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Daily Care

My GTT results were to be sent to my primary care physician, and he prescribed Glucophage which he wanted me to start taking before I saw an endocrinologist and had the chance to discuss any treatment plan. Is starting this medication the right thing to do? My goal is to manage the diabetes through diet and exercise alone.

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My specialist advised that I should always give myself the minimum dose of Humalog per meal, but when I told him I become seriously hypo about an hour after I choose to eat very light meals such as salads he just said to “eat more food”. Why should I “eat more food” than everybody else? I adjust my insulin up if a meal requires it, why not down?

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I have checked my daughter’s blood glucose levels are always high at lunch. I know that if I gave her more of Humalog in the evening it would kill her, so it terrifies me to send her to school every morning with more, but, if anything, she does seem to need it. Why does it take far more Humalog in the morning than at night, for the same amount of carb consumption?

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I have good control of my blood sugars during the day. My bedtime reading is usually 6-8 mmol/L [108-144 mg/dl] but my morning reading is always 9-13 mmol/L [162-234 mg/dl]. My Doctor tells me to increase my Lantus dose but this does not seem to be doing anything. I have already increased it from 18 units to 22 and the readings stay the same. Do you have any suggestions?

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My 13 year old niece has Type 1 diabetes. When we are together – which is not daily – she is reluctant to test, is usually high and frequently is allowed “special treats” that are high in sugar and carbs. I am concerned that neither she nor her parents are taking this disease seriously and do not realize the health risks she is suffering by not managing the glucose levels better.

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I woke up to find my husband, who has type 1 diabetes, having a seizure. His blood sugar was 66 mg/dl [3.7 mmol/L] Was the seizure from a low blood sugar or is there something else we need to look into?

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What insulin syringes have the finest needles for maximum comfort? I have the same question concerning the lancets.

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My teenaged daughter has a knot of skin on one side of her hip. I think she has not rotated her shots. Will this go away and how can she make sure this will not happen again? When will islet transplants be available for her?

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I am currently using an insulin pump while at a residential treatment center. How can I get the staff to understand I know how to take care of my diabetes?

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