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Daily Care

My son’s doctor changed him to a lower dose of NPH, but then his sugars were high all the time, so he changed him back to one unit less than what he was on before, and now he is back to the high to low thing. It seems to me that his sugars are dropping about the time the NPH peaks out, and I think perhaps he needs to change the type of insulin he takes. What is your opinion?

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My male friend takes high doses of insulin daily, manages his diet well, is a farmer who has reasonably high stress levels, and has a problem with maintaining a reasonable blood-sugar level. I believe it should read at a level of 4-5 mmol/L [72-90 mg/dl], but it constantly jumps to a level of 8 mmol/L [144 mg/dl].

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My boyfriend’s daughter is saying she’s not hungry, regardless of her blood sugar level. Is this a true problem or is she just playing games?

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Are there any published articles about the Un-Tethered Regimen? My daughter’s diabetes team has not heard of this. In case of pump failure, what insulin should I give my daughter? Her doctor recommended NPH.

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My young daughter was recently diagnosed. I prefer to check her blood sugar two or three times at night, but the doctor doesn’t think that’s necessary. When should I test? Will she be safe if I check less? I have caught a few lows during the night.

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Using the standard 1800 rule is not possible for my infant son. Is there another way to come up with a realistic ISF?

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I have type 1, use a pump, and have just returned to the workplace. I had to go home once to take an injection when I was high. I carry a meter, glucose tablets and crackers. Should I also carry insulin and syringes? What about pump supplies?

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Which is the best method of administering mealtime insulin when you encounter a pre meal low?

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We got an I-port for our son, but we can’t get it to function properly, leading to high blood sugars. Do others have similar problems?

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My daughter, who takes Lantus and NovoLog, has normal bedtime blood sugars, but is very high overnight. What do you suggest we do?

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