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Daily Care

My brother has had a very hard time controlling his blood sugar for the past year or so. He has talked to doctors and nurses, but no one can seem to give him an answer on how to fix this problem. He is having to miss a lot of school and I’m afraid this will severely hurt his health. Any suggestions?

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My mother has diabetes and takes shots twice a day. When she doesn’t take her shots for a couple of days, she gets sick. I live away from my mom, and she doesn’t like to tell anyone she’s out of medicine. When she’s sick, what signs should I look for?

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What should my eight year old daughter’s A1c’s and individual range be? Are the dramatic swings and the individual high’s causing or contributing to long-term complications? Is the danger of low glucose at age eight enough to tolerate the risks associated with having many high’s? What is your opinion of using the pump at her age?

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Fifteen months ago, my son was diagnosed with type 1 diabetes. He weighs 40 kilograms and his current total daily insulin requirement is 20 units. I was told that an average total insulin need for a person like my son is 1.5 Units per kilogram of body weight per day. That would mean he should be taking 60 Units. Is 1.5 units per Kilogram correct?

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Is there a formula to use to modify the number of units of Regular insulin to provide for sliding scale dosages?

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My son’s new endocrinologist has two shots per day, and he is waking up with blood sugars of about 240-260 mg/dl [13.3-14.1 mmol/L]. Should I be increasing his NPH at dinner to bring down his morning blood sugar?

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I am 56 years old, have been overweight most of my life but very active in sports, and was diagnosed with type 2 diabetes about nine years ago. I have had no real problems until the last few months, but lately It seems that everything I do to lower my glucose level has no effect at all. What is going on?

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My 11 year old daughter, who has type 1 diabetes, is constantly having blood sugars from 400 to over 500 mg/dl, stomachaches and headaches, and she misses a lot of time in class. We have tried her on Lantus, but that wasn’t any good for her so we switched her back to NPH with a sliding scale of Humalog. We are considering the insulin pump, but until then, we need to find something to help her. Do you know of anything else to help her?

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I have type 1 diabetes, and I am still in my honeymoon. I was just switched from NPH morning and night to Lantus at night, and it doesn’t seem to be working very well. Are there some people out there who don’t respond well to Lantus?

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I changed from Actrapid to NovoRapid, and I have never been able to get my night to morning blood sugar levels under control. They are always too high in the morning even with Insulatard at night. I have also tried reducing my Insulatard in case I’m giving myself too much, but this only gives me higher blood-sugar levels. What might the problem be? What should I do?

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