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From Florida, USA:

My daughter was diagnosed with IDDM when she was 10 weeks old. She is 14 months old now and seems like she is getting ready to walk, but she stands up only with her toes. Could this be because we do heel sticks 4 times a day to check her blood sugar levels?


Walking on tiptoe may not be due directly to the heelsticks although that is certainly possible. It may be just an association in her mind that any touching of her heels goes with pain.

In this clinic, the nurses tell mothers to use fingers or toes, to move from site to site and above all to thoroughly warm the foot or hand before getting a blood sample. Laboratory technicians tend to use the medial surface of the heel rather than the ball. You should also suggest asking the doctor whether 4 blood glucoses a day are all really necessary.


Original posting 15 Mar 97


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Last Updated: Tuesday April 06, 2010 15:08:54
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