Back to Ask the Diabetes Team Questions from November 2005

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  1. I've had diabetes for 26 years. During the past 10 years, I've had six to eight "systemic allergic reactions" shortly after injecting my insulin. What causes them? (30 Nov 2005)

  2. First diagnosed with type 2, I was re-diagnosed with type 1 due to an elevated GAD65 test. My C-Peptide was low. Are there factors that can effect my C-Peptide? My last one was normal so now the doctor thinks I have type 2 after all. (30 Nov 2005)

  3. Can children with diabetes eat sushi? (30 Nov 2005)

  4. Have you ever heard of aspartame causing elevating blood glucose levels? (30 Nov 2005)

  5. After 14 years with diabetes, I have advanced kidney complications. I have not taken care of myself and eat because of anxiety. Are there any pills to help with the anxiety? Is there a diet/exercise plan I could try? (30 Nov 2005)

  6. My husband is often unable to stick to his 1200 calories diet. Can he increase his metformin for that day or take a 50 mg acarbose, too? (30 Nov 2005)

  7. My 25 year old daughter is on a pump and takes Symlin. She often has insulin resistance that causes highs and a sick feeling. What is your opinion? (30 Nov 2005)

  8. What yearly laboratory tests should a diabetic patient have? When should they be done? (29 Nov 2005)

  9. How do you calculate carbohydrates for foods made from scratch? (29 Nov 2005)

  10. Since her tonsillectomy, my daughter has had high blood sugars. They're still high even though the pain from the surgery is gone. Is there any reason for this? (29 Nov 2005)

  11. My son was recently diagnosed with hyperactive insulin response. What should his postmeal target blood sugars be? Is he at risk for diabetes? (29 Nov 2005)

  12. My teen daughter has had several episodes of low blood sugars with moderate to high ketones. She needed glucose I.V.s to recover. What could be causing these? (29 Nov 2005)

  13. For a newly diagnosed child, wouldn't it be better to start on Lantus and NovoLog rather than NPH and Humulin? Is a pump acceptable within six months of diagnosis? (29 Nov 2005)

  14. I'm a school nurse with a student whose lunch time blood sugar is consistently high. We have called the parents and talked with the student. What else can we do? (29 Nov 2005)

  15. Since my husband and his father both have type 1, what are the chances our future children will have it? How can we prevent it? (29 Nov 2005)

  16. Because I had two recent lows, should I get a prescription for D50 to give myself an I.V.? I'm an EMT and know how to do it. I am concerned that glucagon would interfere with my current beta blocker. (28 Nov 2005)

  17. I was diagnosed with type 2 based on my A1c of 5.9. I thought one does not have diabetes until the A1c is 6.0. Can you clarify this? (28 Nov 2005)

  18. For three weeks, my daughter's blood sugars have been running very high, with no ketones. Should we be concerned? What does this mean? (28 Nov 2005)

  19. Three hours after a meal, my blood sugar was 314 mg/dl [17.4 mmol/L]. What can I do to bring it down? How bad is this? (28 Nov 2005)

  20. My six year old was diagnosed with reactive hypoglycemia, but I am doubtful of this. She has some symptoms of diabetes, plus very foul smelling, loose stools. Could she have an enzyme deficiency or a metabolic or immunological problem? (27 Nov 2005)

  21. My toddler seems to need to eat frequently to avoid being shaky. Is this diabetes or something else? (27 Nov 2005)

  22. Can blood sugar levels affect clear, reasonable thinking? (27 Nov 2005)

  23. Recently, I was hospitalized for low blood sugars. Various tests were run and the doctor concluded that I have an insulinoma. If this were true, how could I also have diabetes? Can you help me understand this? (26 Nov 2005)

  24. My teen son has type 1 and a thyroid disorder. He has been having migraines. Three doctors have run tests and cannot eliminate them. Are they diabetes related? Do you have any suggestions about other tests to run? (26 Nov 2005)

