Back to Ask the Diabetes Team Questions from August 2006

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  1. My son, who does not have diabetes, recently had an elevated blood sugar. What should I do? The local hospital isn't the best and my endocrinologist is four hours away. What should a non-diabetics blood sugar be? (31 Aug 2006)

  2. At birth, my now teen daughter was in the 90th percentile. She is now in the third percentile. Will she continue to grow considering she had already begun the menarche? (31 Aug 2006)

  3. Is it possible for someone to have both type 1 and type 2 diabetes? If so, how could this be diagnosed? (31 Aug 2006)

  4. At diagnosis for type 1, my C-Peptide level was 0.2. What are the ranges? How do I know if I am in my honeymoon? (31 Aug 2006)

  5. Is it possible to have an internal blood sugar monitor that will monitor blood sugars continuously and release insulin as needed? (30 Aug 2006)

  6. At my 18 week appointment, I spilled glucose in my urine, but the midwife said not to worry. Should I try to convince her to test me now? (30 Aug 2006)

  7. My daughter's GTT results were normal, but we continue to monitor her. Once, she was 322 mg/dl [17.9 mmol/L] after breakfast. Could the doctor be wrong that this means she is in the early stages of type 1? (30 Aug 2006)

  8. Since missing a day's insulin two weeks ago, my son has had consistent high blood sugars. Is this from the missed shot? How do we fix this problem? (29 Aug 2006)

  9. Three doctors have diagnosed my son with type 1, type 1.5 and type 2. His blood sugars drop precipitously overnight and he's high when he should be low and vice versa. Are the doctors missing something? What do you think is going on? (29 Aug 2006)

  10. In his honeymoon, we are now to give our son NPH with Humalog for high blood sugars only. Would it make more sense to give Humalog with meals? Should we try Lantus? How can we best preserve his functioning beta cells? (29 Aug 2006)

  11. I read that high doses of folate and/or vitamin B6 normalized endothelial (vascular) dysfunction in children with type 1 diabetes. What do you think of this? (29 Aug 2006)

  12. We read that stem cells can be harvested from baby teeth. What do you know about BioEden, the company that will store the teeth? Is this technology a worthwhile investment? (28 Aug 2006)

  13. I had gastric bypass surgery in late 2003. I have stopped losing weight, but need to drop another 100 pounds. Is there a medical reason related to my type 1 diabetes that I could not get a micro pouch? (28 Aug 2006)

  14. After two weeks pumping, our son is having stubborn high blood sugars at night. His pump and sites seem fine, as are his daytime blood sugars. What do you suggest? (28 Aug 2006)

  15. I've had type 1 for about 20 years. Since giving birth last November, I've had chronic diarrhea. What do you think is causing it? What should I do? I also had preeclampsia while pregnant. (28 Aug 2006)

  16. My son takes Humalog at dinner and Lantus after a snack consisting of protein. Two hours later, he is often hungry, but if I let him eat, then he's too tired to get up the next morning. What do you suggest? (27 Aug 2006)

  17. Is there any plan to set up screening for type 1 diabetes in schools? (27 Aug 2006)

  18. Our 11 year old is always sneaking food, which is leading to poor blood sugar control. Talking and punishment don't help. What should we do? (27 Aug 2006)

  19. Several times in the last six months, my granddaughter has been high with large ketones. Unable to bring her down, my daughter has panicked and gone to the ER. Are we doing something wrong? Should we cut carbohydrates when she's high? (26 Aug 2006)

  20. I've had diabetes for 29 years. Recently, my feet and lower legs have been swelling a lot. I take fluid pills and medications for an underactive thyroid and high blood pressure. I am very uncomfortable. What do you suggest? (26 Aug 2006)

  21. How dangerous is a high blood sugar, without ketones, at wrestling practice, if it comes back down to normal after practice is over? What should be done besides insulin and water? (25 Aug 2006)

  22. Where can I find material to help teach carbohydrate counting to a student with a first grade learning ability? (23 Aug 2006)

  23. My daughter is newly diagnosed. Is there a way to harvest and freeze her functioning beta cells for possible use in the future? (23 Aug 2006)

  24. Since my diagnosis on June 24, I have been able to reduce drastically the amount of insulin I take. Could I have type 2? Is my diabetes reversible? (23 Aug 2006)

  25. I had two glucose tolerance tests with elevated blood sugars, but an endocrinologist said my case wasn't "that bad." What should I be eating? Is my tachycardia related to my blood sugar? (23 Aug 2006)

