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Daily Care

My daughter was just diagnosed with type 1 in December 2003. She has been receiving extra shots of NovoLog almost daily. She has many stomach and leg pains, plus up and down blood sugars. How long will this go on?

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I want to know who is responsible for treating diabetes aggressively. Is it the doctor or the patient? How do I go about reducing the blood sugar levels? Do I try all other oral medications before switching to insulin?

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My husband has type 2 diabetes diagnosed about six months ago, and he is now on Amaryl and Avandia, but his sugar level is still high. In addition, has lost a lot of weight, and he is not fat. Why?

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My 13 year old nephew always has sugars high enough to inject 30 units to NPH three times per day and sometimes she has to inject Regular insulin twice per day. Is this normal?

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I have had type 1 diabetes for 43 years, and up until this year, I have had no side effects from the diabetes except for problems with keeping my blood sugar level. I take NPH and Regular in the morning, and often experience low blood sugar in the middle of the night, after the insulin has worn off, and then high blood sugar in the morning if I do not awaken in time to eat a snack.

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I have been recently diagnosed with type 2 diabetes and started on Glucophage XR at bedtime. I have been monitoring my glucose (fasting and postprandial) and have found that my fasting blood sugar is higher than my blood sugar at bedtime. What could possibly cause this to happen?

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My son takes 36 units of NPH with 4 units of Regular and 6 units of Humalog in the morning, he eats 3 carbs i for breakfast (which is fairly consistent), and two hours after his meal, his sugar can be anywhere from 150 – 350 mg/dl [mmol/L]. We have increased his morning Humalog from 3 to the current 6 units, but the variability still continues. Our apprehension now is that he could be rebounding. Can a rebound happen within one to two hours of a full meal?

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Recently I have been giving myself extra insulin injections so that I can eat more “normally”. I don’t do this often, but I have used it to eat some chocolate and pizza at times I would not normally eat. Is this a dangerous thing to do?

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I have been told that I am insulin resistant. I am taking Glucophage XR along with premixed insulin twice daily, and my fasting blood sugars are all elevated. Is this common? Would an insulin pump put my diabetes under better control?

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Is my classification type 1 or type 2 diabetes? Does this result indicate insulin resistance? Is the honeymoon period typical of type 1 and type 2 diabetes? Why does taking insulin injections control my blood sugar levels when there is enough insulin reserve, whereas metformin did not help?

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