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Daily Care

Knowing what we know now about the safety of Lantus and short term insulins, why do pediatric endocrinologists at children’s hospitals still use NPH to treat new type 1 patients?

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What is the normal protocol for blood sugar levels that are too high at a meal time?

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I’m especially stressed about diabetes. I once had a low for which I needed to eat quite a lot to get back in range. Now, I tend to overeat and run high because I’m afraid to go low and not be able to recover. What should I do? I know that I don’t want to have poor control and suffer complications later.

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Recently, my adult daughter woke with a blood sugar of 36 mg/dl [2.0 mmol/L]. She ate a bowl of cereal, took no insulin, went to work, then tested at 411 mg/dl [28.8 mmol/L] when she felt ill. What would have caused the high? Did the liver release sugar because of the low?

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Although most of her blood sugars are within normal, my daughter continues to have an elevated A1c. I do some of the checks and watch her give herself insulin. What do you recommend?

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For two months, my son’s Levemir dose provided better control. In the past two months, he’s been waking up high after being in range at 1 to 2 a.m. Other than getting up a 4 a.m. to give him a correction shot of Humalog, what do you suggest?

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Recently diagnosed, my son gets NovoLog 70/30 twice a day. Sometimes, I give regular NovoLog at dinner if I am unsure he is going to eat enough. How does this affect his nighttime blood sugars?

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Just diagnosed, my two-year-old has been put on a 1200 calorie diet, including one egg daily. How will this affect her cholesterol? Her blood sugars are still elevated. What do you advise?

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Since his diagnosis over two years ago, my 19-year-old son has had excellent control even though he tests only two to four times a day and doesn’t always take his meter along. Is he just lucky? He hates exercise. Will this possibly lead to a mid-life heart attack? When can I expect him to become more conscientious with this care?

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I believe my son is having “hypo rebounds.” Is this possible? If so, how do we treat them? Should I give him extra insulin when he experiences such a high blood sugar?

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