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Daily Care

My 11 month old son is still hanging in there. His latest hemoglobin A1c was 9.4%, and he needs to be at 8% or below. He is never really close to the normal range. Is he too young for Humalog?

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My fasting blood sugars are 95-130 mg/dl [5.3-7.2 mmol/L] (the higher readings generally occur when I either eat a very late dinner, or when I have cold or flu symptoms. Could late meals or illness cause higher readings? Also, short fasts (five to six hours) produce a lower reading then a longer fast (eight or more). Is there any reason for this situation?

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I have had elevated fasting blood sugars and an abnormal GTT, but since my HbA1c is 6.2%, my doctor said that I just needed to come back in a year or so for a recheck. Am I worrying needlessly about the fasting glucose number? Do I have diabetes?

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My six year old daughter has recently had a radical decrease in her daytime NPH needs. Her schedule, meals, etc. are essentially unchanged, but I have had to keep decreasing the am NPH because of mid morning and early afternoon lows. How is this possible?

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My 10 year old son was diagnosed at age five, mom is getting very weary of doing everything, and my son is very unreliable. What counseling or educational opportunities might be available to help teach my son to take on more responsibility?

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I am taking a sulfonylurea, my blood sugar has come down to 101 mg/dl [5.6 mmol/L] (fasting) and 137 mg/dl [7.6 mmol/L] (postprandial), and my latest C-peptide result was 0.3 (fasting) and 0.4 stimulated). I have many questions.

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My 10 year old son, diagnosed with type 1 diabetes about nine months ago, remains in the honeymoon, but his insulin needs have gradually gone up since diagnosis, and his blood glucose has been up and down. Complicating his control is his inability to get accustomed to low normal blood glucose. How can we manage this?

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My four year old daughter has type 1 diabetes and will get a high reading before dinner, followed a low reading before snack that the doctor explains is due the afternoon exercise kicking-in. We’ve received a lot of information on how various types of insulin work, but need more information about the effects of different foods and exercise.

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My 12 year old son was diagnosed with type 1 diabetes a year ago. How many blood sugars (causing reactions) are acceptable per week for good control?

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