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Daily Care

My three and a half year old daughter was in DKA a month ago and was diagnosed with type 1 diabetes. At the time of diagnosis her blood sugar was 150 mmol/L [2700 mg/dl]. When she was in ICU, a doctor told me he had heard of a virus that caused your blood and sodium levels to skyrocket. Could something else cause your sugars to go high and low?

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My eight year old son, who is on an insulin pump, has maintained overall great control. However, even though his after breakfast blood sugars are in target range most of the time, he has always run higher pre-lunch at school than at home on a fairly consistent basis. How much can stress/excitement increase blood sugars?

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My 16 year old daughter has been type 1 for almost five years now. Six weeks ago she choose to stop using the pump because she hates changing her infusion set. Her A1c was 12.8. She says that she never feels good. She says she is sick and tired of being sick and tired all the time. Can you help? She hates being a diabetic.

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I have a rise in blood sugars during menstruation. Is this an indication of possible blood sugar problems during menopause when the time comes? If yes, what treatment options might there be (hormonal supplements, controlling blood sugars)?

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My 14 year old son was just diagnosed with type 1 diabetes a little over a week ago, and I am trying to find some very basic information since we are very new at this.

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Since catching gastroenteritis two months ago, my son’s blood sugars have been high and low, have never returned to normal, and lately, he’s been having ketones when he wakes up in the morning. Why is he so susceptible to ketones all of a sudden when previously his sugar could go very high without ketones?

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My 65 year old mum (with type 2 diabetes) has been controlling her condition with insulin, and since her triple heart bypass, she has found it difficult to stabilise the blood glucose. Her doctor has started her on rosiglitazone which has reduced her amount of insulin intake considerably. Because my mum, dad, and their doctor are at loss as to what to do, any pointers will be very much appreciated.

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My lovely five year old daughter is on Humalog with one NPH shot in the morning. To have a better sleep, what is a good blood glucose at midnight and in the middle of the night? We are not giving her insulin at night. Is that a good approach?

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My son has been on the pump for 10 months, and his pediatric endocrinologist doesn’t seem to be of much help as far as adjusting the rates. During the day, it’s quite manageable, but at night, he’s either too high or going low. What should we be doing?

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Is it usual for a person with diabetes to have regular hypos? What is meant by the term “good diabetes control”? Are my boyfriend’s current blood sugars going to cause problems? Would Humalog be a better option for such a forgetful person?

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