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Daily Care

My four year old child was diagnosed as type 1 diabetes three months ago. After two months of four insulin injections daily, now he needs only two injection per day. Is this his honeymoon period? With an appropriate diet, can he stay without insulin?

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My daughter is on twice daily injections of NPH with Humalog. Since Humalog peaks at two hours and is gone by three, is it necessary to give a morning snack? If the bedtime number is high, is it necessary to give a bedtime snack?

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I was diagnosed with type 2 diabetes, have been on Glucophage, and my meter readings have been normal before medication and before breakfast. Can I consider my diabetes mild? Is it possible that I may not need the Glucophage in the near future?

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I have recently changed my insulin from Actrapid (Regular) with Protaphane (NPH) to a sliding scale of Humalog and Lantus prior to breakfast. I am having troubles though with my control, especially upon waking in the morning. Can you suggest a solution?

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I am 48 years old, was diagnosed with diabetes 14 weeks ago, and I weight. My doctor did not do any tests to assess what type of diabetes I have, and I am going crazy trying to manage this. Wouldn’t a C-peptide or GAD test help in confirming a diagnosis of type 1? Isn’t it important to understand the disease process in order to best treat it?

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I have type 2 diabetes treated pills and my sugar level fluctuates drastically, and I have been told that my diabetes is”brittle”.

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For the past two weeks, we have pretty consistently seen our five and a half year old daughter wake up with low fasting blood sugars. She is currently on NovoLog in the morning with Lente, and we we’ve cut out her nighttime Lente, and have bumped up her pre-bed snack. Any thoughts or insight would be greatly appreciated.

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If my daughter eats dessert right after dinner, how should calculate her bolus on her pump? When should we be correcting post exercise highs? When do most people feel symptoms of hypoglycemia?

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I am concerned about the amount of insulin my teen daughter takes. She has also gained weight, which I think is tied to her insulin resistance. What should she do? Are there oral medications she could try? At what point is one considered insulin resistant? Will her insulin resistance dissipate when puberty ends?

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Is it true that, as our son grows, he will do better on fewer than three shots a day?

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