diagnosis, my son became very talkative and giggly at school. Are these symptoms of high blood sugar? (4 Apr 2007)

  58. Can I die from having type 1 diabetes? (4 Apr 2007)

  59. Newly diagnosed, my daughter is very hungry. Where can I find a list of free foods? (4 Apr 2007)

  60. Is it beneficial to take insulin glargine with other long-acting insulins or with Mixtard 70/30 or 50/50 ? (3 Apr 2007)

  61. I am taking insulin for gestational diabetes. I eat three meals a day and snacks, but have urine ketones. Will they harm my unborn baby? (3 Apr 2007)

  62. My daughter's pre-breakfast and pre-lunch blood sugars are in range, but recent testing has found high levels at 9 a.m. Does she need more NovoRapid at breakfast? Should we consider different insulins? (3 Apr 2007)

  63. My toddler drinks up to 150 ounces of water a day. His urine is clear, but smells bitter. The doctor ran tests. Would they have been for type 1? Could my son have diabetes insipidus? (3 Apr 2007)

  64. For curiosity, we checked our daughter's blood sugar and it was elevated. The ER doctors told us not to worry and the pediatrician laughed at us. What could be going on? (3 Apr 2007)

  65. I recently heard of something called XS Energy Drink with no carbohydrates. Would this be a good beverage for my daughter to consume before physical activity? (2 Apr 2007)

  66. I've heard that type 1 is hereditary. If so, why am I the only person in my family with it? (2 Apr 2007)


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 15:10:12
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