Back to Ask the Diabetes Team Questions from August 2008

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  1. Because my husband has MS, we have been checking our son's blood sugars. Recently, his blood sugars have been slightly elevated. What do you suggest? (31 Aug 2008)

  2. Although I exercise and eat lower carbohydrate meals, my blood sugars are elevated, even more so when I am on steroids. What do you recommend? Should I eat fewer carbohydrates? (31 Aug 2008)

  3. I've had type 1 for 23 years and have been gaining weight since pumping and having thyroid issues. How can I stop gaining weight and start losing it? (31 Aug 2008)

  4. I was diagnosed with diabetes two years ago. Oral medication did not help, so I was put on insulin. I now have good control. Based on my weight and C-Peptide results, do I have LADA or type 2? (31 Aug 2008)

  5. Although active, my daughter has gained almost 30 pounds in the past few years so the endocrinologist has recommended she eat more protein to help her lose weight. What do you suggest? (29 Aug 2008)

  6. A noncompliant teen at our school refuses to comply with his care plan. Counseling and reminders have not helped. What do you suggest? (29 Aug 2008)

  7. My daughter had "low positive" ICA 512 autoantibodies and 21-hydroxylase autoantibodies. What does this mean? Why did the doctor suggest TrialNet for her? (29 Aug 2008)

  8. How can I get my son to get involved with groups or other children who have diabetes? (27 Aug 2008)

  9. At his new school, my son will be carrying two pre-filled syringes in a fanny pack, which concerns the school. What do others do? Should he test in the class before lunch so a teacher is nearby? (27 Aug 2008)

  10. I have type 1 and hypothyroidism. Could I have another endocrine problem for which I have not been tested? I have a very low basal rate after 10 p.m. to prevent lows I was having two hours after bedtime. (27 Aug 2008)

  11. After four years with type 1, should we consider putting our daughter on a pump? Will it help her avoid lows? Tests have been unable to diagnose her intermittent stomach pain. What might be causing it? (27 Aug 2008)

  12. The endocrinologist won't diagnose my daughter with diabetes after normal tests. Why did she once have a post meal reading of 291 mg/dl [16.2 mmol/L]? Why did she recently have glucose in her urine? (27 Aug 2008)

  13. I've had type 1 for 10 years. Recently, after stopping L-thyroxine, I've been having pains in the joints of my fingers and toes and very cold hands and feet. Could this be the beginning of neuropathy or is it from stopping the medication? (27 Aug 2008)

  14. If a child already has a 504 in place, does a new/updated version need to be sent each new school year if his treatment is exactly the same? (26 Aug 2008)

  15. When my son was first diagnosed, I was told to perform a fasting test, one at breakfast, another at lunch and then dinner. Could you explain the reason and how it is done? (25 Aug 2008)

  16. For two years, my daughter has had episodes of clamminess, paleness, headaches, etc. resolved by eating sugar. Based on her OGTT results, could she have MODY or the start of type 1? What treatment should we consider? (25 Aug 2008)

  17. Since her diagnosis, my teen daughter has been non-compliant. She has been in a coma three times. Would a pump help regulate her blood sugars? How can I help my daughter? (25 Aug 2008)

  18. Do you know of any trials going on now that involve stem cells to cure MODY or type 1 diabetes? (25 Aug 2008)

  19. My granddaughter's father sometimes gives her only 10 grams of food at 3:30 p.m., nothing else until the next morning. What should I do? (24 Aug 2008)

  20. At home, my daughter has had elevated blood sugars. During an OGTT, her blood sugar dropped to 70 mg/dl [3.9 mmol/L]. Could she have had a hypoglycemic reaction? (22 Aug 2008)

  21. For two years, I've had periods where I've had trouble getting an erection. I'm afraid of having sex. What is going on? (21 Aug 2008)

  22. I got a pump band that goes on the leg for my son to use during soccer. Is this a good choice or should he disconnect? (21 Aug 2008)

  23. I've had hypoglycemia for 16 years. Recently, I've been very thirsty, urinating a lot and having occasional trouble seeing. What could this be? (20 Aug 2008)

  24. When diagnosed with type 1 in 2003, my C-Peptide measured 0.5. Recently, it was 5.3 so my doctor took me off insulin and put me on metformin XR. After a few days, my blood sugars skyrocketed and I had ketones, so I resumed insulin. My TDD is 30 units. What kind of diabetes might I have? Why did the pills not work? (19 Aug 2008)

  25. Since his diagnosis with type 1, my son has been struggling during soccer. He just doesn't have the energy level he used to have. Is there an organization or trainer that you're aware of that works with diabetic children to help them with their sugar, energy level, and overall performance? (18 Aug 2008)

