Back to Ask the Diabetes Team Questions from June 2008

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  1. My brother has pre-diabetes and had normal urine tests. But, the laboratory results indicated he was in the early stage of diabetic nephropathy. Why is this? (30 Jun 2008)

  2. We live in Dubai and want to know if local treatment is the same as that in the U.S. Can we can trust the treatment here? (29 Jun 2008)

  3. Symptomatic for diabetes, my son's blood sugars were in range during his glucose tolerance test last year. Since then, he has ranged from 50 mg/dl [2.8 mmol/L] to over 200 mg/dl [11.1 mmol/L]. Should I have him tested again? (29 Jun 2008)

  4. My son has a painful wisdom tooth so he needs them all pulled. The oral surgeon wants consent from my son's doctor, as he believes my son may not heal properly because of his diabetes. Is this common? (26 Jun 2008)

  5. Do you support a public school requiring diabetic students to submit to a blood glucose test whenever the principal requests, for discipline purposes, specifically, before the student is investigated? (26 Jun 2008)

  6. My son has thirst, nighttime urination, weight loss, stomach pain and intermittent low grade fevers. I know the first three are symptoms of diabetes, but what about the pain and fever? (25 Jun 2008)

  7. Recently diagnosed with hypothyroidism, how will Synthroid affect my daughter's insulin/blood sugars? (25 Jun 2008)

  8. Is there proof that diabetic neuropathy is developed due to persisting hyperglycemia for prolonged time? Can someone with type 2 develop neuropathy after having hypoglycemia caused by improper medication? (24 Jun 2008)

  9. My one son was born with hypothyroidism. Another has type 1 and my husband has low testosterone levels. Are these conditions related/genetic since they all involve the endocrine system? (24 Jun 2008)

  10. My daughter had a severe low today at school. I had her skip soccer practice and am monitoring her more closely. Are there any other things of which I should be aware? (24 Jun 2008)

  11. Local policy dictates that only an EMT or school nurse can administer glucagon. Is it just not that necessary to administer it immediately to an unconscious, seizing child? (24 Jun 2008)

  12. Are you aware of any research studies showing that a high protein diet causes damage to otherwise healthy kidneys in type 1 or type 2 diabetics? (24 Jun 2008)

  13. Since his February diagnosis, my son has been taking Humalog and NPH. I would like to get him on a pump to give him a more flexible schedule. Our endocrinology clinic wants us to wait. Am I being silly trying to get a pump so soon? Will my son likely cheat less if he's on a pump? (22 Jun 2008)

  14. I have two children with type 1. My daughter uses a pump while her older brother is on injections. He has little difficulty with his control while my daughter has to work harder at it. Why is this? The endocrinologist thinks it's related to my son's running. (22 Jun 2008)

  15. If a diabetic patient with persisting high glucose levels can get hypoglycemia like symptoms and counterregulations to hypoglycemia and if he tries to get better control by a medication program, can he get such hypoglycemia unawareness or somewhat silent serious conditions? (22 Jun 2008)

  16. After two months of fatigue, my son's random blood glucose was 167 mg/dl [9.3 mmol/L]. Today, his fasting blood glucose was 113 mg/dl [6.3 mmol/L]. Could he be in the early stages of type 1? (20 Jun 2008)

  17. Is it important to limit the amount of sugar and junk food a child with diabetes has? Why or why not? What are the side effects? (18 Jun 2008)

  18. In your opinion, is the time for continuous glucose sensing now? (18 Jun 2008)

  19. I have diarrhea, which my doctor thinks is related to my metformin. She has suggested Januvia along with my insulin. I am not comfortable with this. What do you suggest? (16 Jun 2008)

  20. My stepson's caregivers have told me I cannot take him swimming in any lakes because foot injuries could be bad for him. Are small cuts really that bad? (16 Jun 2008)

  21. Can one's body become accustomed to high blood sugars if they are persistent? So, when the blood sugars are closer to normal, might it seem like hypoglycemia? (15 Jun 2008)

  22. Since my A1c was 6.5, my doctor said I have diabetes. I asked for an OGTT and am confused about its results. Am I diabetic or not? (15 Jun 2008)

  23. Can diabetic patients get silent or sudden heart and other serious problems to which body defense mechanisms may not work? If so, how? (13 Jun 2008)

  24. When he had badly swollen lips, I took my teen son to the Emergency Room. They suspect an NSAID allergy. Do you have any insights? (13 Jun 2008)

