Back to Ask the Diabetes Team Questions from January 2008

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  1. I have no insurance and am seeking Medicaid. Could I get an insulin pump if I qualify for Medicaid? Do you know if any pump makers offer assistance to people in situations like mine? (31 Jan 2008)

  2. We have no family history of diabetes. Could my daughter's diabetes be related to the mumps she had earlier? Might my elder daughter be prone to getting type 1? (31 Jan 2008)

  3. Do you have any information about the use of biofeedback for people with type 1 diabetes? (31 Jan 2008)

  4. I find that if I eat a lot of grains, my blood sugar is elevated for several hours. So, I would think that eliminating them would help. Would I learn anything else from an OGTT? Could my Grave's disease be causing elevated blood sugars? (31 Jan 2008)

  5. My 19-year-old's endocrinologist was happy with my son's 7.2 A1c, but I feel he should have suggested some adjustments. Should we find another endocrinologist? (31 Jan 2008)

  6. Although I take 500 mg metformin three times a day, I sometimes have elevated blood sugars. What do you suggest? Should I be taking any other medications? (31 Jan 2008)

  7. My son and I have moved to an area where there are no family members or friends to assist with my son's care. I may have to leave him alone overnight while I travel for my job. What could potentially happen to my son if no one were around to assist him in coming out of a coma/seizure? (31 Jan 2008)

  8. My son has decided he cannot pursue an advanced college degree because he cannot be covered by our insurance any more and we cannot afford to pay for his diabetes supplies. Do you have any suggestions? (31 Jan 2008)

  9. My seven-year-old behaves very poorly at school when his blood sugar is low. Yesterday, he was unresponsive, but his blood sugar was fine. Could this be diabetes related or something else? Is his type of behavior common for those with diabetes? (29 Jan 2008)

  10. Recently diagnosed, my son gets NovoLog 70/30 twice a day. Sometimes, I give regular NovoLog at dinner if I am unsure he is going to eat enough. How does this affect his nighttime blood sugars? (29 Jan 2008)

  11. A month ago, I was told I have a pancreatic insufficiency. I am tired and go to the bathroom quite frequently. I was very dizzy after the first hour of my glucose tolerance test. Could diabetes have caused the insufficiency? Or, could the insufficiency have caused diabetes? (29 Jan 2008)

  12. I have had some elevated blood sugars for 11 months, but my A1c is not that high. Are there any newer drugs that can work with metformin and are not harmful? (29 Jan 2008)

  13. My daughter's A1c was quite high. The doctors said I must be omitting insulin, which is not true. The meter was malfunctioning. How can I convince them that I am doing all in my power to take care of my daughter's diabetes? (29 Jan 2008)

  14. Are there a lot of children at age five months put on insulin pumps? If so, what brand do you recommend for the best control? (28 Jan 2008)

  15. Both my fasting and random blood sugars are quite elevated, even though I take Amaryl and Glucophage. Why is this? (28 Jan 2008)

  16. Although I eat heartily, I sometimes go low after mountain biking. How can I prevent this? If I reduce my insulin prior to exercising, to avoid the lag effect, would I lost weight? I want to gain muscle. (28 Jan 2008)

  17. What happens if you eat or drink to treat a low prior to cholesterol and triglycerides testing? Can a light physical workout affect the test results? (28 Jan 2008)

  18. My friend, recently diagnosed with type 2, is worried that she'll need to take insulin if she gets pregnant. Is this true? Will she then have to take insulin for the rest of her life? (28 Jan 2008)

  19. For the past several months, my teen daughter has been forgetting to bolus for meals and snacks. How can I encourage her to do so? She is annoyed by my reminders to do so. (28 Jan 2008)

  20. My teen son's blood sugars fluctuate quite a bit and his recent A1c was 11.1. Could he be building up a tolerance to his NovoLog? Could he have an uderlying condition that's causing problems? He's even had such fluctuations while hospitalized. (28 Jan 2008)

  21. Both my husband and his father have diabetes. Is there something I can do prior to conception or during my pregnancy to prevent our children from getting it? (28 Jan 2008)

  22. Lately, my daughter's hands have been extremely cold. What can cause this? She had her thyroid checked in December and it was normal. (28 Jan 2008)

