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  Back to Ask the Diabetes Team Questions from September 2008

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. An adult endocrinologist told my 19-year-old son that he will never get complications if he maintains the excellent control he's had so far. Do you agree with this? (30 Sep 2008)

  2. Since his diagnosis in March 2007, my son has gained no weight. His blood sugars have been fine and he hasn't been ill. Is this something about which I should be concerned? Could it be related to his diabetes? (30 Sep 2008)

  3. At the doctor's office, my niece's blood sugar was 340 mg/dl [18.9 mmol/L]. At the hospital, her blood sugars were normal after two meals. Is it possible to have an isolated high blood glucose reading? Could this be a sign of pre-diabetes? (30 Sep 2008)

  4. Yesterday, my 21-year-old daughter fought lows all day long and didn't take any insulin after breakfast. She had a similar episode a month ago. Could her birth control pill be causing this? Are there other ways to deal with endless lows? (29 Sep 2008)

  5. Is is possible for a child with diabetes to have memory loss? (29 Sep 2008)

  6. Symptomatic for diabetes since March, our daughter's fasting blood sugar was slightly elevated and she tested negative for antibodies. If it's not diabetes, what else could it be? How should we proceed? (27 Sep 2008)

  7. My nephew is now blind in one eye and has bleeding in both. He was told to wait three weeks for surgery. Should he do so? What will happen with the bleeding? Will he still be blind? (27 Sep 2008)

  8. Our friends' daughter and another young girl with type 1 both have painful gout-like conditions in their feet. Is this common with type 1? (26 Sep 2008)

  9. Sometimes, my daughter's elevated blood sugar will drop without a correction, but when I do a correction, she doesn't go low. Does a correction counteract a spike and cause a slower, more controlled drop in one's blood sugar? (25 Sep 2008)

  10. At the Emergency Room, my son's blood sugar was 141 mg/dl [7.8 mmol/L], normal, per the doctor. With a family history of type 1, we knew this was slightly elevated. Should we take him to a pediatric endocrinologist? (25 Sep 2008)

  11. Three years ago, I was told I had type 2. Later, they said it was MODY. A month ago I was tested for MODY, but don't know the results. Now on quite a bit of insulin, could I have type 1 and have had a long honeymoon? (24 Sep 2008)

  12. Can I give my daughter, who may have diabetes, fruit juice for her fruit intake? (24 Sep 2008)

  13. I have type 2. Lately, I have been experiencing elevated blood sugars, increased thirst, and hot flushes. Should I contact my doctor? (24 Sep 2008)

  14. My mail order pharmacy has said my insurance will no longer cover Humalog for my daughter. What can we expect if she switches to NovoLog? (24 Sep 2008)

  15. My son's endocrinologist refused to renew my son's numbing cream prescription and wouldn't tell us why. What might his motivation be? (24 Sep 2008)

  16. What can you tell me about quinoa? Is it good for people with type 1? (23 Sep 2008)

  17. In the last two weeks, my seven-year-old has tested positive twice for red blood cells, white blood cells, and bacteria in her urine. Should I be concerned? There is a family history of kidney problems. (23 Sep 2008)

  18. What are some snacks with slow acting carbohydrates and protein? (23 Sep 2008)

  19. Is there any evidence that Zocor protects the beta cells from further damage in newly onset type 1 diabetes? (23 Sep 2008)

  20. My son has had severe mood swings for two years. Are these related to diabetes, with which he was just diagnosed? (22 Sep 2008)

  21. My 13-year-old hasn't been taking proper care of herself lately. She recently had a high protein level in her urine. What does this mean? What can we expect from the nephrologist she will be seeing? (21 Sep 2008)

  22. Diagnosed with MODY 2, my son's fasting and 2 a.m. blood sugars are slightly elevated. Is there medication to help lower them? What should his A1c be? (21 Sep 2008)

  23. Does the signal for an insulin pump affect a cochlear implant processor or the processor affect the pump? (18 Sep 2008)

  24. My nine-year-old son has type 1. Are sugar free drinks and other sugar free items safe for him? (18 Sep 2008)

  25. We got an I-port for our son, but we can't get it to function properly, leading to high blood sugars. Do others have similar problems? (17 Sep 2008)

