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Daily Care

I am a school nurse caring for a six year old who often gets upset and throws his lunch on the floor. Other times he refuses his lunch time insulin. His mom wants us to restrain him to give him his shot. What are your thoughts on this situation?

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My six year old daughter takes Lantus at bedtime, NovoRapid at meals. She has been having low blood sugars in the morning, but is too high at lunch if we decrease the Lantus. What should we do?

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Despite reduced insulin and extra food, my nine year old son is having nighttime low blood sugars. And, he doesn’t seen to be rebounding. Is there something wrong with his liver?

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My young daughter often wakes with high blood sugars. Can you explain more about rebounding?

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Where can I take my son to test how resistant to insulin he is and how long it takes his body to respond to insulin? We are in Montana. My son has lipoatrophy and is always very high up to two hours after an injection for a meal.

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My daughter recently switched from NPH to Lantus. Could you help me understand whether we should be adjusting the Lantus or Humalog for high and low blood sugars?

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I have had diabetes for 41 years, using a pump for four years. I cannot always get the cannula to push through my skin proprerly. Why is this?

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I am quite baffled by my daughter’s breakfast to lunch blood sugar pattern on school days. I mentioned this at our last doctor visit, but no answer was given.

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When I go to bed at night, my blood sugar will be okay and when I get up in the morning, it is always higher. What causes my sugar to go up when I sleep?

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My morning readings are high as well as my A1c. What should I eat every night before I go to bed to create the best conditions to find out the cause of my high readings in the morning?

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