  26. What constitutes "excessive urination" for a nine year old boy? How much should he be drinking and urinating? (18 Aug 2008)

  27. My son has been vomiting at night for two weeks. We were told it was just a virus, but is this possible after so much time has passed? My son says his stomach hurts near the navel when he vomits. His legs also hurt sometimes, too. (18 Aug 2008)

  28. After a strong honeymoon, we had our son's C-Peptide level checked; it was 3.4. How does this compare to a healthy child this age? (18 Aug 2008)

  29. Is there a link between diabetes and epilepsy? My son, who has type 1, has been diagnosed with epilepsy, too. How hard will it be to handle both? (18 Aug 2008)

  30. How would untreated Hashimoto's thyroiditis affect blood sugar levels? How might starting a regimen of thyroxine affect sugar levels and/or insulin effectiveness? (18 Aug 2008)

  31. We are considering putting our son on a pump. Is there a good time of year to do this? We are concerned because school is about to start. (17 Aug 2008)

  32. Based on my symptoms, including extreme thirst, breath smelling like Juicy Fruit gum, and a blood sugar of 956 mg/dl [53.1 mmol/L], do I have diabetes? My doctor initially thought it was the flu. (17 Aug 2008)

  33. When we check our toddler's urine for glucose, it is often 3+ or 4+, with blood sugars in the 100 mg/dl [5.6 mmol/L] to 200 mg/dl [11.1 mmol/L] range. Is this okay or not? (17 Aug 2008)

  34. Diagnosed at two, my teen daughter stopped caring about proper care two years ago and has had elevated A1cs and protein in her urine. Isn't she too young for complications? (16 Aug 2008)

  35. Can pregnant women, women who are breast feeding and people with diabetes use beverages with the sweetener acesulfame potassium in combination with sucralose? (16 Aug 2008)

  36. Using a friend's meter, my daughter has had elevated blood sugars, but the pediatrician won't diagnose diabetes without laboratory testing. Based on her history, what is your opinion? (16 Aug 2008)

  37. I have had diabetes for 26 years and my infant daughter has the high risk genes. We are in the TEDDY study. Should I avoid giving her gluten? Should I give her cod liver oil? I want to do whatever I can to prevent her from getting diabetes. (16 Aug 2008)

  38. My daughter has had high blood sugars at home, as high as 350 mg/dl [19.4 mmol/L]. The doctor said she does not have diabetes, maybe pre-diabetes. What should I do? (16 Aug 2008)

  39. My daughter's fasting blood sugar was 140 mg/dl [7.8 mmol/l], but fine after I put her on a low carbohydrate diet. Is this something I need to worry about? I still plan to take her to the doctor. (15 Aug 2008)

  40. My son has been complaining of chest pain, which is accompanied by high blood sugars, despite a recent increase in his NPH. What could be causing the pain? (15 Aug 2008)

  41. I was diagnosed with reactive hypoglycemia a few years ago. Recently, my blood sugars have been somewhat elevated, but then drop a bit. Is this normal? (15 Aug 2008)

  42. When diagnosed in January, my son's A1c was 9.0. In July, it was 8.9. We are not yet doing corrections. Should he be in range by now? This is what friends have indicated. (15 Aug 2008)

  43. I keep gaining weight. How can I stop this? I take insulin and metformin. Will I slim down when I get older? (14 Aug 2008)

  44. Why would someone with pre-diabetes have a normal blood sugar, 100 mg/dl [5.6 mmol/L] before bed yet wake up with a blood sugar of 132 mg/dl [7.3 mmol/L]? (12 Aug 2008)

  45. In May, my young adult son lost his vision for about five minutes. He was told to have an esophageal echocardiogram. Is there a less invasive procedure? What could have caused the bright spot seen on his aorta? (12 Aug 2008)

  46. Does metformin help those with type 1 by making insulin work properly? If I take it, might it lower the amount of insulin I need to take? (12 Aug 2008)

  47. Are insulin resistance and more insulin related to getting exercise and occasional hunger and cravings for food? (11 Aug 2008)

  48. My son becomes pale and weak and has a strange odor on his breath when hungry. After he eats, the symptoms disappear. Is this low blood sugar? (11 Aug 2008)

  49. Diagnosed with hypoglycemia in 1991, I am very overweight. For weeks, I have been feeling very weak and shaky. Is my hypoglycemia turning into diabetes? (1 Aug 2008)

  50. Do high platelets (940) have anthing to do with type 1 diabetes? (1 Aug 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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