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  Back to Ask the Diabetes Team Questions from July 2007

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  1. A doctor told us that our daughter's impetigo could be a sign of childhood diabetes. Is this possible? (31 Jul 2007)

  2. My daughter has been sneaking food, causing highs. Is water the best way to bring down her blood sugars? Where can we find a kids support group in our area? (31 Jul 2007)

  3. For three years, we've used a sliding scale for our daughter's insulin. Is there a better way to dose it? (31 Jul 2007)

  4. My daughter had an elevated blood sugar in a glucose tolerance test. Could this mean anything else other than type one diabetes? Is there such a thing as borderline diabetic? (30 Jul 2007)

  5. Due to some symptoms, I had the doctor check my toddler's blood sugar. It was elevated at his office so he ordered a fasting test. Then, she had a low blood sugar. Why would her blood sugars fluctuate this way? Should I take her to a specialist? (30 Jul 2007)

  6. I'm a new pumper and have two issues. How do I get my infusion sets to stay in longer? How do I prevent blood from getting in the tubing? (29 Jul 2007)

  7. Already labeled disabled, my son is very behind for his grade level. A nurse checks his blood sugars, which are often high. Could his blood sugars be contributing to his difficulties? (28 Jul 2007)

  8. I have type 1 and my wife is a pediatrician. Because she was not acting right, I checked my daughter's blood sugar one recent morning. For more than two hours, her blood sugar was elevated, but it has been normal since. What do you think of this? (28 Jul 2007)

  9. Is it possible to lose weight with type 1 diabetes? I cannot lose weight even when cutting back on calories/carbohydrates/fat and increased exercise. What do you suggest? (26 Jul 2007)

  10. I was diagnosed with type 2 after blood work indicated an elevated blood sugar. With home testing, my blood sugars are in range. Could my blood work have been wrong? (26 Jul 2007)

  11. I accidentally got a tiny bit of insulin in my mom's eye. I used eye drops immediately to wash it out. Can the insulin damage the eye? (25 Jul 2007)

  12. My baby had a 95% pancreatectomy. Her eating is very, very slow. Is this normal? Is it because she doesn't feel hungry at all? (25 Jul 2007)

  13. When tested for celiac, the laboratory reported my daughter's blood sugar was 149 mg/dl [8.3 mmol/L]. Does this mean she has diabetes? (25 Jul 2007)

  14. Do you have any tips on how to keep my blood sugar in a good range for athletics? I recently had lows during, and hours later, after wrestling camp. (25 Jul 2007)

  15. I have heard that diabetics cannot take fish oil supplements. Why? (25 Jul 2007)

  16. For the past few years, I have been on an ACE inhibitor due to microalbuminuria. Although my A1c has come down, my microalbumin level has gone up a bit. What does this mean? Do I have permanent kidney damage? (24 Jul 2007)

  17. Why don't all pediatric endocrinologists use in-office A1c devices? Our doctor in Ohio used one, but we can't find one in Florida who does. (23 Jul 2007)

  18. After a trip to the ER for stomach pain, I've been testing my son's blood sugars. Hunger is his only symptom and he's had no blood sugars over 200 mg/dl [11.1 mmol/L]. Could he have early symptoms of diabetes? (23 Jul 2007)

  19. Do you know of a source of patient information material in Arabic, especially downloadable? (23 Jul 2007)

  20. Do antacids, acidic or alkaline foods and intake of more or less water effect blood glucose levels? (23 Jul 2007)

  21. Do pregnant women with type 2 go back on the medication they took pre-pregnancy after giving birth? Just a few months after starting metformin, I became pregnant and switched to insulin. Once the baby is born, should I stay on insulin as my endocrinologist has recommended? I want to go back to metformin. (23 Jul 2007)

  22. My young adult son stopped using his CGMS while on vacation. Now, he refuses to use it. Why do you think he would do this? Is this common? (23 Jul 2007)

  23. Diagnosed with UCTD and symptomatic for other autoimmune diseases, our daughter had an elevated blood sugar during routine laboratory tests. Not high enough for diagnosis, could she be moving toward diabetes? (23 Jul 2007)

  24. Our 10-year-old was diagnosed in October 2006. We want to get started with pump training, but our clinic will not do this until one year after diagnosis. Is this a common practice? Isn't our daughter entitled to a pump? What should we do? (22 Jul 2007)

  25. A participant in TrialNet, I have been diagnosed with diabetes after an OGTT. I tested positive for three antibodies. At age 31, do I have type 1 or LADA? What treatment should I have? (20 Jul 2007)

  26. Due to elevated microalbumin levels, I started taking Diovan. I now have a constant, dull stomach pain. Could this be a side effect of the Diovan? Do I need to follow a renal diet? (20 Jul 2007)

  27. I want to suspend my young son's pump up to seven hours to ensure even blood sugars throughout the night. Our doctor is concerned about ketones. Is it better to suspend the pump for longer or feed the insulin? (19 Jul 2007)

  28. Since beginning growth hormone therapy, my daughter's insulin needs increased. Why is this? Why are her later afternoon blood sugars elevated? She takes Lantus at bedtime, with NovoRapid for meals. (19 Jul 2007)

