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Complications

I’m 46 years old. I’ve had Type 1 diabetes since I was 10. Several years ago, I had my second stroke; I was prescribed a SSRI medication for depression. Since them I’ve discovered it seems to prevent the peripheral neuropathy I’ve been suffering from for 20 years.

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I’ve had type 1 for 37 of my 48 years. I have read that people who have diabetes may be more prone to “frozen shoulder” than people who don’t have diabetes. Can you explain what this problem is? What types of treatments are available?

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If someone with diabetes has an eye exam, and is found to have hemorrhages and exudates but no proliferative retinopathy (neovascularization), does it mean this is background retinopathy? Is the treatment only tight glucose control and not laser? When does a person with type 1 diabetes need to have a laser procedure?

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My daughter, who has type 1 diabetes and currently has an A1c of 7.5%, spilled protein in her urine. They suggested this may be because she is an athlete but want to do another test with the first urine of the day which is scheduled. Can you explain what are medical reasons for spilling protein?

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My 47 year old brother, who has had type 1 diabetes since the age of 14, has been on dialysis for the past five years. He suffered two strokes, congestive heart failure, gastrointestinal problems, and has other problems. Would you please send any information concerning treatment, prognosis, or information useful in helping me to care for him?

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My brother is waiting to get on dialysis, and they were going to insert a port to get him ready, but his sugar reading was very, and even though they were really concerned, they did not admit him to bring it down. So he has been home, and his sugar readings remain very high. Shouldn’t he be in a hospital?

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Should we be concerned with the elevated creatinine clearance in light of my son’s exercise regimen? Is microalbumin a more precise or better test for early warning signs in the search for kidney disease?

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My two daughters both have what the doctor termed insulin resistance, and both have skin discoloration especially on the neck. Can we stop the skin discoloration?

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My 15 year old niece was just diagnosed with type 1 diabetes two days ago. Her initial blood sugar level was 2400 mg/dl [133.3 mmol/L]. She is also still experiencing blurred vision. Is it common to have vision problems after the levels have come that far down?

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My 15 year old son has had type 1 diabetes since the age of 10, his growth pattern since diagnosis has been in the lower percentile range, and for the past few years, he is almost at the bottom of the range. My concern is that his growth has been inhibited by something related to the diabetes.

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