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Daily Care

I am taking a sulfonylurea, my blood sugar has come down to 101 mg/dl [5.6 mmol/L] (fasting) and 137 mg/dl [7.6 mmol/L] (postprandial), and my latest C-peptide result was 0.3 (fasting) and 0.4 stimulated). I have many questions.

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My 10 year old son, diagnosed with type 1 diabetes about nine months ago, remains in the honeymoon, but his insulin needs have gradually gone up since diagnosis, and his blood glucose has been up and down. Complicating his control is his inability to get accustomed to low normal blood glucose. How can we manage this?

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My four year old daughter has type 1 diabetes and will get a high reading before dinner, followed a low reading before snack that the doctor explains is due the afternoon exercise kicking-in. We’ve received a lot of information on how various types of insulin work, but need more information about the effects of different foods and exercise.

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My 12 year old son was diagnosed with type 1 diabetes a year ago. How many blood sugars (causing reactions) are acceptable per week for good control?

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Our eight year old daughter, diagnosed with type 1 diabetes, seems to be very sensitive to Humalog and NPH. She currently is on Ultralente. She monitors eight or more times a day, but still has lows weekly. How damaging are these lows to her developing brain if they have not progressed into a severe reaction?

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His blood glucose is okay until the bedtime check, which is always high. I know this should mean taking another shot, and I do sometimes give him a sliding scale of Humalog, but the problem is that his blood sugar drops dramatically during the night. I know I need to get the nighttime numbers down, but I’m so afraid of him going way too low.

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My daughter is 13 and has been diagnosed for less than two weeks. She wants to consume the bulk of her calories from 2:30 pm until bedtime. Can she do this as long as her insulin covers the carbohydrates/calories? I’m afraid it will be nearly impossible to change her habits, but I will try if this detrimental to her health.

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I am 35, female, have had diabetes for six years, and have until very recently been tightly controlled with an average HbA1c of 5.5%. However, over the last three weeks, my diabetes has become “brittle” with extreme highs and lows in blood glucose levels. When diabetes becomes brittle, is this likely to be a temporary situation?

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My 15 year old son was in relatively good control until entering high school last year. I feel as though he needs a complete overhaul. Because sports are very important to him, I’d like him to see someone who can relate to sports performance as well as his blood sugar control.

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My son was taking Regular and Ultralente. However, he was not doing his shot till 1/2 hour to 1 hour of eating. Would this cause his A1c to be high and his regular reading to be fine?

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