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Daily Care

Although I almost always take my insulin, I don’t always check my blood sugar. How can I get back on track?

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Diagnosed in August 2005, my daughter’s insulin needs vary a lot. Is this normal? Are her dosages appropriate? Is her anti-gliadin test result high?

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I have type 2 and have been struggling with hyperglycemia. The more medication I take, the more my blood sugars go out of control. And, I keep gaining weight, despite efforts to the contrary. What do you suggest?

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What are the indications to split the Lantus dose and once it is split, how do you decide which dose to adjust? Do you know of any sources on best practices with Lantus?

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We are considering switching our daughter from NovoLog to Apidra to combat postprandial spikes. Is Apidra really faster acting?

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I am a school nurse and have an incoming kindergartner who uses a pump. An LVN will be at the school when I am not there. What kind of nursing assistance should this student have? Should I push for an LVN for the entire day to monitor and bolus when needed?

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My teen daughter has been struggling with her A1c. She doesn’t want to work to lower it, assuming it will lead to weight gain. How can we convince her she needs to work on lowering it?

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The pediatrician has put my son on inhaled steroids. The endocrinologist said to watch his blood sugar and correct as needed. What do you suggest?

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Our son’s bedtime target is 8.0 mmol/L [145 mg/dl], but he is often lower than that and not interested in eating to raise his blood sugar. What do you recommend we do? He has had one morning seizure due to a low.

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Is my daughter’s insulin regimen a cause for concern? Her breakfast ratio 1:1.6; lunch 1:2.3; and dinner 1:1.6. She takes 10 units of Lantus before dinner.

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