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  Back to Ask the Diabetes Team Questions from March 2010

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. I was recently diagnosed with type 2 at a health fair. I had no risk factors. Since I was not syptomatic, can you explain why I have it? (31 Mar 2010)

  2. Is it possible that extra insulin can interfere in filtration from micro-vessels and from liver, kidney, etc. and cause some problem because it is a big molecule and exogenous insulin can be bit odd for body's normal handling? (31 Mar 2010)

  3. Should my son take nutritional supplements such as calcium, fish oil and a multi-vitamin? (31 Mar 2010)

  4. Have you heard of Pelikan Technologies? Are they planning a new device now that they have taken the old one off the market? (29 Mar 2010)

  5. My doctor wants me to test my GAD antibodies, C-Peptide, vitamin B12 and vitamin D to ascertain if I have frank diabetes. Are these the right tests? How helpful are they? I am concerned because they are expensive. (22 Mar 2010)

  6. I am bored. Is this related to my diabetes? Why am I so thirsty after eating proteins? Is there a balm I can use to help heal my scars? (22 Mar 2010)

  7. Recently, my son has had episodes of shaking, paleness and fussiness. I am to test his fasting blood sugars at home for a week. Could his symptoms be related to his mastocytosis? Do toddlers get hypoglycemia? (22 Mar 2010)

  8. Are there any tips on how to inject a newly diagnosed young child who panics are the thought of his injections? Are there ways to help ease his fear of injections? (19 Mar 2010)

  9. I have experienced some elevated blood sugars. The doctor wants me to go back for a fasting blood sugar in a month. Why do I continue to feel so horribly, even when avoiding refined sugar? (17 Mar 2010)

  10. We were told at a diabetes fair that a One Touch Meter is more accurate than the Freedom Lite we have been using for our grandson. Which is better? We use the Lite because we are uninsured and can get a discount on strips. (17 Mar 2010)

  11. My daughter's school would like to see some studies on the extent of cognitive thinking impairment when blood sugars are out of the normal range. Where can I find such studies? (17 Mar 2010)

  12. Both my husband and older son have type 1. Our infant son doesn't have the high risk genes. Is there still a higher probability than the general population that he might get type 1? (17 Mar 2010)

  13. Since his diagnosis last September, my son has had chronic fatigue, headaches, and circles under his eyes. He was on Levoxyl, but then taken off it. What else should we look for? The doctor has suggested an allergist and psychologist. (16 Mar 2010)

  14. Since a stomach bug a week ago, my son has needed no insulin to cover the foods he has consumed and has had in range blood sugars. He is still getting Lantus, but I need to reduce this, too. Is this common after an illness? (15 Mar 2010)

  15. My daughter has had diabetes for six years. Recently, she has been consistently low. Is she in her honeymoon period? (15 Mar 2010)

  16. My son is taking insulin and ayurvedic treatment simultaneously. Might there be any side effects? (13 Mar 2010)

  17. Since November 2008, my teen daughter has had periods of stomach pain, nausea and vomiting, followed by swelling and very heavy menstrual cycles. Her blood sugars are mostly in range, with an A1c of 14.1. Have you seen such symptoms before? What do you think of these symptoms? (12 Mar 2010)

  18. My most recent A1c was half a point lower than expected. Could my blood donation about six weeks earlier have affected this result? (10 Mar 2010)

  19. Since going on an OmniPod, we find we need to treat our daughter's lows twice because it takes much longer to bring up her blood sugar What might be causing this? Should we suspend the pump to help bring up her blood sugars? (10 Mar 2010)

  20. My son has goes through three one to two week periods when he felt ill, but had no vomiting, fever or ketones. The doctor feels it is not diabetes related. What is your opinion? (10 Mar 2010)

  21. What is the difference between MODY and type 1? What are the chances someone with MODY can take pills instead of insulin? (10 Mar 2010)

  22. Do most endocrinologists have their patients learn a carbohydrate counting/ratio system before transitioning them to a pump? Can diluted fast-acting insulin help obtain better dosing accuracy? (8 Mar 2010)

  23. My toddler has lost weight for about a year and she has puffy eyelids. Her blood sugar was 6.4 mmol/L [115 mg/dl] this morning. Could this be diabetes or an issue with her kidneys? (8 Mar 2010)

  24. After eight years on Humulin and Humalog, my son has been having a lot of lows. We reduced his insulin and he is not more active. Could it be bad insulin or is there a chance his pancreas could be working after all this time? (7 Mar 2010)

  25. My son has had a few slightly elevated fasting blood sugars, a few months after having the flu. Do I have cause for concern? Both my sister and I have type 1. (6 Mar 2010)

  26. Because of the red blood cell turnover, would donating blood on a regular basis affect one's A1c? (5 Mar 2010)

  27. After five years on metformin I am having post-prandial spikes over 200 mg/dl [11.1 mmol/L]. Is there another medication I could take? Could I stop the metformin and just adhere to a strict diet? My A1cs have been fine. (5 Mar 2010)

  28. My 12-year-old son has been physically damaging our home when being disciplined and I am afraid he might harm himself or someone else. His blood sugar was very high during one recent incident. Could the high have caused his rage? Would a pump help his blood sugars and, subsequently, his behavior? (4 Mar 2010)

  29. Diagnosed in early February 2010, is there anything we can do to help my daughter's pancreas continue to produce insulin? Would my daughter benefit from taking a vitamin D supplement? Is there anything else that may ease the situation long-term? (2 Mar 2010)

  30. I went on the mini pill to regulate my periods but have stopped taking it due to bad side effects. Would going on the combined pill be any better for me? My doctor says it's unsuitable for someone with diabetes. (2 Mar 2010)

  31. My daughter is having post-lunch lows that require a treatment of about 100 grams of carbohydrates and turning off the pump for four hours. How would a reduced lunch bolus help? Has anyone experienced this? (2 Mar 2010)

  32. Recently, the NovoLog corrections I've given my son during the night have not lowered his blood sugar very much. Why is this happening? My sone is 12 and has had diabetes for eight years. (1 Mar 2010)

  33. Is my daughter's insulin regimen a cause for concern? Her breakfast ratio 1:1.6; lunch 1:2.3; and dinner 1:1.6. She takes 10 units of Lantus before dinner. (1 Mar 2010)


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 15:10:20
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