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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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The most recent questions:
- Do you know anyone using the T-slim pump and do they like it? Since our endocrinologist is not pump savvy, should I look for one who also as an educator and nurse? (16 May 2013)
- Newly diagnosed, our daughter's blood sugar was 250 mg/dl [13.9 mmol/L] at 11:30 p.m. We gave her two glasses of water. Should we do a correction or wait? (16 May 2013)
- In a drug test for employment, my daughter tested positive for cocaine, which she says she had not used. I saw on the Internet that diabetes may result in a false positive. What should we do? (16 May 2013)
- My daughter was put on high dose estrogen pills for severe menstrual bleeding. Her blood sugars then went up, as did her A1c. Was this an appropriate treatment for a teen with type 1? Blood work also shows her AST is elevated from taking the pills. Do I need to worry about liver damage? (8 May 2013)
- Since getting a Depo Provera shot for her PCOS, my daughter's blood sugars have remained between 300 and 600 mg/dl [16.7 and 33.3 mmol/L]. Is this from the shot? How long will this last? (30 Apr 2013)
- The endocrinologist has recommended we put our daughter on a pump before she starts kindergarten in the fall. Our daughter is not interested. What are its advantages compared to pens? (30 Apr 2013)
- I am a school nurse with a newly diagnosed teen patient who has fluid retention in many parts of her body, caused by insulin per her doctors. I have never heard of this. Could there be something else going on? (30 Apr 2013)
- My teen son required several treatments for a low blood sugar two days ago. Since then, his blood sugars have been running higher than our usual tight control. Does this signify the end of the honeymoon? (30 Apr 2013)
- Despite having had it for over 30 years, I have never taken care of my type 1 diabetes. Is it too late to start taking responsibility for it? (9 Apr 2013)
- Is there any link between hypoglycemia and undiagnosed type 1 diabetes? After shoveling snow, my son "looked low," was 55 mg/dl [3.0 mmol/L] according to my daughter's meter. Should I be concerned or is this common in people after exercising? (8 Apr 2013)
- My teen son checks his blood sugar only once or twice a day, refuses to upload his numbers from the pump or get blood work, and will not discuss his diabetes with me. What should I do? (27 Mar 2013)
- My teen daughter's A1c was 9%, the highest it's ever been. She has school related stress, mood swings, fatigue. Also, her face is a bit puffy and she doesn't feel "right." What do you recommend we do? (20 Mar 2013)
- When sick, my teen daughter has symptoms of diabetes. She has tested positive for two of the antibodies, but has not been diagnosed with it. Do I need to be concerned? I am trying to prevent her from being as sick as I was before I was diagnosed as a teen. (19 Mar 2013)
- My son has his three month check-up after diagnosis. What are some questions that I should be asking at this point? I want to be an informed patient and his advocate. (5 Mar 2013)
- My teen son says it is not fair to punish him for behavior that occurs when his blood sugar is quite elevated. Is there a specific blood sugar reading beyond which he cannot control his anger? (27 Feb 2013)
- Although my four-year-old daughter's blood sugars fluctuate greatly, our diabetes team is pleased with her A1c. They want me to correct her to 100 mg/dl [5.6 mmol/L] at night, but I am not comfortable with this. Am I being unreasonable? (6 Feb 2013)
- Despite my best efforts, my teen son's pediatric endocrinologist feels we are not doing enough to prevent highs and lows. My son wears a pump and a CGM. Would an adult endocrinologist be a possible solution? (4 Feb 2013)
- My granddaughter lies about cheating with foods and has great swings in her blood sugars. She will not do her school work and does not care about anything. Where can we find help? (24 Jan 2013)
- Hours after receiving her flu vaccine, my daughter's blood sugar spiked. Can the immune response from the flu shot cause this? (15 Jan 2013)
- After his initial diagnosis nine months ago, my son started to regain the weight he'd lost. Now that he's up to the 88th percentile for his age, I worry about the long-term impacts. Am I worrying needlessly? (11 Jan 2013)
- Our primary physician and I are concerned about my young daughter's elevated A1cs while the endocrinologist is not. What do you recommend? Should I seek a second opinion? (9 Jan 2013)
- Is it okay for my sister to breast feed her daughter who was just diagnosed with type 1 and is in the ICU? The doctors at the hospital do not recommend it, but the pediatrician says it would be fine. (24 Dec 2012)
- Do you know of any association or relationship between type 1 diabetes and the autoimmune condition immune thrombocytopenic purpura? (4 Dec 2012)
- Diagnosed two weeks ago, my son's blood sugar was 360 mg/dl [20 mmol/L] two hours breakfast. We have been told to change his insulin dosage. Is this normal? Is there any diet change that may help to make this more stable? (26 Nov 2012)
- At the doctor's office, my daughter's blood sugar was 199 mg/dl[11.1 mmol/L]. Two hours after dinner, it was 162 mg/dl [9 mmol/L]. Should I wait for her test results or take her elsewhere? I am concerned about her. (26 Nov 2012)
- How can we train our son to feel highs and lows so he can take care of himself when he goes off to college next year? (13 Nov 2012)
- What is the current research on storing a sibling's cord blood for a potential cure? I am pregnant; are there any preventative measures to reduce this baby's risk of developing type 1? (31 Oct 2012)
- Is it possible my 12-year-old daughter has a sensitivity to insulin? She has experienced several abnormalities since going on insulin. (31 Oct 2012)
- Diagnosed 16 months ago, my son no longer needs insulin. Is it common to have a honeymoon this long after diagnosis? (30 Oct 2012)
- At the Emergency Room, my son had an elevated blood sugar after eating. When seen by a specialist, all results were normal. What do you think is going on? (3 Oct 2012)
How to Submit a Question
Use the Question Submission Form to submit a question to the Diabetes Team.
If you want information about an individual situation, please include the age of the child or teenager, or if an adult, whether the person is a young adult, middleager, or senior citizen. Also, indicate the type of diabetes (Type 1 or 2) and let us know about how long the diabetes has been diagnosed.
A valid e-mail address must be included with your question. We cannot answer questions submitted without an e-mail address. If you want other readers to be able to send you e-mail about your question, let us know and we'll include your email address in the answer.
Remember, answers given will be answered in general terms for the benefit of all our readers, and therefore may not specifically give medical information that will directly apply to your situation (See our Disclaimer).
Before you submit your question, please check the index of previous questions to see if we've already answered your question.
Questions may be edited for space and clarity.
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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