  26. Eight years after her diagnosis with type 1, my daughter has been having a burning sensation in her upper body, loss of appetite, and weakness. In the past, she had poor diabetes control. What do you think this could be? (23 Aug 2006)

  27. New to pumping, our MiniMed 522 keeps giving "no delivery alarms." The help line suggested set changes, which we have done, but still had the alarm. What do you suggest? (23 Aug 2006)

  28. My son recently had a virus that had triggered diabetes in a friend's child. For two weeks, he has been drinking and urinating a lot. Do I have a reason to be concerned? (22 Aug 2006)

  29. How long does it take for the insulin to work to lower one's blood sugar? My son been on it for a week and his sugar is still high. (22 Aug 2006)

  30. Using a friend's meter, my daughter had a random elevated blood sugar. Results of a GTT were negative. She has had what I believe are slightly elevated fasting blood sugars. Could she be in the early stages of type 1? Should I be concerned? (22 Aug 2006)

  31. Can a low IGF contribute to problems other than growth? Can it cause diabetes? (22 Aug 2006)

  32. Does gestational diabetes put either the mother or child at a higher risk of developing diabetes? (22 Aug 2006)

  33. For someone with type 1, what are the blood glucose level ranges for mild hyperglycemia, moderate hyperglycemia and severe hyperglycemia? (22 Aug 2006)

  34. Is it true that the U.S. would rather profit from diseases than cure them? Can you tell me about the OmniPod? Does Canada have fewer medical restrictions? (19 Aug 2006)

  35. Diagnosed with type 1 in November 2005, my son is not coping well. Where can I find a counselor? No one seems to have any openings. (19 Aug 2006)

  36. Would power gels, what athletes use, work as quickly as regular glucose gels in treating hypoglycemia? I use the gels when lower than 40 mg/dl [2.2 mmol/L] because juice won't help. (19 Aug 2006)

  37. Is there someone you could use the six extra meters we have? All are in good working order. (19 Aug 2006)

  38. Why do I need prescriptions for my insulins? I self-medicate and adjust my own dosages. The appointments I am "required" to have seem like a waste of time. (19 Aug 2006)

  39. Do you have any information on why people with diabetes should not use Epsom salt? I am a pharmacist seeking to advise a patient. (19 Aug 2006)

  40. I have insurance through an employer, but I want to start my own company. Most insurance companies reject us because of our daughter's diabetes. Is there someone out there who will issue individual policies? Do you have any suggestions? (16 Aug 2006)

  41. The readings from my Medtronic Guardian RT have varied signficantly from those of my meter. Have others had success? Do you have any suggestions? (16 Aug 2006)

  42. Some tests showed my daughter, who is tired and nauseous, had a high blood sugar. Her menstrual periods are heavy and frequent. Could this be gynecological or diabetes? (16 Aug 2006)

  43. Are home blood glucose monitors reliable instruments? Do they ever indicate the "true value" of one's blood glucose? (16 Aug 2006)

  44. From the diabetic standpoint, are there any specific risks involved in cosmetic surgery? I am past child bearing age and want to have breast implants. (16 Aug 2006)

  45. My nephew used my daughter's meter and had a reading of 198 mg/dl [11.0 mmol/L], then 121 mg/dl [6.7 mmol/L]. Are these levels normal? (16 Aug 2006)

  46. Over the last month, my nine year old son has gained weight rapidly and has an increased appetite. Plus, he has a strong body odor. Are these symptoms of diabetes? (16 Aug 2006)

  47. After a case of sunburn, a boy I know, who has diabetes, was in the beginning stages of pneumonia. Could the sunburn have worn down his immune system? (16 Aug 2006)

  48. Is it possible for insulin to "bleed out" and cause a higher blood sugar? How long after the expiration date is the insulin good if kept refrigerated? (14 Aug 2006)

  49. After 15 years with type 1, my friend rarely checks her blood sugar. Plus, she drinks several beer on the weekends. Could this affect her body? How can I help her? (12 Aug 2006)

  50. Does a 75 gram glucose drink cause a higher blood sugar spike than a 75 gram carbohydrate meal? (12 Aug 2006)

  51. My son recently had two gluten antibody tests. One was elevated and one was not. Is this fluctuation normal? Should he start a gluten free diet? (12 Aug 2006)

  52. I'm slightly overweight and have some of the symptoms of diabetes. Do you think I have diabetes? (12 Aug 2006)

  53. Because he had some of the symptoms of diabetes, I took my son to the ER. The ER refused to do a urine test. What should we do? Should we be concerned? (11 Aug 2006)

