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Daily Care

I am currently on an intensive insulin regimen with NPH and Humalog in the morning, Humalog with lunch and dinner, and NPH at bedtime (11:30 pm-12:00 midnight) but lately, I’ve been waking up high. Is my problem that I’m taking my night dose too late (should I be taking it earlier in the evening)?

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I am having problems with my sugar crashing after and sometimes during sex. Is this normal and what can I do to prevent it? I have been eating before, but sometimes I still have to stop during sex to get something sweet. It is very frustrating, and I can use any advice given.

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My 13 year old sister has had type 1 diabetes for almost three years, and sometimes her blood sugar levels can rise super high for no apparent reason. She is on two types of insulin and is careful with her diet. What could cause this to happen?

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My fasting c-peptide is 0.2 pmol/ml, and my stimulated c-peptide is 0.4 pmol/ml. My blood sugar was 257 mg/dl [14.3 mmol/L] before food and 424 mg/dl [23.6 mmol/L] after food. Since taking insulin in the morning and in the evening, along with a sulfonylurea, my blood sugars have improved. Will I continue insulin injections for life, or in due course, will they stop it?

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I have type 2 diabetes, and I currently take glyburide and Amaryl twice a day to control my blood sugar, but lately, my blood sugar has been staying in the 200+ mg/dl [11.1 mmol/L] range. Are there other medications that would work better for me? I cannot take Glucophage as it gives me constant diarrhea.

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I have had type 1 diabetes for 22 years and take NPH insulin. I have gained weight, have lumps at my injection sites, and for over a month, I have had ketones a lot. I used to look healthy, but now I feel like it’s a losing battle. If I switch insulins, will it be absorbed better?

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My daughter’s diabetes team has now switched her to three injections per day (NPH and Regular at breakfast, Regular at supper, and NPH at bedtime), and I am not sure what time the NPH should be given. I am concerned that if she takes the NPH too late, the insulin will peak at the wrong time. Should she have a bedtime snack before I test her blood glucose and give the NPH?

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My 10 3/4 year old daughter began insulin pump therapy a year ago, and her blood sugars are falling in the normal ranges. Lately however, they have been all over the place, but there is no pattern. I am thinking that she could be on the verge of menstruating. Is there any way to find out if her period is coming and if this is the culprit?

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Which provides the best diabetes control for a nine year old girl with type 1 diabetes, the insulin pump or daily injections? What problems are associated with pump use?

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I have had diabetes for about 10 years, which I haven’t looked after since diagnosis, but I’ve been thinking more about my health for the last few months. My main problem being that I am a bulimic. What can I do to help myself?

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