Back to Ask the Diabetes Team Questions from March 2009

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  1. On three occasions, my son has been sweating, confused, and unable to walk. His blood sugar was low, higher after treatment. Some of his post meal blood sugars have been elevated. What does this mean? (27 Mar 2009)

  2. I have type 2. My recent A1c was 6.6, the same as at diagnosis in early December. The nurse has said the doctor is pleased with this, but I feel my efforts have been negligible. Should I get a second opinion? (27 Mar 2009)

  3. My grandson's morning blood sugar was 102 mg/dl [5.7 mmol/L]. Is that too high for him? (27 Mar 2009)

  4. My teen nephew is coming to stay with us with the hope that we will help him get his diabetes under control. We hope to be able to monitor him more closely and help correct his destructive behavior. Are we taking the right steps? What else can you suggest? (24 Mar 2009)

  5. My son recently had a seizure with a blood sugar of 58 mg/dl [3.2 mmol/L]? Why did he seize at this level when he's not done so when his blood sugar has been lower? (24 Mar 2009)

  6. My son is drinking and urinating a lot. After a banana, his blood sugar went up to 320 mg/dl [17.8 mmol/L]. I am expecting a reply from the hospital. What might they say? (24 Mar 2009)

  7. Since starting Synthroid, my daughter's blood sugars have been soaring. Why is this? (23 Mar 2009)

  8. A nephrologist said my daughter has orthostatic proteinuria, probably not related to her diabetes, and suggested monitoring. Would lisinopril be useful in this case? The endocrinologist was not concerned. Do you agree with his assessment? (23 Mar 2009)

  9. Should I get a GlucoWatch monitoring system for my child? Are there any other continuous monitors? (23 Mar 2009)

  10. Sometimes my fasting blood sugar is higher. How can I achieve normal blood sugars during the night? I take Lantus in the morning, based on my fasting reading, Humalog for foods. (20 Mar 2009)

  11. Today, my daughter's blood sugar dropped to 62 mg/dl [3.4 mmol/L] then up to 175 mg/dl [9.8 mmol/L] a little over an hour later. Are such variances okay? We are relatively new to diagnosis. (20 Mar 2009)

  12. We usually increase our daughter's Lantus during her cycle and see okay blood sugars. Now, she is in range after lunch, but high before dinner. Why would this be? She is in puberty. (16 Mar 2009)

  13. Since my pregnancy 20 years ago, I have been pricking my ear lobe to check my blood sugar. Is there any reason why I shouldn't use my ear lobe? (16 Mar 2009)

  14. My stomach area is getting larger and larger. Can you tell me why this is happening and what can I do to reduce this? (16 Mar 2009)

  15. Can the overstimulation of beta cells or overexposure of insulin to target cells as a result of insulin resistance spark an autoimmune response against beta cells meant to decrease insulin's overexposure? (16 Mar 2009)

  16. When diagnosed with type 1, we took our daughter off Concerta because it suppressed her appetite. Are supplements for ADHD okay for children with diabetes? What do you know about Omega 3 and Attentive Child? What to other families with both conditions do for their children? (16 Mar 2009)

  17. My friend's teen daughter is not taking of her diabetes. I have been asked to help care for her. How can I get her to take better care of herself? We are hoping a pump will be helpful. (16 Mar 2009)

  18. My granddaughter has been put on lisinopril to protect her kidneys. Since this is a blood pressure medication, how will it do so? What will it do to her over the years? (15 Mar 2009)

  19. How do I use insulin, eat carbohydrates, and drink water with the need to reduce calories and increase my activity level for weight loss? (14 Mar 2009)

  20. Is there any way to a get a prescription for Humalog without paying full price to see an endocrinologist? (14 Mar 2009)

  21. My son's 504 was put in place on March 31, 2008 so the school wants me to conduct a meeting to renew it since one year is nearing. How should I proceed? (14 Mar 2009)

  22. Having taught her that fruit is a healthy food, my daughter wants fruit as her snacks, but it makes her blood sugar high. Is there something else I could give her? She will not eat vegetables. (10 Mar 2009)

  23. The endocrinologist suggested my husband try Glucerna as a meal substitute to see if it helps him achieve a lower A1c. Since adding it, my husband has extreme stomach gas and constipation. Is the Glucerna causing this? (8 Mar 2009)

  24. What are the possible side effects of taking metformin regarding lactic acid? (8 Mar 2009)

  25. Are there some conditions which can cause early or late degradation and excretion of endogenous and injected insulin in intravascular and extravascular areas? (7 Mar 2009)

  26. Since going on Lantus about a year and a half ago, my daughter's wavy and curly hair has broken off quite a bit. What can we do to get it to grow back? (4 Mar 2009)

  27. To prevent lows at night, we give our son a small snack, no insulin, if his blood sugar is a little low. He is often high at 2 a.m. and before breakfast. What do you suggest? He gets Lantus in the morning, Humalog for meals. (1 Mar 2009)

  28. Is the oversecretion of cortisol common in type 2 diabetics who are insulin resistant? (1 Mar 2009)

  29. I have been instructed to calculate negative insulin for a young patient. Can you confirm that I am doing this correctly? (1 Mar 2009)

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)
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 15:10:18
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