Back to Ask the Diabetes Team Questions from December 2007

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  1. Since my son drinks and urinates a lot, I had the doctor's office check his blood sugar. With a result of 149 mg/dl [8.3 mmol/L], one doctor said not to worry, while another said it was borderline. Should I be concerned? (30 Dec 2007)

  2. Diagnosed with severe depression and bipolar disorder, my teen daughter is now on Seroquel and having very high blood sugars. She is also bingeing and not giving herself insulin. Are her highs caused by the Seroquel or the eating? (30 Dec 2007)

  3. My four-year-old has been diagnosed with pre-type 1 diabetes, currently in his honeymoon phase. His fasting blood sugars have been from 101 mg/dl [5.6 mmol/L] to 181 mg/dl [10.0 mmol/L]. Is this diagnosis correct? (28 Dec 2007)

  4. What can you tell me about sugar cataracts? (28 Dec 2007)

  5. Is there such a thing as a "glucagon allergy?" What are the implications for "Good Samaritans" who give glucagon to a stranger who has diabetes and has a severe low? (28 Dec 2007)

  6. Our 10-year-old daughter was put on metformin for insulin resistance. She had an episode at school where she felt shaky so was given a snack. In fact, afterwards, her blood sugar was much lower. What should I do? I can't get her to the endocrinologist until April. (27 Dec 2007)

  7. My son has type 1, but is not on insulin because he's in his honeymoon. He's now having low blood sugars. Why is this happening? (27 Dec 2007)

  8. Type 2 runs in my family. I am thin and exercise quite a bit, but still have pre-diabetes. If I continue to exercise, will I be able to avoid getting full blown diabetes? Is my son's type 1, diagnosed two years ago, related to our familial history of type 2? (25 Dec 2007)

  9. Apparently, my son has ketotic hypoglycaemia. Is this likely to recur and is there anything we can do to prevent it? Is there anything specific I need to discuss with the paediatrician? (24 Dec 2007)

  10. I'm a college senior who had a serious low and now overtreat my lows due to fear. How would I go about finding a psychiatrist/therapist that works with young adults (and/or possibly a diabetes team that works with young adults)? I am not comfortable discussing this with the new adult endocrinologist I have been seeing. (24 Dec 2007)

  11. Diagnosed two months ago, my daughter often feels dizzy and out of sorts. Is this common for the newly diagnosed? We're struggling to get this condition "somewhat" under control. Do we have unrealistic expectations that we should be able to do this already? (24 Dec 2007)

  12. A young teen patient has consistent elevated A1cs, but normal readings on her glucometer. CGMS use showed 25% of the glucoses were high. What do you think is going on? Family and patient have denied foul play. (23 Dec 2007)

  13. I'm on low dose steroids for an ACTH deficiency and they have a clear impact on my blood sugar control. If I don't take the steroids, I need much less insulin. Is is possible that even a low dose of steroids can lead to increased insulin needs? Am I at risk for a recurrence of the autoimmune hypophysitis I had last year? (23 Dec 2007)

  14. As an LPN working at a school, am I able to treat a student that has an insulin pump or does that have to be an RN? (23 Dec 2007)

  15. For no reason, our daughter has been having unexplained low blood sugars for five days. Our diabetes team has no explanation; do you? (22 Dec 2007)

  16. My toddler has pancreatic insufficiency. I check his blood sugars when he seems to be drinking and urinating frequently and have found some slightly elevated readings. Should I take him to a pediatric endocrinologist? (20 Dec 2007)

  17. Due to increased urination, I checked my blood sugar several times and found it elevated much of the time. My fasting blood sugar was in range when I had laboratory testing. Could I still have diabetes? Should I see an endocrinologist? (20 Dec 2007)

  18. Our pediatric endocrinologist has said not to do home monitoring for suspected diabetes since meters are not accurate. What should we do about future monitoring? My daughter's elevated blood sugars drop on their own at this time. (20 Dec 2007)

