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Daily Care

My six year old granddaughter has been diagnosed as insulin intolerant. She has been on a diet and is still gaining weight. The doctor says there is no medication for her until age 10. What happens if she continues to gain weight? Is there no treatment or a way to stop the weight gain?

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My 48 year old wife has diabetes and a stressful job. I have noticed that her arms and legs have lost most of their muscle tone, and she seems to go off at the slightest thing. She has quit taking medication and will not monitor her condition. Are these problems related to her diabetes? What can I do to help her?

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Why would my pre-breakfast readings, after not eating for 10 hours or more, be above as high as 135 mg/dl [7.5 mmol/L]?

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I recently took my 14 year old nephew, who has diabetes, to see a dietitian, and she put him on a total of 375 to 400 grams of carb daily. This seems like a lot of food for a person with diabetes. My mother doesn’t like this at all and would like to see me not let him have that much to eat so that he won’t need more insulin. Should I listen to my mother and just feed him less?

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I was told my blood glucose was 167 mg/dl [9.3 mmol/L] and that it needed to drop it 30 points. My random readings at home are all are under 200 mg/dl [11.1 mmol/L]. I don’t know what readings are acceptable, and I don’t know the right times to check my levels.

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I have been using Lantus in the morning while waiting to start pump therapy, but I am still having high blood sugars in the morning because of the dawn phenomenon. Should I take some Lente at bedtime for the early morning coverage? How much?

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I am 44 years old, have had diabetes for 34 years, and I am on intensive insulin treatment. I have My insulin treatment includes 5 units of Regular before meals and a sliding scale of NPH at bedtime, and my A1c has been 5.9-6.0% for the past year. Is there another insulin treatment that might help reduce the A1c? I do not have a lot of low’s.

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My brother-in-law, who has diabetes since he was a child and does not take insulin, recently had a physical during which his urine glucose was greater than 2000, and he was advised to see a family physician. The problem is he still insists on maintaining the diabetes on his own. Should my brother-in-law seek immediate medical attention?

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I have had type 2 diabetes which is being controlled with diet and exercise. On strenuous exercise days, my blood sugar remains normal for the whole day, but spikes at bedtime. I am trying to achieve some consistency here without medication, but I start to obsess when I get the bedtime high. Do I need intermittent insulin to knock down these bedtime highs? Would adding insulin cause more lows?

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My five year old son, diagnosed with type 1 diabetes about 20 months ago, is having difficulty with control. Why is it that when he was recently diagnosed we could manage perfectly with NPH alone at breakfast and dinner, and now we are giving less NPH, be we have to add Regular at breakfast and lunch?

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