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  Back to Ask the Diabetes Team Questions from July 2008

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  1. My 10-year-old gained 73 pounds in two years. Her insulin level was high, but her blood sugar normal. Other than meeting with a nutritionist, what should I do to help her? (29 Jul 2008)

  2. I recently took my son, diagnosed with type 1 eight years ago, to an adult endocrinologist who confrontational and said my son must have type 2 since he's never been in DKA. Is this correct? He ordered blood work. What will the results tell about my son's diagnosis? (29 Jul 2008)

  3. I suspect my daughter has hypoglycemia, like me. Her fasting test results were fine, but the doctor's office did not schedule more tests after telling me three were needed. What should I do? (20 Jul 2008)

  4. Do type 2 diabetics benefit by taking purgative or laxatives medications routinely? (20 Jul 2008)

  5. My son was diagnosed with diabetes after a glucose tolerance test. Not on insulin, his blood sugars are only slightly elevated. The doctors say he might have MODY. Could this be possible or is he just in his honeymoon? If his antibody tests are negative, should he have testing for MODY? (20 Jul 2008)

  6. My daughter has celiac. Drinking a lot and wetting her bed, her fasting blood sugar was 106 mg/dl [5.9 mmol/L], pre-diabetes. Is there anything I should do at this point? (19 Jul 2008)

  7. I had to call an ambulance when I had chest pain. After a lot of tests, they said it could have been a digestive problem. Is this possible? (19 Jul 2008)

  8. My son was diagnosed with type 1 after one week of symptoms. His GAD test was negative, but he tested positive for the insulin antibody. Our doctor says my son's case is unique. What type of diabetes might he have? (18 Jul 2008)

  9. Which minerals and vitamins should be taken routinely to provide benefits and help prevent related complications? (18 Jul 2008)

  10. Why do I need less insulin during early morning hours? Why do I need less insulin when severely high? Is this common for others with type 1? I have no complications, but feel like I am destined to die young because doctors don't understand how diabetes affects me. (18 Jul 2008)

  11. Are there any anti-inflammatory medicines and antioxidants that are beneficial to insulin resistant type 2 diabetics in view of inflammation related to insulin resistance? (18 Jul 2008)

  12. I have an unspecified eating disorder and mild gastroparesis. I end up purging or bolusing too much insulin to get my stomach to feel empty, but the latter can cause a low. What else can I do? (18 Jul 2008)

  13. An adult friend has used my daughter's meter to check his blood sugar. Overall, his blood sugars are in range, but his fasting blood sugar is slightly elevated. Might this be related to his nightly drink of vodka and tonic? How can he bring down his fasting blood sugars? (18 Jul 2008)

  14. How much time might it take to reverse downregulation on normal or lesser insulin exposure? At what blood sugar level does one become "used to" hyperglycemia? (18 Jul 2008)

  15. Because my toddler has type 1, I keep an eye out on my other children. My four-year-old has been cranky and had a random blood sugar of 260 mg/dl [14.4 mmol/L]. I know to look for a fasting blood sugar over 125 mg/dl [6.9 mmol/L]. Would it help to check for urine ketones? (17 Jul 2008)

  16. My niece, who is now staying with me, doesn't take care of her diabetes. I am scared something will happen to her. What kind of help is there out there that can help us deal with this? (17 Jul 2008)

  17. My teen son has type 1 while my adult daughters are obese and have PCOS. Is there are link in their conditions? (17 Jul 2008)

  18. For a week, my blood sugars have been higher than normal due to bacterial pneumonia. How long will it be until my blood sugars are normal? (17 Jul 2008)

  19. I exercise regularly and eat well, but am gaining weight rather than losing it. What else do you recommend for weight loss? What should my average daily dose of insulin be? (17 Jul 2008)

  20. I have many symptoms, including thirst, dry skin, and extreme hunger. Although I smoke, I do not drink or take drugs, other than my heart medication. What might this be? (17 Jul 2008)

  21. My son was initially diagnosed with diabetes, with Glucophage as the treatment. After a repeat GTT, the doctor said he has pre-diabetes. What does he have? (16 Jul 2008)

  22. Can hyperglycemia cause peripheral neuropathy whereas occasional HYPOglycemia causes autonomic neuropathy? (16 Jul 2008)

  23. My six-year-old takes Insulatard and is to eat six times a day. How can I plan meals? She doesn't have much of an appetite. (16 Jul 2008)