  29. My daughter always complains of a stomachache. Since my brother has diabetes, should I have my daughter checked? (19 Jul 2007)

  30. Diagnosed with type 1 in mid-February, my pre-teen son has been having daily headaches for a month. Is this related to his insulin? Is this common with well regulated pre-teens? (19 Jul 2007)

  31. My son's tests for diabetes for normal except for his insulin level. The doctor wants to put him on insulin once a day, but I disagree. What is the range for insulin levels? (18 Jul 2007)

  32. Knowing what we know now about the safety of Lantus and short term insulins, why do pediatric endocrinologists at children's hospitals still use NPH to treat new type 1 patients? (15 Jul 2007)

  33. After a random blood test two weeks ago, I was diagnosed with hypoglycemia. Since then, some of my blood sugars have been a bit elevated. Should I have a glucose tolerance test? (15 Jul 2007)

  34. Is there any way to predict the occurrence of low blood sugars through the analysis of certain patterns in blood glucose readings during a certain period of time? (15 Jul 2007)

  35. When my son was diagnosed with type 1 about a year ago, many tests were run. I finally got the results, but have never gotten an explanation. Can you tell me what the results mean? (15 Jul 2007)

  36. At his mom's, my stepson eats no fresh foods and mom doesn't serve the proper amount of carbohydrates. We serve healthier foods, fewer treats. Which plan is the best for my stepson? (15 Jul 2007)

  37. Can you comment on the results of my three hour GTT? My doctor says that I failed "technically," but should merely watch my diet and continue to exercise. (9 Jul 2007)

  38. My younger daughter is a bit overweight. Her A1c was 5.9. Is this normal? If not, what should I do? (9 Jul 2007)

  39. My niece urinates a lot and is often fatigued. Her blood sugar has been in the in the 14s mmol/L [253 to 270 mg/dl]. Is this possible for a nondiabetic? When should she have her blood sugar checked? (9 Jul 2007)

  40. Since diagnosis, we've had trouble with nighttime highs that start as soon as the dinner bolus runs out. Increased basals work, but sometimes cause lows. What should we do? (9 Jul 2007)

  41. Since starting on Niaspan and Omacor, my blood sugars have been running much higher. Can the medications be causing this? (9 Jul 2007)

  42. Last week, I had some tests done. My blood sugar was low, my cortisol level was fine and I had no insulin antibodies. Are my results okay? If not, what should I do? (9 Jul 2007)

  43. Diagnosed with type 1 six months ago, my young adult son is not handling his diabetes well emotionally. He won't discuss it. I don't think this is healthy. What should I do? (8 Jul 2007)

  44. My teen son has had protein in his urine, just eight years after his diagnosis with type 1. Is this complication a normal occurrence even with control of his diabetes? (8 Jul 2007)

  45. We are hoping to get a pump for our daughter, but are concerned about the use of Teflon in canulas. Are there any canulas NOT made of Teflon? (8 Jul 2007)

  46. Recently, I experienced something like a "high" when drunk. After a second episode, I was diagnosed with a UTI and given an antibiotic. What caused the "high?" (8 Jul 2007)

  47. Why do kids wet the bed after they've had diabetes for several months? (6 Jul 2007)

  48. My daughter experiences dizziness and headaches. She often skips meals. At her friend's, when she was symptomatic, her blood sugar was 208 mg/dl [11.6 mmol/L]. Do we need to take her to a doctor or could it wait? (4 Jul 2007)

  49. Why is it that celiac screening and the gluten free diet is not suggested to those with autoimmune diseases presenting with epilepsy, severe depression and schizophrenia? (4 Jul 2007)

  50. I have maintained good control on injections since my diagnosis. Would a pump work just as well? (4 Jul 2007)

  51. Recently, my teen had laboratory tests run. His T4 level was below the range. Is this okay, like the doctor said? Should we pursue this further? (4 Jul 2007)

  52. Diagnosed two weeks ago, my sister is now on NovoRapid and Lantus. Her blood sugars are around 4 mmol/L [72 mg/dl] to 8 mmol/L [144 mg/dl]. Is her dosing appropriate? Is there a cure for type 1? (3 Jul 2007)

  53. How can you help your teen with depression due to diabetes without resorting to potent antidepressants? (3 Jul 2007)

  54. My son goes low while sleeping. How can I prevent this? (3 Jul 2007)

  55. My son seems to be very sensitive to insulin. Any change in his dose causes fluctuations in his blood sugar. On Lantus and Humalog, what is the best treatment option for him? (3 Jul 2007)

  56. Recently, I have had odd hunger pangs and some numbness in my foot. Could this be diabetes? (3 Jul 2007)

  57. Recently, I had a bad low blood sugar reaction. I was angry and violent. Should I be concerned about such behavior? Will my brain be effected? (3 Jul 2007)

  58. What is a normal A1c for two-year-olds without diabetes? (3 Jul 2007)

  59. Twice, after taking Airborne, my teen daughter had a much lower blood sugar within 15 minutes. Is there any literature about this medication causing lower blood sugars? (3 Jul 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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