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Daily Care

My two year old daughter was just started on 0.5 unit of Humalog at her breakfast meal. She is pre-clinical without antibodies. Her HbA1c has never been over 5.7%. She has had many highs, but they aren’t consistent. I am still uneasy about starting her on the insulin. Do you think she should just get the shot when she is high or get the shot every day?

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Now that basketball season has ended my blood sugar has been around 200 to 250 mg/dl [11.1 to 13.8 mmol/L] even though I am on an insulin pump. Is there any exercise I can do inside on rainy days?

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My 12 year old son has had type 1 diabetes for about seven months and spends one night a week with me on weekends. The day after I take him home, he sometimes experiences abnormal highs and/or hows. His mom believes that this is caused by frozen foods that I sometimes prepare for him. Can this be so?

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Almost once a week, my three year old daughter will have a really “weird” blood glucose level. She may be 79 mg/dl [4.4 mmol/L] in the morning, eat a good breakfast, be in the 400s mg/dl [22.2 mmol/L] two hours later, and then by lunch she is back down to the 100s mg/dl [5.6 mmol/L]. I can’t seem to find a pattern within time of day, specific food or activity level. Any ideas?

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Initially, I was able to control my diabetes with a sulfonylurea, and, moreover for three years, I was able to control it with exercise alone. However, suddenly, two weeks ago, despite eating the same and doing the same exercise, my blood sugar went totally crazy.

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I am on a regimen of Ultralente at dinner time, and Lispro with each meal. My problem is that I starve between meals. My dietitian has given me a meal plan with additions for activity (I’m incredibly physically active), and but I’m finding that my postprandial readings are usually in my target range, but, if I eat a snack, my readings are high before meals. Any suggestions?

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My eight year old daughter has newly diagnosed type 1 diabetes and has begun insulin injections twice a day, but it just seems so cruel to inject a young child on a daily basis. Are there any other alternatives? Is this something that she will possibly grow out of one day?

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My wife has had type 1 diabetes for about 20 years, and she is having great difficulty in regulating her levels. She has increased her insulin with variable results — either no effect or severe bottoming out. Our free clinic has her monitoring and adjusting her own insulin, but it is continuing to get worse.

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As of four months ago, my waking blood sugar will be 147 mg/dl 8.2 [mmol/L], and after my Glucophage and a cup of coffee black or strong tea, my blood sugar will be 247 mg/dl [13.7 mmol/L]. What happened?

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Since we have been home (four days), my daughter’s blood sugar goes from 65 mg/dl [3.6 mmol/L] in the morning to 350 mg/dl [19.4 mmol/L] at night. Do the numbers soon start to come closer together and stay longer?

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