  23. Recently diagnosed, my toddler's blood sugars are still somewhat elevated. Why is this? Could she be skipping the honeymoon phase? (27 Jan 2008)

  24. My newly diagnosed daughter, who is usually calm, has started to act very hyperactive, like her sister who was diagnosed several years ago. Can insulin have an effect on the way children act? (27 Jan 2008)

  25. A friend was recently diagnosed with type 1. His mother and aunt both died of Wolfram's syndrome. Even though his father is not a carrier, could he have further complications? (24 Jan 2008)

  26. My toddler's doctor has suggested we switch from Humalog Mix 25/75 to Lantus and NovoRapid to prevent lows. Is this safe for a two-year-old? What time of day should we give the Lantus? (24 Jan 2008)

  27. Diagnosed with type 1 18 months ago, my teen daughter keeps gaining weight. What should she do to lose weight? (24 Jan 2008)

  28. While looking at my teen son's medical records, I saw that he has chronic thyroiditis, but the doctor never told me. What does this mean? Does he need medication for this? Could this have contributed to his weight gain? (24 Jan 2008)

  29. What is the treatment for bladder wall thickening in type 2 diabetes? (24 Jan 2008)

  30. I would really like to know if Doug Burns used supplements like whey protein or creatine. If he did, which ones did he take? (24 Jan 2008)

  31. How can we prevent post breakfast highs? Why is my daughter so insulin resistant? How can we get her to test less frequently? She tests almost every hour. (23 Jan 2008)

  32. I have heard that using cornstarch mixed with milk can help with nighttime hypoglycemia. If so, could you please give me the amount and explain why this works? (22 Jan 2008)

  33. Could you help me understand the results of my recent OGTT? It is some time before I see my doctor. (22 Jan 2008)

  34. Diagnosed with type 1 a year ago, my 15-year-old son has not developed sexually except for pubic and underarm hair. What should we do? (22 Jan 2008)

  35. My diabetes control has worsened in the past two years. Other than an A1c and a lipid check, what tests should I have to see what damage my body has suffered? (22 Jan 2008)

  36. Sometimes I overeat and my sugar figure jumps. Is there any medicine that I can take after eating to prevent my sugar from increasing? (22 Jan 2008)

  37. While at the hospital work for the flu, my son's blood sugar was 170 mg/dl [9.4 mmol/L]. The doctors were not concerned. Should I insist on a fasting blood glucose test? (22 Jan 2008)

  38. My son, who weighs 28 kg, was diagnosed with diabetes and put on Glucophage. A second pediatrician said that he should be on insulin. What is your opinion? (21 Jan 2008)

  39. Where can I find articles to support the theory that people with diabetes have a higher pain tolerance than those without the disease? I heard this in an EMT class and have believed it myself since I've had diabetes for over 20 years. (21 Jan 2008)

  40. When I took my son to the hospital because he was sick and not eating, his blood sugar was 150 mg/dl [8.3 mmol/L]. He hadn't eaten, but had juice three hours earlier. Should I have him checked for diabetes? (21 Jan 2008)

  41. A local dad has said his daughter's endocrinologist wants him to have his daughter tour our kidney center to see what dialysis is like to get her to improve her control. I intend to suggest counseling instead. Do you have suggestions? (21 Jan 2008)

  42. Where can I find help with dietary planning so I can lose weight? I was just diagnosed with diabetes and told to lose weight. (21 Jan 2008)

  43. Given her family history and symptoms, I checked my daughter's blood sugar. It was 160 mg/dl [8.8 mmol/L]. The doctor said it's likely not diabetes, but I thought anything over 140 mg/dl [7.7 mmol/L] means diabetes. Is my daughter in the early stages or honeymoon phase? (16 Jan 2008)

  44. We are discouraged hearing that our friends have "cured" their relatives by vitamins, herbs, etc. I feel like I'm failing my child. What is your opinion? Also, someone has told me that milk is harmful to those with diabetes. Is there any truth to this? (16 Jan 2008)

  45. Which type of metformin is better for obese people? Can we adjust the dose based on diet? Can we take plain metformin at breakfast and lunch, with the SR type in the evening? (14 Jan 2008)