  26. Just diagnosed with type 1, my daughter has noticed a few dark spots on her torso. Could they be an indication of Addison's disease? Is she at increased risk for this because she has diabetes? (17 Sep 2008)

  27. On NovoMix 30, my daughter has very elevated afternoon blood sugars. Is there another insulin she can take in the morning to cover her after lunch? (17 Sep 2008)

  28. Recently, my son, who tested positive for one antibody in June, has been drinking a lot and soaking through his clothes. If he were to develop diabetes, how long would it be before his sugar goes higher? (14 Sep 2008)

  29. During a recent stomach bug, my daughter, who does not have diabetes, had low blood sugars and ketones. Why? (13 Sep 2008)

  30. I've been hearing for eight years that a cure for type 1 is 10 years away. What is the current status of a cure? I want to share some hope with my daughter. (13 Sep 2008)

  31. My son has been running very high over the last month. Every time we increase his insulin, his blood sugar goes up. Could his liver be overproducing glucose? What do you think is going on? (12 Sep 2008)

  32. Can a person newly diagnosed with type 1 be cured or at least protect the amount of islets that are not dead? (12 Sep 2008)

  33. If you follow your doctor's advice and keep your sugars in range as close as possible, will you definitely have complications of diabetes? (12 Sep 2008)

  34. Can the newborn baby of a hyperglycemic mother have hypoglycemia? What are the consequences for that baby? (12 Sep 2008)

  35. During discussions about getting a pump, my daughter was frightened by talk of DKA, but she's okay now. But, at what age is it appropriate to discuss more specific information about complications? (12 Sep 2008)

  36. I recently had an OGTT. My two hour blood sugar was 232 mg/dl [12.9 mmol/L] so the doctor gave me a meter and said to come back in six months for repeat testing. Are there other tests I should request? Other than "cutting back on refined carbohydrates," is there another treatment I should be doing? (11 Sep 2008)

  37. Recently, my daughter has been low 80% of the time, despite insulin adjustments. The lows are usually within 15 minutes of a meal. What could be causing this? (10 Sep 2008)

  38. My doctor says I have type 1.5. Can an anti-GAD test clarify if I have LADA or MODY? (10 Sep 2008)

  39. My daughter has blood sugar spikes in mid-afternoons and late evenings, so we have increased her basal rates at these times. Why is she high at these times? What should we do to prevent them? (10 Sep 2008)

  40. Within the past year, I have been experiencing both low blood sugars and postprandial highs. My laboratory checked fasting blood sugar was normal, as was my A1c. What should I do? (10 Sep 2008)

  41. I want to order my supplies online. Who do your readers use, if you know, or who is known to reputable? (10 Sep 2008)

  42. I'm a school psychologist with a student who refuses to follow her diet. Are there any behavioral intervention plans/suggestions you could provide to help us here at school? (10 Sep 2008)

  43. At a check-up, my daughter had glucose in her urine, a blood sugar of 250 mg/dl [13.9 mmol/L] and an A1c of 6.7. Is this early diabetes? (10 Sep 2008)

  44. The principal at my son's new school has recommended my son not eat breakfast at school and said he must eat lunch with the nurse. With whom should I file a complaint? My son does has a 504 plan. (9 Sep 2008)

  45. My toddler almost always has a nighttime low around 3 or 4 a.m. and needs treatment. With the proper dose of Lantus, should she be able to sleep through the night? (9 Sep 2008)

  46. What can be done to reduce the risk of dead in bed syndrome? Even if one's A1c is suggestive of not too tight control, could it still allow for many lower readings? (8 Sep 2008)

  47. For me, nicotine replacement causes faster absorption of my bolus insulin. Is nicotine replacement dangerous for a diabetic? How much is too much if absolutely necessary for one's smoking cessation success? (8 Sep 2008)

  48. My boyfriend has pre-diabetes. When he eats high carbohydrate meals, his heart begins to race. Could the carbohydrates cause the racing? (7 Sep 2008)

  49. I am interested in an Animas pump. How does its size to compare to my MiniMed 508? What have others said about Animas pumps? (7 Sep 2008)

  50. The school's field hockey coaches have told my daughter she will lose playing time due to the time she spends checking her blood sugars and treating lows during practices. Isn't this discrimination? What should be my next step? (5 Sep 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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