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Daily Care from 2004

  1. Where can I find books or a strategy to get my teenaged daughter motivated to take care of her diabetes? (22 Dec 2004)
  2. Since his flu, my 22 kg (49 pounds) son is taking 31 units of insulin a day. Is this normal for his weight? When can I resume his usual lower dose? (30 Nov 2004)
  3. Would an insulin pump help with nighttime highs with a lower risk of hypoglycemia? When is a child considered a candidate for a pump? (16 Nov 2004)
  4. How can I, as a medical student, manage my blood sugars more effectively with my busy schedule? How can I remind myself to check my blood sugars? (27 Oct 2004)
  5. My daughter takes NPH and Humalog, but still has some highs. What effects will the highs have? What other insulin therapy should we consider? (23 Oct 2004)
  6. My sister, just diagnosed with type 1, has high blood sugars. Besides insulin, what is a way to normalize her blood sugars? (20 Oct 2004)
  7. My daughter's A1c reflects higher blood sugars than we are seeing. She already gets five or more shots per day. What do you suggest? (18 Oct 2004)
  8. My daughter's doctor gave me two different correction ratios, 125/75 and 120/80. I am confused. Can you explain how this works? (10 Oct 2004)
  9. I recently had to increase my 10 year old son's insulins, especially Humalog, significantly. Is this normal? Is this a sign of adolescence? (3 Oct 2004)
  10. Even if he does not eat breakfast, my son, who takes Lantus at night and Humalog for meals, sees an increase in his blood sugar at lunch. Why is this? (29 Sep 2004)
  11. I used a pump in the past and had a problem with excess tissue in my stomach where I put my sets. If I resume pumping, how can I avoid this? (26 Sep 2004)
  12. My two year old is having highs six weeks after diagnosis. Could his honeymoon be over? His blood sugars are not "normalized." Is this common? (22 Sep 2004)
  13. My father uses a sliding scale for NPH at night, but his doctor says not to do so. What do you think? (14 Sep 2004)
  14. Is there some sort of computerized documentation my teen son could use so we can ensure he is keeping track of his blood sugar readings? (29 Aug 2004)
  15. My son has had diabetes for 17 months. He wants a pump, but our diabetes team is discouraging us from getting one. Why would they do this? (29 Jul 2004)
  16. I have had diabetes for 41 years, using a pump for four years. I cannot always get the cannula to push through my skin proprerly. Why is this? (26 Jul 2004)
  17. Is it better to give a Lantus shot late or skip it and test often until the regular Lantus shot time the following night? (21 Jul 2004)
  18. On NPH and Humalog, my daughter is high at lunch and dinner. Is there a scale or ratio of insulin to grams of carbs for each meal and snack? (20 Jul 2004)
  19. My son takes Lantus, NPH and Humalog to avoid a noon shot. He's having higher blood sugars though. How can we make this work? (7 Jul 2004)
  20. Who can give my daughter shots at school? (4 Jul 2004)
  21. My teen niece is coming to visit. Unlike home, I plan to offer healthy snacks and limit her carbs. Does a change in diet put her at any risk? (29 Jun 2004)
  22. We have been finding blood in my toddler's pump canula both with angled and straight sets. Have you seen this? What do you recommend? (27 Jun 2004)
  23. My Humalog dose varies all the time, even for the same food. I guess at the dose, then do a correction shot. How can I get better control? (15 Jun 2004)
  24. For my son, with evening Lantus/Humalog and morning NPH/Humalog, should I be concerned about an overlap? Will I need to test him at night? (12 Jun 2004)
  25. What are some healthy bedtime snacks we can give our daughter to help prevent nighttime low blood sugars? (6 Jun 2004)
  26. Sometimes my son's lunch time blood glucose is over 20 mmol/L [360 mg/dl]. What course of action should be taken for such a high? (4 Jun 2004)
  27. We give our sons NPH at 11 p.m. to prevent 7 a.m. lows. Our doctor does not recommend middle of the night blood sugar checks. Is this okay? (30 May 2004)