  25. With A1cs between 6.7 and 7.0, my endocrinologist has given me the okay to pursue pregnancy. My gynecologist wants my A1c lower. What should I do? (26 Nov 2005)

  26. When I had my GTT in my 27th week of pregnancy, my blood sugars went down, then slightly higher. Is this indicative of anything? (26 Nov 2005)

  27. My vision is blurry and I sometimes get weak. My blood sugar varies a bit at these times. What does this mean? (26 Nov 2005)

  28. Since my diagnosis with type 1 about a year ago, I am getting shorter. I am now the shortest in my grade. Did my diabetes cause this? (25 Nov 2005)

  29. Using my mom's meter, my daughter had an elevated blood sugar. At the doctor's, her blood sugar was normal. Can someone's blood sugar shoot up, then fall before a doctor can catch it? (25 Nov 2005)

  30. In my 16th week of pregnancy, I have had no blood sugars over 130 mg/dl [7.2 mmol/L]. My A1c was 5.5. I think this may be gestational diabetes, not preexisting diabetes. What do you think? (23 Nov 2005)

  31. I recently started on prednisone after an asthma attack. I now have increased thirst and urination. Are these side effects or have I developed diabetes? (23 Nov 2005)

  32. During my test for gestational diabetes, my blood sugar went up from the first hour to the third, but remained normal. Is it still possible I have gestational diabetes? (23 Nov 2005)

  33. I need a vitrectomy in a few weeks to save the vision in my right eye, but I do have insurance and cannot get any. What do you recommend? (23 Nov 2005)

  34. We've been told to treat the scab on an elderly patient's foot "conservatively," simply by applying Betadine. What "conservative" treatment do you recommend? (23 Nov 2005)

  35. Are the pathogenesis of the celiac syndrome and of diabetes insipidus related? (23 Nov 2005)

  36. My teen son was just diagnosed and wants to resume cross country training. What should his blood sugar be before he starts out running? (22 Nov 2005)

  37. How can I lose weight when I have several medical conditions that make it impossible for me to exercise? (22 Nov 2005)

  38. Where can I find information about sponsorship to the CWD conferences? (21 Nov 2005)

  39. Since her diagnosis with type 1, my daughter has had frequent headaches, nausea and dizziness. The doctor suspects my daughter is intolerant to the preservative metacresol in insulin. What should we do? (21 Nov 2005)

  40. I am an organ donor and have two children with type 1. Is there a way to specify that my organs would go to my children? (21 Nov 2005)

  41. A naturopathic doctor conducted a "pancake test" to see if my son may have diabetes. His one and two hour readings were elevated. The general practitioner did a blood test and said my son's blood sugar was normal. Should I seek a second opinion? (21 Nov 2005)

  42. Recently, about an hour after breakfast, I checked my granddaughter's blood sugar. She was 212 mg/dl [11.8 mmol/L], but subsequent numbers were lower. Should we be concerned? There are both types of diabetes in the family. (19 Nov 2005)

  43. When do you have to check for ketones? Do I have to check for them just because I have a cold? (19 Nov 2005)

  44. I have no symptoms of diabetes other than high blood sugars. I tested myself because my dad has diabetes. What advice do you have? (18 Nov 2005)

  45. I've had insatiable thirst for eight months, constant hunger for one. Could I have type 1? Is it possible to be symptomatic for type 1 for many months? (18 Nov 2005)

  46. My daughter is 13 weeks pregnant and has had poor glucose control since before her pregnancy. Would a pump be beneficial? Will Medicaid pay for it? (18 Nov 2005)

  47. My daughter was diganosed with type 1. Blood tests then were negative for antibodies and showed a functioning pancreas. She's not quite type 1 nor type 2. What type of diabetes does she have? (18 Nov 2005)

  48. Since September, I've had an itchy rash and lightheadedness. The doctor checked my blood sugar. Can they make a diagnosis of diabetes based on this test? (18 Nov 2005)

  49. After a year and half with type 1, my daughter's insulin needs were reduced to prevent lows. I expected her to need more insulin, not less. Is she still honeymooning? (16 Nov 2005)

