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Daily Care

My Mongolian friend injects her daughter with the same dose of insulin every three hours. She has no means of checking her blood sugar. Is this method normal? Has she received faulty medical advice?

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How do I know how much insulin to give my daughter? She is still in her honeymoon, but requires NovoLog sometimes. I am confused about the doctor’s explanation.

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My daughter’s pump malfunctioned last night so we gave her NovoLog until a new pump arrived. What other insulin options are there? If we need long-acting insulin, do we need a prescription for it?

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Do you have any suggestions for helping us avoid our daughter’s hospitalizations for DKA? She has an unusual insulin insensitivity, takes several medications, is is overweight.

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Based on my patient’s laboratory results and diagnosis of type 1, can you give me a second opinion about his treatment, diet, exercise, etc.?

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In general, how often do children test their blood sugars? My daughter has been testing eight to 10 times a day, but is starting to balk at that much testing. Her diabetes team said four or five times should be fine, as long as she tests before eating and can tell when her blood sugar is low.

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My work schedule can be hectic so I have erratic blood sugars. Should I change from injections to a pump?

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Is it possible to cover breakfast, which is around 7:00 a.m., and a morning snack around 9:00 a.m. with a dual wave bolus? We are looking at ways to have better control at school.

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After a year with type 1, my son’s blood sugars still fluctuate a lot. Is this normal? When will this end? Is it my fault as a parent?

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When he was on a pump, my son was in DKA three times, often as a result of his forgetfulness. His control is improved on Lantus and NovoLog. Should we stick with this or push for pumping again?

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