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Daily Care

My daughter has been feeding her son anything in wants, giving him insulin up to ten times a day. His blood sugars are usually quite high. I have diabetes and this doesn’t sound right. Is there this big a difference in the way children are treated?

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I have a 12 year old patient on Human Mixtard twice a day. Sometimes, she has low blood sugars, but a reduction in insulin causes high blood sugars. What do you suggest?

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Since insulin injections and meals are in the middle of his baseball games, my boyfriend’s son quit the team. Is it possible to make adjustments to time to accommodate sports or other activities?

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What is your recommended rule of thumb for converting to an injections strategy in the event of a pump failure and a replacement pump is not available for, say, 48 hours?

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Diagnosed six months ago, my 13-year-old takes Levemir twice a day. His last A1c was 6.3. Would this be a good time for him to go on an insulin pump?

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My son has been doing well taking NovoLog, but the doctor wants him to switch to Humalog because it is faster acting. Is there a downside to Humalog? Should we make the switch?

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When diagnosed in January, my son’s A1c was 9.0. In July, it was 8.9. We are not yet doing corrections. Should he be in range by now? This is what friends have indicated.

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Since his February diagnosis, my son has been taking Humalog and NPH. I would like to get him on a pump to give him a more flexible schedule. Our endocrinology clinic wants us to wait. Am I being silly trying to get a pump so soon? Will my son likely cheat less if he’s on a pump?

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After 20 years with good control, my son is experiencing insulin resistance. Is it caused by his high CPK level or is his insulin pooling under the skin causing poor absorption? He has little body fat because he is a body builder.

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My friend lets her child’s blood sugars run consistently in the 300s to 500s mg/dl [16.7 to 33.2 mmol/L]. Isn’t this bad for the child? If so, what is the best way to tell my friend?

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