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Two-year, 11-month-old little girl in emergency care, fever and vomiting over the past 48 hours. Physical exam: Lethargic, ketone breath, urine tests: glucose +++, ketonic bodies ++, leukocytes +++, nitrites ++, blood sugar 220 mg/dl, leukycytosis with left deviation, and elevated CRP. Why does she have ketotic breath? What lifestyle should I recommend them? What type of nursing care or specific recommendations should I offer to my patient?

February 26, 2019
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I found out I was a diabetic when I turn 38 and now that I am 40 I was wondering how long can I go without giving myself insulin before it takes a bad turn.

February 16, 2019
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My daughter (one-year-old at the time) presented in the ER with a blood sugar of 36 mg/dl, and ketones in her blood. They gave her glucose via IV, and her blood sugar jumped to 200 mg/dl. She was fighting the flu, and was also dehydrated. What could all of this mean?

February 13, 2019
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I am currently in the process to adopt a sibling group from Latvia. The girl, who is 11 has type 1 diabetes. I am looking to find where I get educated and training on how to care for a child with this type of diabetes. Is there any online class where I can get any type of certification as proof of training, that I can submit to Latvia?

February 13, 2019
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Where do you get the diluent for Novolog? Can you use the same for Humalog?

February 5, 2019
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My teen son required several treatments for a low blood sugar two days ago. Since then, his blood sugars have been running higher than our usual tight control. Does this signify the end of the honeymoon?

January 21, 2019
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The school wants me to get a watch with alarms for my daughter, to remind her when to check her blood sugar. I feel this is too much responsibility for an eight-year-old. What do other schools do?

December 14, 2018
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My toddler drinks and urinates a lot. She also perspires heavily. Should I have her tested for diabetes?

December 12, 2018
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I am a school nurse and have a student who has been “sneaking food” and lying about it. Do you have any advice how to educate him about the dangers of this behavior?

November 29, 2018
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In addition to diabetes and celiac, my son has an allergy to peanuts and three antibiotics. Despite vaccinations, he has not developed immunity. Have you heard of this before? I am planning to discuss this with an immunologist.

November 1, 2018
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