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Daily Care

Our young daughter sometimes experiences slightly elevated blood sugars before breakfast and before dinner. She takes Lantus before breakfast and NovoRapid for meals. How can we reduce the higher numbers? We don’t believe the pump is an option for us.

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My son has been diagnosed with borderline diabetes. Do I need to check his blood glucose every day? Does he require a special diet?

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My toddler does not seem to be in a honeymoon and has higher blood sugars. The endocrinologists are happy, but I am concerned about organ damage. What should we do differently?

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What is the most suitable ratio of basal to mealtime insulin for my child? She is 1.3 meters (4 feet, 3 inches) tall and weighs 31.5 kg (91 pounds).

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Diagnosed six months ago, our toddler’s blood sugars continue to vary from one extreme to the other on a daily basis. We are worried about the effects on his body. Do you have any advice?

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My 13-year-old daughter’s A1c has been over 7.0 since she started menstruating seven months ago. Her blood sugar goes up in the early evening, drops at 3 a.m. She has been taking Lantus at bedtime. The doctor has suggested twice daily Lantus. What do you suggest?

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After two years on Lantus and Apidra, my daughter’s blood sugars are usually elevated. Adjusting the Apidra by a unit causes either highs or lows and I am at a loss. Are her insulin doses not commensurate to her needs/weight?

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After six months on a pump, my daughter is still having highs and lows and I just don’t know how to find a happy medium. What do you suggest? Our endocrinologist has indicated that it just takes time.

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Although my four-year-old daughter’s blood sugars fluctuate greatly, our diabetes team is pleased with her A1c. They want me to correct her to 100 mg/dl [5.6 mmol/L] at night, but I am not comfortable with this. Am I being unreasonable?

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Diagnosed at 11 months, should my son have testing for the Kir6.2 mutation? What type of insulin should he be getting? Should we consider a pump or stick with injections? How can I continue to breastfeed him?

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