  28. I think my son needs to get more insulin because he is growing. How much do I increase his Humalog and/or NPH? (29 May 2004)
  29. My son's nighttime blood sugars are easier to control only on nights after sports' activities. Otherwise, they rise or drop. Is this common? (29 May 2004)
  30. Is there a "sure-fire" location for testing one's blood glucose? We have difficulty obtaining adequate blood from our son. (19 May 2004)
  31. My four year old is consistently high at 10 a.m. after a shot of Humalog and NPH. What do you recommend for eliminating these morning highs? (17 May 2004)
  32. As a teacher with the summer off, can I change my daughter's insulin schedule? I'd like to give her shots later. (17 May 2004)
  33. Are there ways to take insulin other than injections? Pumping is not an option here in Libya. We are frustrated by our son's high and low blood sugars. (12 May 2004)
  34. I've learned my daughter's blood sugar drops between 5 and 6 a.m. Why is this? Could it be caused by the thyroid pill she takes at 5 a.m.? (8 May 2004)
  35. On NPH only, a child is having high blood sugars. The doctor advises no changes. Can you suggest more appropriate insulin types and doses? (7 May 2004)
  36. To avoid lows during the summer, I want to decrease my son's Lantus. The pediatrician says to decrease Humalog only. What are your thoughts? (6 May 2004)
  37. Is it acceptable to give my daughter her insulin after she has eaten? (2 May 2004)
  38. My daughter recently switched from NPH to Lantus. Could you explain whether we should be adjusting the Lantus or Humalog? (30 Apr 2004)
  39. My son refuses to take care of his diabetes. Is there any kind of specialized program, peer group, or any other avenue that we might pursue? (28 Apr 2004)
  40. My son's doctors are not concerned about his consistently high blood sugars. Should I get an opinion from another doctor? (28 Apr 2004)
  41. Two months after diagnosis, we stopped my daughter's insulin to avoid lows. Her fasting readings are slightly higher. When should we resume insulin? (26 Apr 2004)
  42. Is "tight control therapy" used in India? What does it cost? (26 Apr 2004)
  43. Where can I take my son to test how resistant to insulin he is and how long it takes his body to respond to insulin? We are in Montana. (25 Apr 2004)
  44. My teen son refuses to take control of his diabetes, often skipping insulin. He refuses therapy. What can I do? (25 Apr 2004)
  45. Is it crucial that blood sugar values return to the normal range within two hours, or is three hours acceptable? (11 Apr 2004)
  46. Are there are oral medications used for type 2 that can reduce the daily insulin requirement in type 1 patients? (10 Apr 2004)
  47. My 136 pound daughter takes about 107 units a day. Is this a lot of insulin? Is she becoming insulin resistant? (10 Apr 2004)
  48. A different specialist suggested we change our son's insulin and reduce his carbohydrates, based on Dr. Bernstein's therapy. What do you think? (8 Apr 2004)
  49. Can you contract HIV by re-using your own insulin syringes? (3 Apr 2004)
  50. My son's diabetes team has recommended Lantus, but did not mention any fast acting insulin. What should we do? (2 Apr 2004)
  51. Should my daughter eat the same amount of carbohydrates for morning snack no matter what her blood sugar is? (30 Mar 2004)
  52. After seven years with diabetes, I have several related health issues. Most of my test results have been normal. Do you have any guidance? (24 Mar 2004)
  53. How do teens handle being on a pump? Would a pump cause a huge amount of weight gain? Should I wait until I have better control? (23 Mar 2004)
  54. My daughter was just diagnosed with type 1. She has many stomach and leg pains, plus up and down blood sugars. How long will this go on? (22 Mar 2004)
  55. After two years of diabetes, we keep reducing our son's insulin and he is still having low blood sugars. He exercises a lot. What is going on? (21 Mar 2004)
  56. My son has been in his honeymoon, but is having elevated blood sugars after his afternoon nap. What insulin adjustment should I make? (20 Mar 2004)
  57. My son has lipoatrophy. If the fatty tissue continues to disappear, where will we put the pump? Should we try NovoLog for a faster response? (20 Mar 2004)