  24. Recently, my son had sugar in his urine. Testing showed he did not have diabetes, but a genetic condition in which he has sugar in his urine. Now, he is drinking and urinating a lot. Despite the previous negative test, could he now be diagnosed with diabetes? (16 Jul 2008)

  25. Will you please tell me about the pathophysiology behind getting unstable diabetes? Is it also common in type 2 diabetics? (16 Jul 2008)

  26. I've been dieting, consuming protein shakes and bars. My blood sugar is slightly higher afterwards, more than when I eat regular foods. Why is this? Does the body "pull" sugar from somewhere else when we don't eat many carbohydrates? (16 Jul 2008)

  27. What is the normal range of insulin that the body produces? When tested for diabetes, my daughter's insulin level was 3.2, which I thought was a little low. (15 Jul 2008)

  28. Does an A1c of 7.0 mean an average blood glucose of 170 mg/dl [9.4 mmol/L] or 150 mg/dl [8.3 mmol/L]? What is the timeframe the A1c measures? (15 Jul 2008)

  29. My 13-year-old daughter's A1c has been over 7.0 since she started menstruating seven months ago. Her blood sugar goes up in the early evening, drops at 3 a.m. She has been taking Lantus at bedtime. The doctor has suggested twice daily Lantus. What do you suggest? (15 Jul 2008)

  30. My wife is pregnant. Her doctor has recommended she start taking insulin for the remainder of her pregnancy. Is this safe for the baby? (15 Jul 2008)

  31. Are there any problems using Apidra in a pump? My child's doctor has suggested this to us. (14 Jul 2008)

  32. My non-diabetic teen has had in range blood sugars when checked. Twice, she has been in the 60s mg/dl [3.3 to 3.8 mmol/L] two to three hours after a meal. Is this a precursor for diabetes? (12 Jul 2008)

  33. Since his diagnosis over two years ago, my 19-year-old son has had excellent control even though he tests only two to four times a day and doesn't always take his meter along. Is he just lucky? He hates exercise. Will this possibly lead to a mid-life heart attack? When can I expect him to become more conscientious with this care? (12 Jul 2008)

  34. Why do I need to be on insulin when I have not yet taken the maximum dose of my metformin? What happens if I miss injections for two days because I forgot it when I had to travel? (12 Jul 2008)

  35. This summer, my son has had increased emotional outbreaks and headaches. His blood sugar has been somewhat elevated at these times. Is this related to the change from Humalog to NovoLog? (12 Jul 2008)

  36. My daughter is on an insulin pump. Should we be considering giving her other drugs such as amylin and C-Peptides(when they become available)? (10 Jul 2008)

  37. I was diagnosed with gestational diabetes at 14 weeks. Could the diabetes have affected my baby in the earlier weeks? How can I reduce my fasting levels? After gaining weight, I lost two pounds. Is this safe? (10 Jul 2008)

  38. Is it common for people with type 1 to need less insulin in the early morning? Why is it that I need LESS insulin for corrections when I'm severely high? Could I still make insulin 24 years after diagnosis? Why do insulin needs increase during menstruation? (8 Jul 2008)

  39. My child's doctor says the OneTouch Ultra is more accurate than the Freestyle Flash, which I prefer for its nightlight. What is your opinion? (8 Jul 2008)

  40. Should we avoid bisphenol A, found in hard plastics, on account of an alleged link with diabetes? (8 Jul 2008)

  41. Is it possible for allergy shots to bring on diabetes? (7 Jul 2008)

  42. I have CFRD. The other night, I took my usual dose of insulin for dinner, but was only 64 mg/dl [3.6 mmol/L] an hour later. I had to treat myself then and 15 minutes later when still low. Why did this happen? Is this common in CFRD? Should I have used a mini-dose of glucagon? (6 Jul 2008)

  43. My urine total protein test result was elevated. My A1cs have been 6.5 or less, but I have been on NSAIDs for about six weeks. Could the result have been elevated because of the NSAIDs? (6 Jul 2008)

  44. If I missed one of my injections, would I be in trouble? (6 Jul 2008)

  45. What do you know about the supplement Lipovox? It's supposed to help you lose weight and gain energy. (2 Jul 2008)

  46. Is persistent hyperglycemia a stress to the body? Can well controlled type 2 diabetics get occasional sub-fatal hypoglycemia causing the occasional stimulation of stress hormones? (2 Jul 2008)

  47. Recently diagnosed with type 1, my daughter is hungry ALL the time. What can I give her to fill her up? (2 Jul 2008)


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 15:10:16
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