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Daily Care

I am currently assisting a mom of a one month old who has hyperglycemia, I have never worked with a child this young, and I have many questions.

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My three year old daughter’s (diagnosed two months ago) blood sugars are out of control, and her endocrinologist will not allow me to adjust her insulin. Is there any reason not to adjust her dosage if she’s so out of control? Isn’t adjusting the insulin dosage the best way to care for her?

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A child in my nursery has recently been diagnosed with diabetes and is due to return to class within the next couple of weeks. Do you have any advice you could give me and my staff on the support she might need, or anything you feel may be relevant?

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Recently, my 14 year old son (5 feet 10 inches tall, 158 pounds), who has had type 1 diabetes since he was seven, has had higher A1cs (about 8.5%), and a blood test also showed that he is “insulin resistant”. What causes the insulin resistance? How can he overcome it?

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Our four year old daughter was diagnosed with type 1 diabetes about five months ago, and we have had trouble, for brief periods, controlling her blood glucose but always manage to regain control in less than a week. At worst case she runs high for three to four days in a row. How significant is this to her long term health?

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Is there new information that would be a rationale for this practice? For a blood sugar of 80 mg/dl [4.4 mmol/L] or less, take 2-3 units of Humalog insulin and two or three glucose tablets before lunch. Repeat as needed.

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Please tell me the diagnostic criteria, follow-up protocol and treatment, and guide me for further investigation and management for an eight day old baby girl.

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My friend, who has diabetes, takes insulin orally. Isn’t he supposed to cut out sugar and refined carbs? He doesn’t do that. He apparently thinks taking the pill is all he needs to do. What is your opinion?

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I have not changed my eating habits within the year, but my A1c seems to be getting higher every time. For the past month, I have been unable to get rid of a sinus infection and my blood sugar has been running high during the day. I am taking of Avandia and Glucotrol XL. Is it possible my medication is not working any more?

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Even though my 12 year old daughter, diagnosed with type 1 diabetes last year, takes insulin as prescribed by the physician, when she takes it, the blood sugar goes higher. If she eats a salad, her blood sugar goes up. The doctors don’t believe that she is on a strict diet and exercises daily. Is there another test that could be done to see if her adrenal glands or kidneys could be the problem?

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