  58. Despite reduced insulin, my son is having nighttime low blood sugars. And, he isn't rebounding. Is there something wrong with his liver? (20 Mar 2004)
  59. My daughter has a knot of skin near one hip, probably from not rotating her shots. Will this go away and how can she avoid this in the future? (19 Mar 2004)
  60. Our daughter was just diagnosed. How do we determine how much a unit of NovoLog will lower her blood sugar? When should we give Lantus? (18 Mar 2004)
  61. My daughter has had type 1 diabetes for several months. Does she need to be an ACE inhibitor to help prolong better kidney function? (16 Mar 2004)
  62. On a recent trip to an amusement park, we were not allowed to take in our "low packs, " i.e. juice and snacks. How is this possible? Is this legal? (16 Mar 2004)
  63. My son's A1c was higher than expected. He increased his insulin and exercise, but he still has high blood sugars. Should I seek another opinion? (16 Mar 2004)
  64. We give our daughter Lantus each evening. Sometimes she's low in the morning or she's slightly high. What should we do about her Lantus dose? (14 Mar 2004)
  65. My niece and nephew, both with diabetes, do not behave. They lie about their diabetes care. Can diabetes be causing their behavioral problems? (14 Mar 2004)
  66. My husband recently had a seizure. His blood sugar was 66 mg/dl [3.7 mmol/L]. Was the seizure from a low blood sugar or something else? (14 Mar 2004)
  67. I am a school nurse caring for a six year old who gets upset and throws his lunch on the floor or refuses his lunch time insulin. What do you think? (14 Mar 2004)
  68. Our doctor wants to put our five year old daughter on a pump, but she doesn't want one. Her A1c was 7.4. Should we get another opinion? (12 Mar 2004)
  69. I am discouraged with infusion sets and higher A1c's. Can shots work as well as a pump? Will I be seen as a failure for resuming shots? (11 Mar 2004)
  70. Are morning ketones, small to medium, likely to be present after blood sugars dip too low during the night followed by a rebound? (8 Mar 2004)
  71. My blood sugar increases while I drive to work. I can't change my basal rates as I don't have this problem on the weekends. What do you suggest? (8 Mar 2004)
  72. Since a recent seizure, my daughter has cannot sense low blood sugars. Do you think we would have better results on Lantus/Humalog or a pump? (7 Mar 2004)
  73. I've been skipping insulin to lose weight. Can you give me a web site or any suggestions to help me? (7 Mar 2004)
  74. Following an episode of DKA, I have been having many low blood sugars, even after reducing my insulin. Could I be having a "second honeymoon?" (6 Mar 2004)
  75. My daughter takes Lantus in the evening, but needs a correction shot of Humalog several hours before breakfast. Do you have any suggestions? (6 Mar 2004)
  76. My toddler is now receiving six injections daily. Will he have injection site problems? Is this too many injections for his size? (4 Mar 2004)
  77. I am having blood sugar control problems. Should I consult my doctor or make my own changes? Am I at increased risk of future episodes of DKA? (1 Mar 2004)
  78. My young daughter often wakes with high blood sugars. Can you explain more about rebounding? (28 Feb 2004)
  79. I am using an insulin pump while at a residential treatment center. How can I get the staff to understand I know how to take care of my diabetes? (28 Feb 2004)
  80. How does the onset of menses typically affect diabetes management? (27 Feb 2004)
  81. Does cinnamon help with insulin resistance in people with type 2 diabetes? What form of it should one take? How much of it and how often? (27 Feb 2004)
  82. I have type 1 diabetes and am 29 weeks pregnant. I am having high blood sugars in the morning. How do I get these fasting numbers lowered? (25 Feb 2004)
  83. My son is having erratic blood sugars during puberty. How long will puberty last? Can he achieve an A1c under eight while in puberty? (25 Feb 2004)
  84. My daughter's stepmother is keeping my daughter's blood sugars high. How do I make the stepmother understand the high levels are dangerous? (24 Feb 2004)
