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Daily Care

In the past six months, since switching from Levemir and Actrapid to Lantus and NovoRapid, my blood sugar control has worsened. What do you suggest?

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As a college swimmer, my daughter has gone back to injections and reduced her insulin drastically, but she is still having 5 a.m. lows. How can she prevent them? She is nervous about the lows so she goes to bed with a very high blood sugar.

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My daughter experienced a honeymoon in February 2010. In the past month, she has again needed to reduce her insulin drastically. What do you think is going on? Her diabetes team plans to do some testing and is considering putting her on metformin to see if this helps manage her blood sugars.

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I work to keep my 11-year-old in a tight range, 4 to 7 mmol/L [72 to 125 mg/dl]. Such tight control is not the norm for someone her age. Why is this? Why are expected ranges higher?

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I neglected to give my son his Lantus last night, gave him repeated doses of long acting insulin for high blood sugars. What do I do about the missing Lantus dose? What happens if he does not get any Lantus?

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I am an 18 year old female diagnosed with type 2 diabetes at age four. My sugar levels have been fluctuating for days now because I am under a lot of stress, and I am feeling kind of depressed. What do I do?

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My 11 year old son has had diabetes for a little over one year and has been on an insulin pump for four months now. His levels are fine during the day, but we continue to have trouble with the early night hours. Is this normal for a child this age? Any suggestions would be greatly appreciated.

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I was diagnosed 4 years ago. Do you have any suggestions for losing weight? Such as what kind of things I should include and not include in my diet, what kinds of exercise, and stuff like that?

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Why do you have to stay on schedule with eating and taking your shot?

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My 18 year old daughter has Type 1. Her lifestyle consists of many late nights — everything from a prom to doing homework. She takes lispro before meals and N at bedtime. How should she handle her evening insulin and snack on these occasions?

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