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  Back to Ask the Diabetes Team Questions from June 2009

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. My daughter was on an antibiotic for a short time when she had mononucleosis. Four weeks later, she was diagnosed with type 1. Could the antibiotic have brought on the diabetes? (29 Jun 2009)

  2. My 10-year-old tested positive for the three antibodies that cause diabetes. I've read that she will get diabetes, that her body may already be attacking itself. Is this correct? (29 Jun 2009)

  3. My doctor said a post-meal blood sugar should be between 7 and 10 mmol/L [126 and 180 mg/dl]. Is this correct? I thought a normal blood sugar was between 4 and 7 mmol/L [72 and 126 mg/dl]. My daughter's random blood sugar was 8.9 mmol/L [160 mg/dl]. Might she have pre-diabetes? (29 Jun 2009)

  4. What kind of medicine should I apply to my son's injection sites? He has scratches and a rash. What should I give him to help with his lower leg pains? (29 Jun 2009)

  5. I'm going to have a tonsillectomy. I've heard you can lose up to 15 pounds afterwards. Since I'm normal weight, should I try to gain weight now to offset the loss? (29 Jun 2009)

  6. Based on my recent test results, am I headed for a diagnosis of diabetes? If so, how can I prevent it? (26 Jun 2009)

  7. How many carbohydrates should my three-year-old eat daily? (24 Jun 2009)

  8. My younger son has had elevated random and fasting blood sugars, while my older son has had elevated random blood sugars. What are the odds both have diabetes? Could they have MODY? My husband was diagnosed with type 1 as an infant. (23 Jun 2009)

  9. I've had type 1 for about 10 years. Starting around two weeks ago, my stomach has been quite bloated and I've had some abdominal pains and increased gas. What could be causing this? (23 Jun 2009)

  10. Is it possible for the honeymoon to last for "years?" If we keep our recently diagnosed son on a lower carbohydrate diet, thus requiring less insulin, might this prolong the honeymoon? (22 Jun 2009)

  11. A five day continuous sensor indicated that my daughter's blood sugars fluctuate, but were not higher than 200 mg/dl [11.1 mmol/L]. Eating a low carbohydrate diet with food every two hours, my daughter's symptoms have improved. Is she destined to get diabetes? (22 Jun 2009)

  12. Recently, my hands were shaking and I was dizzy. I knew it was time to eat, but didn't have a meter to check my blood sugar. Are dizziness and stumbling symptoms of a low blood sugar? I'd never experience such a low before. (18 Jun 2009)

  13. When the temperature is consistently over 75 degrees F., I have to reduce my medications drastically because I suffer many low blood sugars. Why does this happen? I usually feel the lows, but they scare me. (18 Jun 2009)

  14. Is it possible for it someone's blood sugar to spike really high then be normal two hours after eating? With MODY, will there always have a high blood sugar after eating or is this something that will not occur all the time? (18 Jun 2009)

  15. My teen niece was diagnosed with type 1 by the pediatrician. She was given no treatment plan, not even a glucometer. She is rebelling, refusing to acknowledge the diagnosis. She says she will never give herself injections. What can I do to help her through this? I've lived with type 1 for 31 years. (17 Jun 2009)

  16. Are glucose tablets considered medication? How much would three tablets raise one's blood sugar? Can a child have 1% chocolate milk at lunch that has 26 grams of carbohydrates? (17 Jun 2009)

  17. How long does it take for your body to stabilize after being diagnosed with gestational diabetes? What should your blood sugars be? (9 Jun 2009)

  18. My son, who takes Levemir and NovoRapid, just had his first seizure. Are these insulins okay for him? Are there better insulin options? How do I prevent another seizure? (9 Jun 2009)

  19. In a recent CBC, my son had a 41.1% lymphocytes count. How can I find out more about what this means? What kind of doctor should I consult? (9 Jun 2009)

  20. I am concerned about my recent forgetfulness. Could the lows I had when younger be causing this? Is this common in others with long term diabetes? (9 Jun 2009)

  21. My daughter, who is teaching in Japan, was just diagnosed with diabetes. Should she return to New York or can she get good care in Japan? Where can I find a new endocrinologist in Manhattan? (8 Jun 2009)

  22. Does the body treat sugar substitutes just like sugar? (8 Jun 2009)

  23. My nine-year-old's fasting blood sugar ranges from 110 mg/dl [6.1 mmol/L] to 120 mg/dl [6.7 mmol/L]. He had negative antibodies two years ago. Is this something about which I should worry? (8 Jun 2009)

  24. Does anyone know where I can find an article regarding how the presence of a diabetes school plan affected the child's final glycohemoglobin? (7 Jun 2009)

  25. How high can a non-diabetic child's bloodsugar get? (7 Jun 2009)

  26. With the new swine flu outbreak, is there anything special, other than washing hands, that we should be doing for prevention? Is Tamiflu safe for those with type 1? (6 Jun 2009)

  27. Diagnosed six months ago, my 13-year-old takes Levemir twice a day. His last A1c was 6.3. Would this be a good time for him to go on an insulin pump? (6 Jun 2009)

  28. What adjustments should be made to our son's insulin pump to adjust for the time change during our upcoming trip to Europe? (5 Jun 2009)

  29. Is there a "mild form" of type 1 diabetes in which you continue to produce small amounts of insulin, thus leading to better control? Is my excellent control to date attributed to my pump or to the fact that I may still be producing some insulin? (3 Jun 2009)

  30. Which diabetic conditions and diabetic medicines can slightly lower blood pH? (3 Jun 2009)

  31. Can metformin's effect be attributed just to its acidic (lactic) effect causing vasodilation and more transcapillary movements of glucose and insulin? (3 Jun 2009)

  32. Although he's had increased urination and thirst, my son's fasting blood sugar at the doctor's office was in range. He did have glucose in his urine. Is diabetes safely ruled out at this point? Does he need further monitoring? (3 Jun 2009)

  33. My teen has started a week long fast. He plans to consume juice or milk only for lows. What are the risks involved? (2 Jun 2009)

  34. What is creatinine (urine microalbumin)? Is a 78 mg/g level of creatinine (urine microalbumin) good? What is the normal range? (2 Jun 2009)

  35. Do you have any current information about people transitioning between NIDDM and IDDM who are considered as 1.5s? (1 Jun 2009)

  36. Diagnosed with type 1 at the age of three, my teenage daughter has acanthosis nigricans. She is not overweight and is active. What does this mean? Are there other similar cases? (1 Jun 2009)

  37. Does eating sugar/carbohydrates with salt and without salt make some difference in sugar/carbohydrate absorption in the intestines ? (1 Jun 2009)

  38. My granddaughter has not started her menstrual cycle. Is it possible that a hormone imbalance can mimic diabetes? (1 Jun 2009)


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 15:10:18
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