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Daily Care

I have had type 2 diabetes, and I am on oral medications with a sliding scale of Humalog when high. Is there anything I can do to improve my control? Is there a way to tell if I am still producing insulin?

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My blood glucose readings stay around 84-97 mg/dl [4.7-5.4 mmol/L], but I started a new job about two weeks ago, I am tired, I am not exercising as much as before, and lately they have gone up to about 102-113 mg/dl [5.6-6.3 mmol/L], which, for me, is high, and I am concerned about my numbers. What could be causing the increase? What can I do?

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I have been on insulin for 21 years, recently I have been having trouble with my sugars, and a friend (who is on insulin as well) tells me that I need to go on four injections a day.

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My 11 year old daughter was doing pretty well until about a year ago when she started her period, and her life has been pretty miserable since. She has high blood sugar that doesn’t come down with insulin, she has urine ketones and has started developing DKA around this time. My hospital co-workers as well as her doctors tell me that her life will pretty much be like this until she gets through puberty.

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My 10 year old son was on one shot of only 4 units of NPH for nine years, but in the past few months, I am having a hard time controlling his blood sugars. What has happened? Any medical explanation?

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I have had type 2 diabetes for six years, treated with pills, my blood sugars are high, I feel very weak and tired, and I am unable to maintain a day’s work as I used to. Attempts to add other pills did not change the figures. What kind of medication and dose do you recommend for me? At which stage will I be better starting insulin? If at all, which kind or dosage ?

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What about an eight year old child who suddenly developed diabetes and whose glucose is not regulated, ranging from 70 to 200 mg/dl [3.9 to 11.1 mmol/L]?

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About a year ago, at the age of 63, I was diagnosed with type 1 diabetes, but during my last appointment, my doctor said he thought I might actually have type 1.5 or MODY. What are your comments on my case? What type of diabetes do I have?

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My 10 year old son was diagnosed with type 1 diabetes about eight months ago. Since then, his blood sugars have remained high, even with increasing his insulin dosages. I have been given conflicting information from the pediatrician, the endocrinologists and others who assume that type 1 works like type 2.

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I have been struggling with highs and lows ever since my diagnosis of type 1 diabetes four years ago. For the better part of the last week, I have had a low blood sugar at night and a high reading in the morning, along with moderate urine ketones. Please help.

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