  19. My daughter has an indentation on the right side of her abdomen that is growing. Are there any treatments for this? (20 Dec 2007)

  20. My teen son has tested positive for MODY 3, but has no elevated blood sugars or symptoms of diabetes. He had protein in his urine six months ago and glucose in it two weeks ago. I am worried that he will develop kidney problems. Where can I find someone who understands the MODY type of diabetes? (18 Dec 2007)

  21. I had to pick up my teen daughter from school today due to blood sugars that would not come up. I took off her pump and fed her, but she's still low. Have you seen this before? (18 Dec 2007)

  22. What diet pills, if any, can I take that won't affect my diabetes? (18 Dec 2007)

  23. What do universities typically do to insure the health of students will type 1? (18 Dec 2007)

  24. Are there any surveys about the risk factors for the development of type 2 diabetes in children? Is there anything about nutrition/food habits, physical activity, etc.? (18 Dec 2007)

  25. Our two young children have been diagnosed with pre-diabetes, possibly MODY. Should we consider putting them on insulin at this point? (17 Dec 2007)

  26. How long after a meal should one expect to get an accurate reading? What is the blood sugar range for people who do not have diabetes? (17 Dec 2007)

  27. My 38 pound daughter takes between 11.5 and 15 units daily. Is she still in her honeymoon? What should I expect when it ends? How will I know when it's over? (16 Dec 2007)

  28. Recently, my son has been experiencing nighttime and afternoon high blood sugars that require temporary basal increases and corrections. Why is this happening? (16 Dec 2007)

  29. Twice, my young daughter has experienced low blood sugars while taking a sulfa drug. Our team at the Barbara Davis Center does not know why. Do you have any insight as to why this is happening? (16 Dec 2007)

  30. Why do some products labeled as "sugar free" actually contain more carbohydrates than regular foods? (16 Dec 2007)

  31. My young adult nephew has type 1. He lost his job and currently has no medical insurance. When he comes to live with my family in California, is there any public aid he can get until he finds a job/insurance? (16 Dec 2007)

  32. Recently, my adult daughter woke with a blood sugar of 36 mg/dl [2.0 mmol/L]. She ate a bowl of cereal, took no insulin, went to work, then tested at 411 mg/dl [28.8 mmol/L] when she felt ill. What would have caused the high? Did the liver release sugar because of the low? (16 Dec 2007)

  33. Is the A1c not a strong indicator of true average blood glucose levels in type 1 diabetics as I recently read? Is there any list of factors which would cause the A1c to vary more or less widely from true average blood glucose levels? (16 Dec 2007)

  34. Since I have had to cut down drastically on sugar, I would like to know if I can substitute honey for sugar in some things or is honey the same as sugar? (13 Dec 2007)

  35. Our young daughter sometimes experiences slightly elevated blood sugars before breakfast and before dinner. She takes Lantus before breakfast and NovoRapid for meals. How can we reduce the higher numbers? We don't believe the pump is an option for us. (13 Dec 2007)

  36. My teen daughter has a granuloma on her foot that the doctor wants to remove and she has an infection every week. What do you think? Could her infections be causing her high blood sugars? (13 Dec 2007)

  37. During a feeding session recently, my teen son, who is on a G-Tube, "zoned out" twice. The doctor suggested it was a glucose reaction, but didn't suggest testing. Should I push for testing? (13 Dec 2007)

  38. I just took my son to a new doctor at a major teaching hospital. The doctor was concerned that all of my son's antibody tests were negative and has prescribed new tests. What is he looking for? Could my son have been damaged for the past year? (13 Dec 2007)

  39. Diagnosed with mononucleosis, my teen son's blood sugars are not that elevated. Should we still check for ketones? (13 Dec 2007)

  40. Can high blood sugars cause menstrual irregularities? (11 Dec 2007)

  41. Since his diagnosis in September 2003, my son has had stomach pains. His gallbladder was removed and he had a Nissen Fundoplication. The pain is still quite bad. Do you have any ideas why he would have such pain? (11 Dec 2007)

