Back to Ask the Diabetes Team Questions from July 2009

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  1. My baby, due in October, is at risk for type 1 since both my husband and son have type 1. If I am unable to breast feed, what type of formula is best? (31 Jul 2009)

  2. My teen daughter has been struggling with her A1c. She doesn't want to work to lower it, assuming it will lead to weight gain. How can we convince her she needs to work on lowering it? (29 Jul 2009)

  3. My teen daughter has had three episodes involving overnight hypoglycemia and transient aphasia. Does she need to see a neurologist, as our endocrinologist has recommended? Do these episodes cause permanent brain damage? (29 Jul 2009)

  4. When I forgot to take my Glucovance, I discovered my blood sugars were in range. Still dieting and exercising, do I really have type 2? (27 Jul 2009)

  5. Sometimes, my daughter wakes up early, shaky and weak. She vomits, goes back to sleep, awakening later ravenous. Her blood sugar was fine, but her C-Peptide was "low." I take her to an endocrinologist in three months. Is it okay to wait that long or should I try to find another doctor who could see her sooner? (26 Jul 2009)

  6. According to a web site, my BMI is 43.1. I am thirsty, urinate a lot, have blurry vision, and some numbness in my arms. Might I have diabetes? (25 Jul 2009)

  7. Like many with type 1, my young son tested negative for antibodies. Why is it that some type 1s do not have antibodies at diagnosis? (24 Jul 2009)

  8. On two recent occasions, my son has taken "vacation days" from diabetes, skipping insulin on those days. How should I deal with this? I am concerned he will start to do this more frequently. (23 Jul 2009)

  9. Medicaid is going to limit my son to 100 test strips per month. How is he supposed to survive with so few strips? Are four tests a day the norm for people with type 1? (23 Jul 2009)

  10. I am a case worker with two young children who have type 1. In separate homes, both children are sneaking foods. What should the parents do to stop this behavior? (22 Jul 2009)

  11. My son has had four morning seizures when his blood sugar has been in the low 100s mg/dl [5.6 to 5.8 mmol/L]. Why is this happening? (20 Jul 2009)

  12. Other than specific diabetes medications, are there any other medications that can raise or lower one's blood sugar? (20 Jul 2009)

  13. My son has been doing well taking NovoLog, but the doctor wants him to switch to Humalog because it is faster acting. Is there a downside to Humalog? Should we make the switch? (20 Jul 2009)

  14. My son has been drinking a lot, but has no other symptoms of diabetes. Using my own meter, he has had some slightly elevated post meal blood sugars. Are toddlers' blood sugar value different from those of adults? Does my son need further testing? (17 Jul 2009)

  15. Diagnosed with type 1 about five years ago, my teen son experiences severe stomach cramps, sometimes after the smell of foods. What could this be? What can we do to alleviate the pain? Tests have not given us a diagnosis. (17 Jul 2009)

  16. My daughter has suspected MODY. Recently, her post meal blood sugars have remained elevated for several hours, despite diet/insulin. Might she have type 1? Does she need her autoantibodies rechecked? (17 Jul 2009)

  17. I've had diabetes for 29 years. I had one successful pregnancy, one miscarriage. During my current pregnancy, my protein and microalbumin have jumped dramatically. What might have caused this? (16 Jul 2009)

  18. My daughter has been sick frequently for five years. She had positive GAD antibodies in the past and now has H. pylori. Are there side affects of the medications she must take that relate to blood sugar? Can H. pylori explain her intermittent hyperglycemia? (15 Jul 2009)

  19. My daughter cut the side of her foot, tearing off a piece of skin. I am keeping cream and a bandage on it. Is this the type of injury that turns into something worse in diabetics? (15 Jul 2009)

  20. Is there any empirical data showing the effects that heat and humidity have on children with type 1 diabetes? (15 Jul 2009)

  21. When I exercise intensely, I feel very nauseous about two hours later. My blood sugar is not too elevated, but I have large ketones. How can I prevent the ketones/nausea? They make me reluctant to continue to exercise. (15 Jul 2009)

  22. Although most of my son's fasting blood work was normal, his GAD-65 was high so the doctor has referred us to an endocrinologist. Might he have diabetes? (14 Jul 2009)

  23. When she was diagnosed with a UTI, my daughter's urine was sent for more laboratory work. The doctor called to say her glucose was three times higher than normal, to take her in on Monday. What are the chances it is diabetes? (4 Jul 2009)

  24. Where can I find a software application to use with my glucose monitor and a Mac? (3 Jul 2009)

  25. I have a family history of diabetes, but I do not have it. I have had times when my hands shook, I was agitated and craved chocolate, often after drinking Diet Coke or carbonated water. Are these beverages the cause of my symptoms? (2 Jul 2009)

  26. Why is my blood sugar still high and my weight loss continuing after just starting 25 units of NovoLog three times a day and oral medications? (2 Jul 2009)

  27. Last summer, my menstrual cycle stopped and I gained 30 pounds in two months. I eat healthy and play basketball. I was given Glucophage, but taken off it when I tested negative for PCOS. I am struggling to lose the weight. What do you suggest I do to lose it? (2 Jul 2009)

  28. Using a home monitor, my fasting blood sugars were 9.9 mmol/L [178 mg/dl]. Laboratory tests say I am bordering on a diagnosis. Will the poisoning that is happening kill me? (1 Jul 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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