  50. After five years on pills, my doctor put me on insulin and metformin. The shots do not seem to bring down my blood sugar. Should I take more insulin? (16 Nov 2005)

  51. Are there any drugs or supplements men with diabetes should avoid when they are trying to father a child? Has this ever been studied? (15 Nov 2005)

  52. My young son has frequent high blood sugars that go down without treatment. The endocrinologist says there is no treatment. Is this true? How can we help him? How can we prevent the possibility of diabetes in the future? (15 Nov 2005)

  53. My friend with type 1 seems to drink a lot of juice and will sometimes eat dessert. Are these things detrimental to his health? Will lack of sleep be harmful? He's a college student. (14 Nov 2005)

  54. Is the sweetener, Fruitsource, okay to use? (14 Nov 2005)

  55. Where can I find suggested nutrition plans for kids with type 1 diabetes that contain actual food suggestions? My daughter seems to prefer processed food, such as crackers, milk and peanut butter and sugar free jelly. (14 Nov 2005)

  56. Can you develop diabetes from eating too much chocolate? I have most of the usual symptoms of diabetes and I was curious. (14 Nov 2005)

  57. Recently diagnosed pre-diabetic. I eat well and exercise several times a week. How do I lose weight and lower my blood sugar? (14 Nov 2005)

  58. Since my recent move, my blood sugars have been consistently high. Even when I take extra insulin to bring down my blood sugar, it goes right back up. What should I do? (14 Nov 2005)

  59. When I diet, reducing carbohydrates, and exercise, I often feel fatigued, shaky, sweaty, and hungry. What does this sound like? (14 Nov 2005)

  60. While visiting my father-in-law, my daughter had a random blood sugar of 13.3 mmol/L [239 mg/dl]. Is this high? Should we take her to the doctor? (14 Nov 2005)

  61. My brother-in-law is "losing" protein in his urine because he didn't take care of his diabetes in the past. Where can we find information on appropriate meals? (13 Nov 2005)

  62. I am 34 and have had type 1 since I was nine. Can you comment on my recent microalbumin and protein levels? (13 Nov 2005)

  63. My son has variable blood sugar and insulin levels. The endocrinologist suspects MODY. How can we determine what he has? (13 Nov 2005)

  64. My son has ketotic hypoglycemia. Recently, he also has increased thirst, hunger and urination. What could be going on? (13 Nov 2005)

  65. I read that glucose from food cannot be absorbed through the lining of the check. What do you know about this? Previously, this was one way people were taught to treat low blood sugars. (13 Nov 2005)

  66. My teen daughter has had high insulin levels, but relatively normal blood sugars. We have family members with types 1 and 2. Could she have some combination of the two? (12 Nov 2005)

  67. I've heard that pumpers should be getting 50% of their TDD as basal insulin. My daughter's basals are 25% of her TDD. Should I adjust it closer to 50%? (12 Nov 2005)

  68. Recently diagnosed, my son had a headache with a low blood sugar. Can he take Tylenol or Motrin? Should he take the recommended dose for his age? (12 Nov 2005)

  69. Both my children have abnormal blood sugars. Can they have pre-diabetes for type 1? Where can I find help? (11 Nov 2005)

  70. Can the excessive intake of fruit juice lead to type 2 diabetes? Is this because of weight gain or the juice itself? (11 Nov 2005)

  71. Last night, my son was low soon after dinner. It took me two hours to stabilize him. Then, all night he was consistently high. Was he high from fat in his dinner or a rebound? (11 Nov 2005)

  72. Do you think the OmniPod is an acceptable device for a young child? I was interested in getting one for my son before he starts school. (11 Nov 2005)

  73. My four year old was diagnosed with type 1 in May 2005. His most recent A1c was 4.9, which, I think, is below normal. Should we be concerned? (11 Nov 2005)

  74. I am a Canadian interested in having my son participate in a research study in Florida. Is there any help to cover travel costs in order to participate? (11 Nov 2005)