  42. My 18-year-old daughter has type 2 diabetes. What foods are not good for her? (9 Dec 2007)

  43. My brother was just diagnosed with type 1. He throws a fit for each test and injection. Is there any way to tell him about his condition in a way that will ease his fears? (9 Dec 2007)

  44. After a recent episode of DKA, my nephew still has consistently high blood sugars. If he is eating properly and using the pump correctly, shouldn't he be in better control by now? I am concerned about future complications. (8 Dec 2007)

  45. Since finding out I was pregnant, about five months ago, I have been diagnosed with retinopathy. I had no problems before. Are there any studies into type 1 diabetes, pregnancy and rapidly advancing retinopathy? My doctors don't feel the need to see me to treat this for another two months. Is that too long to wait? I don't want to lose my sight. (8 Dec 2007)

  46. Are there any new injections or medicines to give to newborn babies to prevent them from getting diabetes? (8 Dec 2007)

  47. Due to increased trips to the bathroom, I am concerned my son has type 1, which I've had for almost 33 years. His fasting reading this morning was 118 mg/dl [6.6 mmol/L]. Could he possibly have type 1 diabetes? (8 Dec 2007)

  48. Using my meter, my son has had fasting blood sugars of 140 mg/dl [7.8 mmol/L] to 190 mg/dl [10.6 mmol/L]. Our doctor says fasting levels are the only ones that count for diagnosis. Is the doctor right about that? (8 Dec 2007)

  49. Recently, my doctor put me on a 30/70 premix and "R." I am in range breakfast, lunch and at night, but high at supper. I do have lows 40% of the time. Why am I high at supper? How can I resolve this? (7 Dec 2007)

  50. My nephew has had some signs of diabetes. His blood work results were confusing, based on what the doctor indicated. Should my sister get a second opinion? (7 Dec 2007)

  51. Do you think stem cell therapy with the patient's own stem cells injected into the pancreas could be beneficial? Is it possible that the bodies own immunity would target these cells if they developed into islets? (5 Dec 2007)

  52. My son has been experiencing dizziness, headaches, stomachache and fatigue. His doctor has suggested I take him to a neurologist. Is this normal? His blood sugars really aren't affected by these symptoms. (3 Dec 2007)

  53. In children, does the insulin production work the same as in adults? I'm assuming not; is this why they have such variable blood sugars? Do toddlers have higher blood sugars when they are upset because their body is still developing more insulin? (3 Dec 2007)

  54. My daughter has type 1, diabetes insipidus, and epilepsy. Do you think she may have Wolfram Syndrome? What kind of future should I expect for her? Are there any clinics where I can get additional information? (2 Dec 2007)

  55. My younger son has both type 1 and diabetes insipidus. Have you seen children with both? (2 Dec 2007)

  56. Tested two hours after breakfast at school, my daughter's blood sugars are high, even when I give her a lower carbohydrate breakfast. What do you suggest I do? Could her highs be contributing to her below grade level work at school? (2 Dec 2007)

  57. My teen daughter feels she has her diabetes under control, but I am concerned about her extreme blood sugars. Can you advise how long the sugar level has to be high before it starts to affect the body? My daughter thinks that highs of several hours will not affect her. Is this true? (2 Dec 2007)

  58. According to my son's doctor, during a seizure, the body reacts to a low by releasing adrenaline, which stimulates the liver to release glucose and this does not cause death. Is this true? (2 Dec 2007)

  59. Recently, our doctor said he could not give my son a shot of cortisone for a bad case of poison ivy, but could give him cortisone cream. Why was this? (1 Dec 2007)

  60. My son, who's had diabetes about 20 months, has had elevated microalbumin levels several times. Could it be cause by his vesicoureteral reflux? What kind of tests or treatments should he have? (1 Dec 2007)

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 15:10:16
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