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Daily Care

My daughter was just diagnosed with type 1 diabetes. I am really concerned about my daughter. The doctor just told us she was a diabetic and that she would need to take Regular and NPH insulin shots. If insulin is supposed to be helping my daughter, why is it that she feels worse?

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Our eight year old son was diagnosed almost a year ago. It appears his honeymoon ended about three to four months ago. However, he has never gone back to a nighttime injection. His control seems to be excellent. Are we possibly causing organ or even brain “damage” by not giving him any N at night?

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My friend has a 14 year old with type 1 who sometimes has to take 45 units of lispro and is still high. He seems to have such high resistance compared to my own daughter who also has diabetes. Could a thyroid problem exist for him?

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I have been hearing a lot about this new idea of someone being insulin resistant. Along with this people are saying that they are “addicted” to carbohydrates and are therefore cutting them out of their diet. This does not make sense to me. I have had diabetes for 7 years and am wondering if there is any truth to these ideas.

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I am 29, Type 1, duration 16 years. The endocrinologist I saw last month recommended the insulin pump without even looking at my blood sugar readings. This to me sounds like a very drastic last resort measure. I do not want the pump unless it is the only thing left to try.

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I am writing to you as I am very concerned about my niece who is 2 years and 4 months old. Is it normal procedure for a toddler who has been diagnosed 3 weeks ago, to still be so unbalanced and going from an extreme high to an extreme low? Do you think that we should seek help from doctors in a nearby country?

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I’m 16 years old, and have had diabetes for almost two years. I switched to Intensive management, and got my HbA1c in the 7’s (7.0-7.4). With this better control, I have been going low very frequently (5-8 times a week), and have now been considering a pump. How long do you usually recommend your patients to try a treatment option before switching to a new one?

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My five year old daughter has had diabetes for almost a year. They increased her food and insulin. However, she started dipping down so low that she had her first low blood sugar reaction. I was scared, so I stepped her insulin dose down. Now she is taking less insulin than before the carb increase. Why is that? How can I watch her better at night?

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If a patient with diabetes who is taking glipizide came to you after two weeks and the blood sugar level was still not well controlled, would the next step be to Increase the dose of glipizide, replace with insulin. or replace with metformin?

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My two year old son is only receiving one shot per day in the morning (6 Units of NPH with 1 Unit of Humalog), and he is often low prior to lunch. The only way to avoid the lows is to give him a big midmorning snack. What is going on?

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