  54. Is it safe to give a child Actos? (11 Aug 2006)

  55. My wife has been diagnosed with gestational diabetes. As a flight attendant who sometimes works a 14 hour shift, is there a different type of insulin dosing she could try? (11 Aug 2006)

  56. My son's school claims only a nurse can deal with my son's pump, but will not provide a full time nurse. What should I do? They have suggested I send my son to a school further away that has a full time nurse! (11 Aug 2006)

  57. I am 16 and have type 1. Would taking one cycle of anabolic steroids effect my diabetes? Would it worsen my condition? Is there a big risk in taking it especially since I have diabetes? (11 Aug 2006)

  58. Where can I find information on how to tell children of various ages about diabetes and its implications? (11 Aug 2006)

  59. I live in Arizona where I have been trying to get state assistance. I did not take care of my diabetes for a year and need test strips. What can I do for help? Where can I find research studies in which I can participate? (10 Aug 2006)

  60. Are there any studies or information available to show whether stress affects blood sugars in a juvenile? (9 Aug 2006)

  61. What vaccinations should be given to a child with type 1 diabetes? Where can I find recipes suitable for a child with type 1? (9 Aug 2006)

  62. Why aren't insulin pump supplies, sets, reservoirs, inserters available at pharmacies? (9 Aug 2006)

  63. Diagnosed in November 2005 with type 1, my teen son has swelling in his hands and feet. Could it be related to the heat? Or, should I contact the endocrinologist? (7 Aug 2006)

  64. During her three hour glucose test, my daughter's blood sugar was high at two hours, but low at three. What does this mean? (7 Aug 2006)

  65. My nephew's blood sugar was elevated 20 minutes after eating cookies. His doctor found his blood sugars in range. Is this a correct assessment? What is the acceptable high blood sugar for a non-diabetic? (7 Aug 2006)

  66. Since my diagnosis with type 1 in 1977, I've heard that human clinical trials on things such as immune suppression would be in three to five years. Are there any ongoing trials? (7 Aug 2006)

  67. I am a college student. If I continue in school or get a job as a contractor, I will need my own health insurance. What should I do? (7 Aug 2006)

  68. About a month ago, my son started losing his hair, on his head, arms and eyebrows. Could it be related to his diabetes? My husband and daughter also experienced this, with the hair on their heads eventually growing back. Are there other tests my son should have? (4 Aug 2006)

  69. My son has intermittent bouts of vomiting that cause low blood sugars and headaches. Have you seen this before? What should we do? He's had several tests, all negative. (4 Aug 2006)

  70. I recently had a slightly elevated A1c, but my OGTT was normal, according to the doctor. Is this true? Why was my A1c elevated? (4 Aug 2006)

  71. Are there any ways to limit post-hypoglycemic episode side effects? After the initial carbohydrates to treat the low, should I have some protein? (3 Aug 2006)

  72. Since he had an elevated blood sugar and ketones at his check-up, my son has had normal blood sugars. Could he have something else? Or, will he eventually have type 1? Is there something we can do to hold off the onset? (3 Aug 2006)

  73. How long can the honeymoon phase last? If he has good control now, will my son continue to have good control? Or, is his control related to his own insulin production? (2 Aug 2006)

  74. I am desperately trying to get an OmniPod for my toddler nephew, but since we are in Iran, they won't send us one. Can you help us? (2 Aug 2006)

  75. My daughter recently experienced another migraine vomiting episode and slightly elevated blood sugars. Neither the endocrinologist or neurologist knows what is going on. What do you suggest? (2 Aug 2006)

  76. When I go into labour, I prefer to use my pump rather than an I.V. drip. Do you have any advice on pump protocols for labour? What should my blood sugar range be during labour? (1 Aug 2006)

  77. During my annual physical, my fasting blood sugar was 118 mg/dl [6.6 mmol/L], so my doctor said I may be pre-diabetic. Is his assessment correct? I am not overweight and exercise regularly. (1 Aug 2006)

  78. Tired of sugar free drinks, my son wants to drink regular beverages. Would this be okay? He takes insulin and counts carbohydrates. (1 Aug 2006)

  79. I hardly sleep worrying about my daughter and her diabetes. Would a pump help make our lives easier? Is it okay that I am giving her herbal supplements? (1 Aug 2006)

  80. We are taking our daughter on a backpacking trip. She takes Lantus in the morning and Humalog with meals. Since exercise makes her low, should we reduce her Lantus? (1 Aug 2006)

  81. Because he has lost 15 to 20 pounds and has excessive thirst, I had my son tested for diabetes. It was negative, but he's still losing weight. Could he still have diabetes? What do you recommend? (1 Aug 2006)

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 15:10:08
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