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What can be done if the glycosylated hemoglobin values are high in 14-year-old Type 1 diabetic? Is it wise to increase the insulin dosage?


Ideally the glycosylated hemoglobin levels should be below the upper limit of normal for the method used, plus 10%. If they are above this, you should think of a number of causes. Insufficient insulin is certainly one of them; but you should also try to think if he doesn't get enough exercise, if he is eating too much, or if he is subject to some special stress, at school for instance. To explore all of this fully it would help to discuss the situation with his doctor or better still with a diabetic team that includes a nurse educator, a nutritionist and a medical social worker.


Original posting 2 Dec 96


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Last Updated: Tuesday April 06, 2010 15:08:52
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