Back to Ask the Diabetes Team Questions from January 2011

Do you have a question you want to ask to an experienced team of diabetes Health Professionals? The health care professionals of the Diabetes Team lend their many years of experience to answer your questions. Be sure to read the Diabetes Team Disclaimer and the Message from the Diabetes Team. You can review the credentials of our Diabetes Team members by clicking on their names below or on their initials in each answer.

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  1. We developing an IEP for our young daughter. A school assessment said there was no correlation between glucose levels and behavior, but we feel there is some correlation. What is your opinion? We have sought counseling to help our daughter with her attitude/behavior. (25 Jan 2011)

  2. When being treated for reflux in his kidney, my son was spilling ketones and protein. After his A1c was found to be 5.3, the doctor was not concerned, but I am. Should I find another doctor? (22 Jan 2011)

  3. I provide care for a young girl whose blood sugars are often quite elevated. Mom has said not to worry, that she will adjust the girl's insulin. I am worried about the girl's health and am unhappy with all the unhealthy foods mom provides. What do you suggest I do? (20 Jan 2011)

  4. Even though I keep increasing his Levemir dose, my son is still having high blood sugars around dinnertime. I don't think he is rebounding. What do you recommend? (19 Jan 2011)

  5. My daughter becomes very shaky when she does not eat regularly. What are the percentages she will develop diabetes? We have a family history of it and I had gestational diabetes. (17 Jan 2011)

  6. Are the family members of someone diagnosed with type 1 as an adult at a higher risk of diabetes? I sometimes have elevated fasting blood sugars, but random readings in range. Is this normal? Should I discuss this with my doctor? (17 Jan 2011)

  7. I'm looking for some criteria on encouragement for my college student who is sick of having diabetes. (14 Jan 2011)

  8. Recently, my son's s behavior becomes highly disruptive mid to late morning at preschool. Is it possible this is because his blood sugar is dropping precipitously? At home, I can see his behavior changing and avoid a downward spiral in behavior and blood sugar. (11 Jan 2011)

  9. Since two of my siblings have adult onset type 1, I am concerned about my daughter, who has been fatigued and irritable. Her random blood sugar was 60 mg/dl [3.3 mmol/L]. Should I pursue additional testing? (10 Jan 2011)

  10. My daughter's new doctor wants her to switch from Lantus to Levemir, but I thought these were the same insulin. Why would the doctor suggest this? (7 Jan 2011)

  11. My son's behavior is out of control. He lies about his blood sugars and the presence of ketones. Do I seek psychological help? I just don't know what to do any more. (7 Jan 2011)

  12. After four years with type 1, my six-year-old son has an A1c around 6. He experiences lows about three or four times a week. Are such lows intrinsically harmful? Is there good evidence that it can lead to long-term sequelae, such as cognitive or memory problems? (5 Jan 2011)

  13. When my son is ill, I smell acetone in his breath. Is this something about which I should be worried? (5 Jan 2011)

  14. Should children with type 2 diabetes, who are not on insulin, have glucagon emergency medication at school to treat severe hypoglycemia? (4 Jan 2011)

  15. My TSH is in the normal range, but my fertility specialist would like me to take Synthroid to lower it. My endocrinologist disagrees. Would Synthroid decrease my thyroid antibody levels? Would a lower antibody level increase my chance of getting pregnant? (4 Jan 2011)

  16. Since the recent end of her honeymoon, my teen has been experiencing blurry vision as a side effect of higher blood sugars. How long will this last? What can I do to help her vision so she can return to school? (3 Jan 2011)

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 January 25, 2011 17:56:20
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