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.
- Is there any correlation between the side effects of low dose birth control pills and "dead in bed" syndrome? (19 Nov 2013)
- In a school setting, when staff are asked to check a student's blood sugar, do you think that the lancet needs to be changed for every check to decrease the chance of a blood borne pathogen incident? (19 Nov 2013)
- A year ago, my teen daughter's A1c was 9.6. She ran high, struggled to keep from gaining weight. Now, her A1c is 7.6 and she has lost 16 pounds. Why is it that she is able to lose weight so quickly now? Can consistent highs prevent weight loss even when on a low calorie/low carbohydrate diet? (19 Nov 2013)
- I am taking an online UCSF course about diabetes, but I find parts of the texts too advanced. Can you explain the results of my son's antibodies tests? (12 Nov 2013)
- My son wears a CGM, wakes up at night if I do a fingerstick. Is it safe to do a correction without a fingerstick check? I assume the CGM may be off by about 20%? (6 Nov 2013)
- Since diagnosis seven years ago, my son has had problems with incontinence and belly. Then, his foot was painful. Is it neuropathy? His most recent A1c was his highest, 9.2. (5 Nov 2013)
- I have had type 1 for almost 53 years. I am using R and NPH and have gastroparesis. What can I do to improve my control? (23 Oct 2013)
- My son was diagnosed with type 1 three years ago, but his chart, which I see at his check-ups, says he has type 1.5. What is that? (22 Oct 2013)
- I work to keep my 11-year-old in a tight range, 4 to 7 mmol/L [72 to 125 mg/dl]. Such tight control is not the norm for someone her age. Why is this? Why are expected ranges higher? (21 Oct 2013)
- I just learned a month ago that my 13-year-old has a bacterial infection that may take months to treat. Could this contribute to her control? The doctor says she is not getting her insulin, but I have been working hard at this. (18 Oct 2013)
- My toddler was just diagnosed on Monday. The pediatrician and resident are not sure what to do, have given him some insulin, put him on a sliding scale and told us to correct post meal highs. They want to discharge us today. Should I ask for a referral to a pediatric endocrinologist? (11 Oct 2013)
- After almost seven years with type 1, my young adult son had his vitamin D level checked in January. It was low, but I was surprised that it had never been checked before. What is the correlation between vitamin D and diabetes control/complications? Do adequate vitamin D levels impact diabetes? (4 Oct 2013)
- My sons, ages 16 and 23, have type 1. Both want to participate in open water diving, but the endocrinologist will not sign off that my younger son can do this. What could we do? I do not want them to feel "disabled" by diabetes by not allowing them to do this. (4 Oct 2013)
- Do you have type 1 if you test positive for all three antibodies? Can you test positive for antibodies later because you have been on exogenous insulin? (18 Sep 2013)
- Diagnosed three months ago, my toddler has elevated pre-dinner blood sugars. Is it because she naps in the afternoon? Is she having roller coaster blood sugars because she is so young? (11 Sep 2013)
- Based my the results of my recent urine test, should I switch from metformin to gliclizide with and ARB? Should I find a specialist? Are my kidneys already damaged? Is the damage reversible? (5 Sep 2013)
- Why does my daughter have low blood sugars if she has not needed insulin since the first week after her diagnosis seven months ago? (5 Sep 2013)
- I have had diabetes about 30 years and am worried my children will get it. So, I checked my son's blood sugar when he was acting "off." It was actually low. How concerned should I be? (28 Aug 2013)
- My son was spilling ketones with an elevated blood sugar last night so we gave him water and extra insulin. Overnight he was low. Ketones returned this morning. Was this just due to dehydration? At what point do I call the doctor? I'm confused by the off and on ketones. (28 Aug 2013)
- My son's dad smokes a pipe in his home affecting my son's type 1 and allergies. Can you provide me with information about the effects of the smoke? My son no longer wants to visit his dad, but a therapist says he should be forced to go. (6 Aug 2013)
- After my insurance changed me from Apidra to Humalog, I began experiencing nighttime seizures. Have you heard of others who are extra sensitive to Humalog? (30 Jul 2013)
- My teen son is lonely and depressed, has developed bad habits, including rage bolusing. He refuses to go to therapy. What do you recommend? (18 Jul 2013)
- My teenaged daughter's A1c is its highest. She often forgets to bolus and grazes a lot. Do all teens rebel against diabetes? How can I help her understand the importance of bolusing and a proper diet? (18 Jun 2013)
- In the past eight months, our young daughter has been having occasional troubling night time lows. We have been able to avoid glucagon, but she has been in a seizure-like state. Are such episodes common? (11 Jun 2013)
- Because her blood sugars are often in range, could our daughter have type 2, not type 1? How do we know if she is still producing insulin? Is it safe to stop insulin for 24 hours to see what her "natural" blood sugar is? (10 Jun 2013)
- My daughter has issues with hygiene, self-esteem, petty thefts, possibly depression, maybe related to her diabetes. Where can we find help for her? (5 Jun 2013)
- Last week, my daughter's microalbumin level was very elevated after about three years on lisinopril. What do I need to ask the nephrologist about at her upcoming visit? (5 Jun 2013)
- I have just been diagnosed with diabetes. Both my parents and older brother have type 2. Is it hereditary? Is it curable? (4 Jun 2013)
- I have been unable to control my type 2 through diet and several drugs. I need to take a sulfonylurea. Given that I have VPC, which do you recommend? (4 Jun 2013)
- 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)
How to Submit a QuestionUse 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.
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)
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)
Debbie Butler, CDE, MSW, LICSW (Licensed Clinical Social Worker, member since October 2004)
And Our Occasional Experts
Last Updated: Tuesday November 19, 2013 21:44:48
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