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Daily Care

I am 24 years old, have had type 1 diabetes for 10 years, and I am currently on a sliding scale system of three Actrapid injections before meals and Insulatard at bedtime. What are the recommended postprandial readings half an hour after eating, an hour, and two hours?

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Our nine month old son who was just diagnosed. How do you get a nine month old to eat if his blood sugar is low? What do I look for? He can’t walk so it’s hard to say if he seems low and I don’t want to wait until he is shaking —sometimes that’s too late.

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My seven year old son was diagnosed a week ago with type 1 diabetes. Our doctor said his blood sugar target should be 150-200 mg/dl [8.3-11.1 mmol/L], but I have several questions.

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My 12 year old brother was diagnosed with type 1 diabetes seven months ago, and his average blood sugar is about 300 mg/dl [16.7 mmol/L]. He does exercise and keeps a strict diet, but there is no improvement, and he has become sick of this state. What should we do?

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Our three year old daughter was having symptoms of diabetes and was started on insulin, but her antibodies are negative. A doctor says we should replace the shots with pills and that there may be a chance that her body will come out of this?

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My almost four year old son was diagnosed about six months ago, and we and his endocrinologist are puzzled by his inconsistent numbers. It feels like a guessing game of what should we give him now. And at first he was on two shots, then three, and now its been four shots for about two months. Have you heard of this?

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Could the presence of ketones be from hypo rather than hyperglycaemia following the low? I gather that ketoacidosis is different from ketosis-lipolysis. Could you explain the difference to a layman? What are the time scales involved in producing ketones in high-sugar rebounds from hypos?

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There is a 63 year old patient with type 1 diabetes for years and a hepatitis C infection, and the doctor advised her to use twice daily premixed insulin. However, with this regimen, she has hypoglycemia before breakfast and hyperglycemia afterward. What’s your advice?

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I am a 64 year old male diagnosed with type 2 diabetes about seven moths ago, and I am now in good control ( A1c of 6.2%) with diet and exercise. However, my blood glucose level tends to rise overnight and is usually by 15 to 20 mg/dl [0.8-1.1 mmol/L] in the morning. The increase doesn’t happen every night, but there seems to be no rhyme or reason when it does What causes this? Is there anything I can do to minimize or stop that increase?

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