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Daily Care

My daughter, age 11, was diagnosed last week with type 1 diabetes. During the last few days, her blood sugars were almost normal, reading over 200 mg/dl only once a day. But today before breakfast she was 164 mg/dl, then 318 mg/dl, and before lunch 235 mg/dl. She took 17 units of Novolin and 4 units of NovoLog, and we’re trying stick to the meal plan as close as possible. Why did this happen? What am I doing wrong?

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My son’s recent A1c was higher than I expected. The doctor has increased his insulin and he has begun to exercise, but he still has high blood sugars. Should I be concerned or maybe seek another opinion?

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My daughter’s stepmother is keeping my daughter’s blood sugars quite high. My daughter is now having vision problems, which I believe are a result of her high sugar levels. How do I make the stepmother understand the high levels are dangerous?

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After two years of diabetes, we have had to make significant reductions in our son’s insulin and he is still having low blood sugars. He exercises a lot and has been eating extra. What is going on?

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I am on Lantus with Humalog, and, for the last four days, my sugars have gone high, and I have a ‘small amount of ketones. Do I increase my Lantus or my Humalog?

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I currently give my daughter Humalog based on a sliding scale and the amount of carb she wants at meal time, and most of the time she has good numbers, but I’ve recently been advised to give the same amount of insulin, no matter what the numbers are, and adjust the carb intake depending on numbers, and presently she’s running high on the sliding scale.

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My sons were having low pre-breakfast blood sugars so we switched their NPH from 8 p.m. to 11 p.m. Our doctor does not feel they need middle of the night blood sugar checks unless we are changing their NPH doses. Is this okay?

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My 20 year old son is autistic and has had diabetes since birth, and lately it has become almost impossible to control his blood sugar levels. He has no idea he has diabetes so it’s all the more difficult to handle. I take him to a diabetes doctor for regular check-ups, but somehow we cannot manage to control his sugar. Please advise.

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My daughter is using Lantus with NovoRapid. She is doing well till 5:00 pm when her blood sugar rises suddenly to over 200 mg/dl 11.1 mmol/L] so her endocrinologist suggested to give her the longer lasting Actrapid for lunch, but everything I read says that Lantus has to be used with NovoRapid so I wonder how to solve that problem.

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What are your thoughts on whether to give or not to give my two year old insulin when his blood glucose levels are very low, which I usually don’t? I wait until It comes up, but, sometimes this is not easy and it can take me an hour (sometimes two) to get it up into an acceptable range. Can that really mess him up?

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