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Daily Care

My newly diagnosed four year old daughter is taking Lantus at bedtime with Humalog before meals, and I am trying to learn to properly adjust insulin doses. I test her blood sugar levels before each meal and snack plus sometimes at 3 am. Which blood sugars readings correlate with which insulin dose?

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My morning sugar levels are very high (130-180 mg/dl [7.2-10 mmol/L]), but my hemoglobin A1c values are always below 6% (5.6% the last time). Should I be concerned enough to do something about the high levels in the morning?

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My 18 year old daughter, who has had diabetes for eight years and had gastroparesis last year, is on a pump, and for about a month, she as had a difficult time keeping her blood sugars in a good range. She really spikes after a meal sometimes.

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Where can I find books or a strategy to get my teenaged daughter motivated to take care of her diabetes?

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My son’s blood sugar levels fluctuate at times even when proper carb-counting, insulin injections, and appropriate activity levels are maintained. Last night at supper blood-sugar check, he was very high, had ketones, and it was not until 2 am that he was in range. What are common reasons children’s blood sugar fluctuates? What should you do about it?

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After five years, I still have an elevated A1c. I eat well, take insulin and test four times a day. What should I do to bring down my A1c? I’m tired of hearing that I need to take better care of myself. I just can’t get my A1c down.

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Due to allergies, my daughter had elevated blood sugars. Now that she is out of allergy season, how long will her blood sugars remain elevated?

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What is your opinion of diluted insulin? Is it typical for a two year old to be very high one day, then lower the next, all with the same routine? Also, should she be seen by a pediatric endocrinologist?

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My toddler son uses a pump and has decent daytime control. Nighttime numbers vary and I am losing sleep checking often. What causes the variation in numbers? Is the variability related to his dinner?

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I take metformin and NovoMix for my type 2 diabetes. I often have a normal blood sugar around 5 a.m., but it is higher two hours later, without food. Why does this happen?

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