Back to Ask the Diabetes Team Questions from July 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 started an ACE inhibitor due to high albumin. My albumin is now fine, but my creatinine was low. What does this mean? Am I doing ok, as my doctor has indicated? (27 Jul 2010)

  2. My friend lets her child's blood sugars run consistently in the 300s to 500s mg/dl [16.7 to 33.2 mmol/L]. Isn't this bad for the child? If so, what is the best way to tell my friend? (27 Jul 2010)

  3. My daughter experienced a honeymoon in February 2010. In the past month, she has again needed to reduce her insulin drastically. What do you think is going on? Her diabetes team plans to do some testing and is considering putting her on metformin to see if this helps manage her blood sugars. (27 Jul 2010)

  4. Based on her symptoms, could my daughter have diabetes? Is there such a thing as a false negative if tested for diabetes as a child? (21 Jul 2010)

  5. My 18-year-old has taken over her diabetes care while living at home. Her A1c is around 12, so she's not taking very good care of herself. How do I help her transition into adulthood? Should I try to resume some of her diabetes care? (20 Jul 2010)

  6. Since a recent stomach bug and bad low, my young son isn't eating much at all. Is it possible he is developing some early form of anorexia? We are very concerned. (20 Jul 2010)

  7. After her blood work indicated she has celiac, my daughter had an endoscopy that showed no celiac. The doctor did a biopsy. Could it be negative even with a positive blood test? (19 Jul 2010)

  8. A positive ANA test indicated my daughter has lupus. How common is lupus in someone with type 1 diabetes? (16 Jul 2010)

  9. Since I started taking insulin, I have been experiencing edema, which is not being helped by diuretics. What do you suggest? (15 Jul 2010)

  10. The doctor suggested switching my son from NPH and Regular to NovoLog and Lantus. Is there a way to continue the old regimen and get better control? Might the lack of exercise be contributing to poorer control? Which is better: Lantus or a pump? (14 Jul 2010)

  11. My grandson's infusion sets come off when he sweats. How can I prevent this? Where can I find a summer camp to accommodate him? (14 Jul 2010)

  12. I have a son with type 1 and a daughter with Crohn's, both autoimmune diseases. Are both linked to the same gene? Is there a chance that my daughter with Crohn's can also get diabetes and that my son with diabetes can also develop Crohn's? (8 Jul 2010)

  13. Through a routine blood test, I have learned my son is developing type 1. Is there any type of intervention to prevent the full development of the disease? We prefer not to get involved in a study where he might have to take a placebo. (8 Jul 2010)

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)
Fran Kaufman, MD (Pediatric Endocrinologist, member since August 2006)
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 July 27, 2010 19:57:06
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