  46. My teen son uses a pump. He boluses four to eight units, relying on his 26.6 units of basal to help cover food. Is this causing his high A1c? (14 Jan 2008)

  47. Diagnosed a month ago, my daughter is honeymooning, taking Lantus only. Is there anything I can do to help prolong her honeymoon? (14 Jan 2008)

  48. A local endocrinologist said my daughter's A1c of 5.0 was not normal, but told me to stop checking her. Do you know of any other endocrinologists in Maine besides the ones in Portland? (14 Jan 2008)

  49. We often forget to take our acarbose with meals. Is there another drug that could be taken before or after meals? What about Xenical? (14 Jan 2008)

  50. After some blood work, my doctor's office had me get a glucometer. My pre-meal readings are low, but post-meal reading are elevated. Is this diabetes? Should I see an endocrinologist? (14 Jan 2008)

  51. After a month, the school nurse send home the cartridge from my granddaughter's insulin pen. Is it okay to use the cartridge at home? It stays refrigerated at school. (13 Jan 2008)

  52. Our son tested positive for one of the four antibodies. By what percentage does this increase his risk of getting type 1? How can you test positive for antibodies one year, negative the next? (13 Jan 2008)

  53. Is a glucagon kit sufficient to bring someone out of a hypoglycemic reaction so that you don't need to call a rescue squad? Should one be kept on hand? (13 Jan 2008)

  54. While being tested for mononucleosis, my daughter's blood sugar was found to be 48 mg/dl [2.7 mmol/L] despite breakfast and Gatorade. Should I be concerned at this point? Could the illness have caused the low blood sugar? (13 Jan 2008)

  55. I am going back to college to study psychology so I can help parents of children with diabetes. Is there a need for this? My son has had diabetes for 17 years and we've endured many trials. (10 Jan 2008)

  56. My mom checked my son's blood sugars twice because he was curious. Her fasting results were 160 mg/dl [8.9 mmol/L] and 152 mg/dl [8.4 mmol/L]. Should I be concerned? (10 Jan 2008)

  57. Since my young son's insulin needs have fluctuated wildly recently, is it possible he was misdiagnosed? Could he have another form of diabetes? What should we do? (10 Jan 2008)

  58. I learned recently that TGIFriday's does not provide nutritional information. What can be done to change it so that ALL restaurants have to have nutritional information on hand? (9 Jan 2008)

  59. By accident, an A1c was drawn on a two-month-old. The result was 2.6. Should I be concerned? (9 Jan 2008)

  60. My daughter was recently hospitalized with DKA. Which of her test results best indicates DKA? How severe was it? Can you help me understand her test results? (8 Jan 2008)

  61. My toddler's sores take a long time to heal. His fasting blood sugar was 128 mg/dl [7.1 mmol/L] per his dad's meter. Is something about which I should be concerned? (8 Jan 2008)

  62. My son keeps getting up during the night and binge eating. At first, he took insulin, but, now, he does not. What should I do? (8 Jan 2008)

  63. Regardless of my son's blood sugar level, my wife does not give our son his mealtime insulin until after he eats. Is this normal? How can we ensure my son's blood sugars are in range all night so my wife doesn't have to check him during the night? (5 Jan 2008)

  64. Diagnosed a month ago, my daughter is still having lows four hours after meals even though we've decreased her insulin. Is this normal? What should we do? (4 Jan 2008)

  65. My daughter's caregiver accidentally pricked her own finger with a lancet then used it to test my daughter. Since the woman has a hepatitis antibody in her blood that keeps her from being eligible to donate blood, should I be concerned? (4 Jan 2008)

  66. If I stop taking insulin, follow a strict diet and exercise, can I take Januvia as a replacement treatment for type 1? Is there any other drug to replace insulin injections? (2 Jan 2008)

  67. My young adult son often belches and vomits. His test results, which did not include a test for celiac, were normal so no further tests were suggested. What could this be? (1 Jan 2008)

  68. When I carefully determine the carbohydrates in my home cooked meals and baked goods, my daughter has low blood sugars. What am I doing wrong? Does a higher fat content make a difference? (1 Jan 2008)

  69. Recently, my daughter had what I felt was a high fasting blood sugar. Several additional tests were also somewhat high. Could this be early diabetes? (1 Jan 2008)

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 15:10:16
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