  75. How quickly after conception can pregnancy lead to higher blood sugar levels? (9 Nov 2005)

  76. My son has been complaining of stomachaches, a sore throat and severe hiccups after eating. Could these be related to his type 1 diabetes? Could it be acid reflux or something else? (9 Nov 2005)

  77. A diabetes specialist says that, based on his glucose tolerance test, my son does not have diabetes. But, our family doctor says he does have it. What am I to believe? (9 Nov 2005)

  78. With type 1, my pregnancy is considered high risk. The doctors I've spoken with want me to be prepared for a c-section. Where can I find a doctor what might support natural birth? (9 Nov 2005)

  79. Can one child be given diabetes from the other child through blood sticks or a needle stick? (9 Nov 2005)

  80. Since switching to NovoLog and Lantus, my daughter's blood sugars are consistently around 200 mg/dl [11.1 mmol/L]. What do you recommend? (9 Nov 2005)

  81. Do people with diabetes experience changes in stool color? (8 Nov 2005)

  82. My infant has nesidioblastosis. The doctor does not recommend a further pancreatectomy, believing the condition may go away over the years. What do you recommend? (5 Nov 2005)

  83. At the end of September, I was diagnosed with type 2. But, I am not obese and have been having very high blood sugars and other symptoms of type 1. Should I be on insulin? Could I have MODY? (5 Nov 2005)

  84. Is there a relationship between compartment syndrome and diabetes? Is nerve pain associated with this? (5 Nov 2005)

  85. My fasting blood sugar is higher than my bedtime blood sugar. Why is that? I am not taking any medication at this time. I stopped taking Avandia as I was not pleased with it. (5 Nov 2005)

  86. My son has asthma, von Willebrand's, depression, ADHD, OCD and bipolar disorder in addition to his type 1 diabetes. Do others with type 1 have similar medical issues? (4 Nov 2005)

  87. My cousin's doctor wants to test her twice for gestational diabetes since she already has a daughter with diabetes. Is she at higher risk? (4 Nov 2005)

  88. I just started Glucophage and can't get my fasting blood sugar in range. What should I do? (3 Nov 2005)

  89. My six year old has been having mild to severe stomachaches for six months. His blood sugars range from normal to quite high. Why is he having this pain? (3 Nov 2005)

  90. Two nights ago, I bolused my daughter's pump to correct a high blood sugar, but it didn't work. Today, she was low before lunch. Could the low be from delayed absorption of the previous corrections? (3 Nov 2005)

  91. Although I was diagnosed with type 2 in 1999, I just took action to lower my blood sugars. I've seen little change in two weeks. When should I start seeing lower blood sugars? (3 Nov 2005)

  92. My last three A1cs were 6.1, 6.4 and 6.1. How accurate are these tests? I've heard there is variance by laboratory. (3 Nov 2005)

  93. My blood sugars are mostly normal and my A1c was 6.3. Is it okay to have candy from time to time? (2 Nov 2005)

  94. My teen son sometimes gets severe hamstring cramps following exercise. Are they related to his type 1 diabetes? We suspect they are related to dehydration. (2 Nov 2005)

  95. Participating in the SEARCH study, I was positive for GAD antibodies. The nurse said my body started the destructive process associated with type 1, but stopped. Am I at risk for type 1 or not? Can you help me understand this? (2 Nov 2005)

  96. I adjusted my daughter's insulin-to-carbohydrate ratio and reduced her basal rates to prevent a two hour spike after breakfast. Now, she's often low before lunch. What do you recommend? (2 Nov 2005)

  97. How long is a child's honeymoon and when will you know the honeymoon is over? How much R and NPH should a child be taking? (2 Nov 2005)

The Diabetes Team

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)
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)

Exercise Physiologists
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)

Social Workers
Debbie Butler, CDE, MSW, LICSW (Licensed Clinical Social Worker, member since October 2004)

And Our Occasional Experts

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Last Updated: Tuesday April 06, 2010 15:10:04
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