Back to Ask the Diabetes Team Questions from November 2009

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  1. I would like to wear my pump and CGM during upcoming surgery involving my colon. I plan to reduce my basal insulin and teach the doctor how to suspend the pump. Is this feasible or is it better just to go with hospital dosing? (30 Nov 2009)

  2. Recently diagnosed with type 1, my son was sweating profusely in the middle of the night. His blood sugar was in range. Should I be concerned or is this normal for someone with diabetes? (29 Nov 2009)

  3. Recently, my daughter has been complaining about leg and arm cramps as well as stomach aches. Is this something about which I should be concerned? (29 Nov 2009)

  4. Should I have the doctor check my toddler for diabetes? My son had a month-long bad diaper rash but doesn't seem to have any other symptoms. (29 Nov 2009)

  5. What is the incidence of diabetes in a six-year-old child with Down's syndrome and congenital cardiomyopathy? (25 Nov 2009)

  6. Three months ago, I was diagnosed with type 1, but my blood sugar has averaged 110 mg/dl [6.1 mmol/L] for about six weeks without insulin. Am I still in my honeymoon? Do I still have diabetes? (24 Nov 2009)

  7. Now five, my daughter has become defiant, rebellious, devious, and at times, violent. Many times, this occurs when her blood sugar is high. How do we get the behaviors under control? How do we discipline her and get her to control herself better? (24 Nov 2009)

  8. I have type 2, am very distressed and discouraged. I am a burden to my parents. Here in India, I can't get married when I become of age because of my diabetes. How can I manage my life with diabetes? (16 Nov 2009)

  9. Diagnosed with type 2 two years ago, my doctor now suspects I have LADA. Should I consider adding another medication to my metformin? Should I consider taking insulin? (16 Nov 2009)

  10. Does masturbation cause diabetes? Are smoking and drinking alcohol bad for people with diabetes? (16 Nov 2009)

  11. My daughter, who had a pancreas transplant in 2007, is currently hospitalized with retinopathy. Her eyes were fine after the transplant, but are deteriorating. What do you suggest she do? She's already been seen by doctors at the University of Maryland and Johns Hopkins. (12 Nov 2009)

  12. Recently, my daughter is having lows, in the afternoon and at night. Her TDD is 14 units, down from 20 to 22. Why is she requiring less insulin now? Could she still be producing insulin after five years? (12 Nov 2009)

  13. Since yesterday, my toddler has been under 150 mg/dl [8.3 mmol/L] despite no short acting insulin. She does not appear to be ill. What else could cause such lows? (12 Nov 2009)

  14. Last weekend, when sick with the flu, my younger daughter had blood sugars over 300 mg/dl [16.7 mmol/L]. The pediatrician said they were related to the flu, but since she's already tested positive for two of the antibodies I am worried. What do you think? (10 Nov 2009)

  15. My son is having lows while in his honeymoon and not taking insulin. Should he have some additional testing? Our endocrinologist doesn't think antibody testing would be that helpful. (9 Nov 2009)

  16. The school doesn't want my son checking his blood sugar in the classroom but, with the outbreak of flu, I am concerned about all the viruses now in her office. What do you suggest we do? (8 Nov 2009)

  17. Diagnosed a year ago, my granddaughter does not see an endocrinologist because her parents have no health insurance. Since recent seizures, her blood sugars are on a roller coaster. Should I be concerned? (8 Nov 2009)

  18. My new doctor switched me from Humalog to NovoLog, but I am now having consistent highs. Why is this happening? Should I find another doctor to put me back on Humalog? (8 Nov 2009)

  19. Can someone with type 1 or type 2 diabetes have an early ability to self regulate their blood sugar prior to presenting fully with the disease? (6 Nov 2009)

  20. My daughter disconnects her pump and takes shots for volleyball tournaments, which can last up to four days. She often runs low and has to be removed from games. How can we avoid this? (6 Nov 2009)

  21. Diagnosed three months ago, my teen daughter was told by an endocrinologist to decrease her evening Lantus and take Humalog before meals instead of Lantus only. She had several elevated readings using the Humalog. Is it necessary to use the short acting insulin or can she continue to take the one evening injection of Lantus if this is creating normal daytime sugar levels? (4 Nov 2009)

  22. Is there a web site where I can look up carbohydrate counts for many different foods and drinks? (3 Nov 2009)

  23. Six weeks ago, my teen daughter developed sudden hearing loss in her right ear. Three ENT specialists said it's a possible complication of diabetes. Have you ever heard of this? (2 Nov 2009)

  24. The pediatrician has diagnosed my daughter as "borderline" diabetic. What does this mean? Is she developing diabetes? Does a one month wait for a recheck after dietary changes standard? Are there other tests I should be requesting? (2 Nov 2009)

  25. Are there any syndromes known to include a thiamine deficiency and diabetes in children? (2 Nov 2009)

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 15:10:20
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