  25. My pump is not waterproof so I'd like some suggestions on how to handle my pump and diabetes management during an upcoming rafting trip. (12 Jun 2008)

  26. Symptomatic for diabetes, my daughter has some elevated blood sugars at home. Should I be concerned? Can the onset of diabetes be slow? (11 Jun 2008)

  27. My son is overweight and has been diagnosed with insulin resistance and a male version of PCOS. Would he benefit from taking metformin? Is there anything else I should do? (11 Jun 2008)

  28. My young son lost weight so he went for a urine glucose test. Only the edges of the strip changed colour so he is to be re-checked in a month. Does this mean he could be vulnerable when he's in surgery in two weeks? (11 Jun 2008)

  29. My five-year-old is in good health, but a bit overweight and slow when running. He eats a lot of sweets. Should I be concerned about him developing diabetes? Is it possible for a normally healthy person, who is physically active and consuming a healthy, low refined-carbohydrate diet to develop diabetes anyway? (11 Jun 2008)

  30. There has been a lot of enthusiasm about low carbohydrate diets. Do you feel these are appropriate for children with type 1 diabetes? Why or why not? (11 Jun 2008)

  31. How many children die because it was too late before anyone realized what was going on? (11 Jun 2008)

  32. Symptomatic for type 1, my son's pediatrician did a one hour glucose test, with "normal" results. I asked the pediatrician for another test, a three hour one. Again, the results were normal. Then, why does my son have symptoms? How can I stabilize him? Is there anything we should do? (7 Jun 2008)

  33. Can a child have mango or other fruit included in her diet? (7 Jun 2008)

  34. My daughter, who had some elevated blood sugars, was diagnosed with pre-diabetes about five years ago. She was MIAA and GAD-65 positive. Is she going to end up with type 1 diabetes? What can we do for her to prevent this? (4 Jun 2008)

  35. Diagnosed with hypoglycemia at the age of four, my now six and a half-year-old often behaves erratically and is moody. Could she by on the path to developing diabetes? Her behavior reminds me of my half-sister who was diagnosed with type 1 about nine years ago. (4 Jun 2008)

  36. In the past six months, since switching from Levemir and Actrapid to Lantus and NovoRapid, my blood sugar control has worsened. What do you suggest? (4 Jun 2008)

  37. Can an insulin pump be used to manipulate blood sugar levels or used to set blood sugar levels either higher or lower than normal? (3 Jun 2008)

  38. At his check-up, my son had urine ketones so we were told to log his meals, check fasting and one hour post-food blood sugars. His blood sugars have been on the low side. What could this be? (3 Jun 2008)

  39. When my teen travels to several European countries this summer, how can he keep his insulin cool? Can we FedEx insulin to him, if needed? What documentation might he need? (3 Jun 2008)

  40. I take care of a toddler who voids shortly after drinking, eats a lot, but is not overweight. How can I encourage her mom to discuss this with a doctor? (3 Jun 2008)

  41. Diagnosed with type 1 eight months ago, my young son complains of hand and leg pain almost every morning. What would cause this? (2 Jun 2008)

  42. Because it is so costly, my adult daughter is not taking any insulin. How bad is this? Is there some other treatment? (2 Jun 2008)

  43. My daughter tested positive only to GAD 2. All other tests were negative. Is this "normal" diabetes? (2 Jun 2008)

  44. Does injected insulin cause weight gain? I've been on insulin for 42 years, but have gained 35 pounds in the past three years, since starting Lantus. I eat well and exercise. (1 Jun 2008)

  45. Why can't I lose weight? I've gained 25 pounds since my diagnosis with type 1 five years ago and can't lose it despite a healthy diet. (1 Jun 2008)

  46. My teen son is very thin so we inject insulin in the backs of his arms and hip only, but these spots are getting thick causing painful injections. What do you suggest? (1 Jun 2008)

  47. Diagnosed about seven months ago, over the last two weeks, my young son is urinating much more. I thought this occurred at onset and with highs. Is there something else that could be causing this problem? (1 Jun 2008)

  48. Using a home monitor, my son's fasting blood sugars range from 97 mg/dl [5.4 mmol/L] to 160 mg/dl [8.9 mmol/L]. Should I be concerned that he is pre-diabetic? (1 Jun 2008)

  49. Can continual and increased insulin cause decreased urine exposure by changing some muscular tone in urinary system? If insulin can cause decreased urine excretion, can creatnine clearance be effected due to it? (1 Jun 2008)

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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