Back to Ask the Diabetes Team Questions from February 2010

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  1. Why is it acceptable for a 10-year-old to have an HbA1c of 8? Our pediatrician does not want us to work toward a lower A1c. Am I right to be concerned about possible future complications? (26 Feb 2010)

  2. When I was hemorrhaging after surgery, my blood sugar was 425 mg/dl [23.6 mmol/L]. Could this mean I will have diabetes in the future? (23 Feb 2010)

  3. I checked my toddler's blood sugar and it was 322 mg/dl [17.9 mmol/L]. He'd been cranky and not eating. Might this be diabetes? Should I check him more and take the results to the doctor? (22 Feb 2010)

  4. Despite controlling my blood sugar and taking insulin, I keep getting ketones. Why is this? (21 Feb 2010)

  5. A GTT indicated my son had hypoglycemia, but we also found high blood sugars. Can you explain the results of the tests my son had in January? Should we continue to check his blood sugars or not? We are supposed to see an endocrinologist in late April (20 Feb 2010)

  6. My daughter has some slightly elevated fasting blood sugars, is very thirsty and urinating a lot. Should I be concerned that this could be diabetes? (20 Feb 2010)

  7. I recently disconnected my pump for surgery and got no insulin for almost 10 hours. My blood sugar never went above 15 mmol/L [270 mg/dl]. Why didn't it go higher? I was concerned about DKA. Was I right to be concerned? (20 Feb 2010)

  8. At diagnosis, in the U.S., we were told we could use our young daughter's toes for blood glucose checks. Doctors in Israel disagree. Is this safe to do? At what age should we stop? (20 Feb 2010)

  9. My seven-year-old often wets herself. In the morning, her Pull-Ups often have a weird smell and her appetite fluctuates. She has ADHD. Could her symptoms be related to diabetes? (20 Feb 2010)

  10. Now that she is 11, might our daughter be ready for sleepovers at friends' houses? She is pretty responsible about her diabetes, but sometimes has lapses in judgment. (20 Feb 2010)

  11. My son has lost weight and urinates frequently. He has had two slightly elevated fasting readings. Is this something about which I should be concerned? (18 Feb 2010)

  12. My toddler had an elevated random blood sugar. Since my siblings and I have type 1, I am concerned my daughter is at risk. Should I press for testing? (18 Feb 2010)

  13. When our grandson comes to visit, we have to call his parents for insulin dosing guidance. Is there a formula for determining the dosing? (18 Feb 2010)

  14. After 20 years with good control, my son is experiencing insulin resistance. Is it caused by his high CPK level or is his insulin pooling under the skin causing poor absorption? He has little body fat because he is a body builder. (16 Feb 2010)

  15. My son, on three injections a day, is refusing to eat lunch causing low blood sugars. Meal replacement drinks are not helping. What else can I do? (16 Feb 2010)

  16. My son was diagnosed with diabetes in October. We just received the results of his GAD test and my son was positive for three antibodies, indicating type 1. We thought he had type 2. Could the test be wrong? Could he get antibody injections? If so, would this be a cure? (13 Feb 2010)

  17. My son has been taking enalapril for microalbuminuria. The cardiologist thinks the microalbuminuria might be sports related, while the nephrologist disagrees. How do we determine if it is related to his diabetes? (12 Feb 2010)

  18. We know how DKA happens, but how long before it is irreversible? Why can some walk around in DKA yet it killed our friend's son in hours? (11 Feb 2010)

  19. Have there been any studies that document the percentage of children with type 1 diabetes diagnosed with ADHD as compared to the general population? (10 Feb 2010)

  20. Since children with autism have difficulty processing sugar and ADHD falls under the autism spectrum, is autism/ADHD related to diabetes directly? (10 Feb 2010)

  21. Can type 1, if caught early, be treated with diet? Would Prednisone and allergy medicines affect one's blood sugar? (9 Feb 2010)

  22. Born two months prematurely, my daughter is now gaining a lot of weight and sweating a lot when drinking her bottle. Are these symptoms of hypoglycemia? (9 Feb 2010)

  23. Diagnosed last April, my son is experiencing very high blood sugars. I suspect he is "sneaking" food. What do you suggest I do about this? (8 Feb 2010)

  24. Does stress cause blood sugars to rise? My son has higher blood sugars at school when he is more stressed. (8 Feb 2010)

  25. My daughter has just been diagnosed with Autoimmune Polyendocrine Syndrome type II. What are the complications/prognosis? Where on the east coast can we find an endocrinologist? We feel our current practice is too small. (7 Feb 2010)

  26. I was diagnosed with pre-diabetes several years ago. My fasting blood sugar is slowing rising, but I am not overweight and I exercise. Is there anything I can do to prevent a future diagnosis of diabetes? (2 Feb 2010)

  27. Within one month of diagnosis, my son's A1c dropped from 10% to 7.2%. How is it possible to have such a drop in only 30 days? (1 Feb 2010)

  28. As a college swimmer, my daughter has gone back to injections and reduced her insulin drastically, but she is still having 5 a.m. lows. How can she prevent them? She is nervous about the lows so she goes to bed with a very high blood sugar. (1 Feb 2010)

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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