  85. I am concerned about future renal failure. Will my daughter's BUN and creatinine levels change? Should I reduce protein in her diet? (24 Feb 2004)
  86. Why does my son not wake up for night time lows? What can you tell me about Dead in Bed Syndrome? Should I pursue celiac testing? (22 Feb 2004)
  87. My daughter has been having low blood sugars in the morning, but is too high at lunch if we decrease the Lantus. What should we do? (22 Feb 2004)
  88. What insulin syringes have the finest needles for maximum comfort? I have the same question concerning the lancets. (22 Feb 2004)
  89. My daughter is taking 80 units of Lantus a day. Can her hunger and weight gain be due to her insulin intake or just a result of having diabetes? (22 Feb 2004)
  90. Can you comment on the insulins we are currently using for our son? (21 Feb 2004)
  91. Will daily high blood sugars harm my son? Our doctor says not to worry unless they are over 500 mg/dl [27.7 mmol/L]. Should I find another doctor? (21 Feb 2004)
  92. Is it okay to use Neosporin at every site change? Also, is it true that NovoLog doesn't leave a red mark? (21 Feb 2004)
  93. At times, my son is quite hyperactive. Would a pump help keep his sugars more level, thus keeping his behavior more stable? (21 Feb 2004)
  94. I was of the opinion that the sugar molecules in cake frosting were too big for quick absorption. Can you please clear this up for me? (21 Feb 2004)
  95. My 27 month old daughter sometimes goes low during the night, then wakes up much higher. Can you give me any clarification or suggestions? (19 Feb 2004)
  96. My daughter's blood glucose levels were under target with Lantus. Should we do the Lantus again and try feeding her things with more carbohydrates? (18 Feb 2004)
  97. I have a client who is recently diagnosed. What are the child and family going to experience in hospital? (16 Feb 2004)
  98. I am concerned that neither she nor her parents realize the health risks she is suffering by not managing the glucose levels better. (9 Feb 2004)
  99. Our endocrinologist decided that we would try mixing the NovoLog with a steroid called dexamethazone. (6 Feb 2004)
  100. I now base my calculations on the action of 15 grams of carbs. Is there something wrong with this approach? (6 Feb 2004)
  101. Can she have more NPH at night to get her reading back down to a normal reading? (31 Jan 2004)
  102. Can she do some exercise or eat something in particular that will help bring it down, or does she just have to wait for it to come down on its own? (30 Jan 2004)
  103. Today before breakfast she was 164, then 318, and before lunch 235. Why did this happen? What am I doing wrong? (29 Jan 2004)
  104. Do you think it's right that a growing boy should not have a snack at night before bed? (26 Jan 2004)
  105. Is it normal practice to deny taking a patient because they have type 1 diabetes? (25 Jan 2004)
  106. This doctor is insisting that I am doing something wrong, and that there is no way I could maintain such a great level without cheating. (23 Jan 2004)
  107. My new doctor wants me to stop taking the metformin and increase my insulin. What is your advice? (21 Jan 2004)
  108. The doctor up here says he's too young for a pump. I think he needs a pump. Can I demand an insulin pump? (17 Jan 2004)
  109. I need to know why her blood sugars keep dropping below 30 mg/dl [1.7 mmol/L] since we got here from Arizona. (8 Jan 2004)
  110. She had a really good week then her sugars started to rise again. (7 Jan 2004)
  111. Any advice on the very high post-prandial blood sugar? (5 Jan 2004)
  112. What are the consequences of having a blood sugar of over 200 mg/dl [11.1 mmol/L] for an hour or so when one eats? (2 Jan 2004)
  113. My son recently began Lantus at evening time and Humalog with meals. We are experiencing lows around 4:00am. Any thoughts? (2 Jan 2004)
  114. My bedtime reading is usually 6-8 mmol/L [108-144 mg/dl] but my morning reading is always 9-13 mmol/L [162-234 mg/dl]. Do you have any suggestions? (1 Jan 2004)

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