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Daily Care

My 11 year old daughter has just been told she may be insulin resistant because she needs higher and higher doses to control her numbers. I have been told just to keep increasing units until her numbers decrease. What is the long term effect on her health? Would Humalog be better? Is there a limit to what her body can handle?

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I would like some information on diabetes and women’s issues.

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I have had Type 1 diabetes for the last 32 years (now age 43). I have been striving for the ideal insulin therapy. I have two questions: one concerning nighttime control, and the second concerning insulin pumps, insurance, and US laws.

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I have recently relocated to Iowa and am changing doctors. When I made an appointment with a Family Practice doctor, they scheduled me for lab work. I was asked to fast for a hemoglobin A1c. Can you tell me why this is important or necessary?

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My daughter now has had diabetes for 3 1/2 months and we can’t seem to get it under control. Her numbers have gone as high as 450 and we always check for ketones — there aren’t any present.

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I am 25 years old, have had diabetes for 10 years, and it is becoming increasingly difficult for me to control my sugar levels. I am reluctant to raise my insulin intake because I do not want to gain any more weight. Could this be because of insulin resistance? If so, what can be done about it?

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Two months ago, my friend’s four year old child was diagnosed with type 1 diabetes, and his blood sugars are low during the day even after we reduced his insulin. Will his sugar stay this way or will this be for a certain amount of time? What is the new medication instead of injections? What is the success of the transplant of cells?

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This year, as soon as the warm weather hit, I found it necessary to cut back on my son’s insulin, even though his activity level has not increased. Does the body use insulin differently when the outside temperature increases?

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My 16 year old daughter has had A1c’s in the 11-14% range for almost two years, and her daily blood sugars reflect this. She takes quite a lot of daily insulin, and we’ve steadily increased the insulin, but it seems to have no effect. Would it help at all to switch the Lente to NPH?

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My daughter was just diagnosed a week ago, and, although I’m sure the hospital gave us all the important information we needed, we are just totally overwhelmed and clueless! I don’t know what she can and shouldn’t have, and her blood sugars continue to stay high. I have to call in every evening to get her doses, and tonight they told me I only have to call every three nights, even though I’ve told them I am very unsure!

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