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Hyperglycemia and DKA

I’m 14 year old boy, and I have been having trouble with my diabetes recently. I can’t seem to get my blood sugar below 10 mmol/L [180 mg/dl], and I’m starting to worry. Is there anything I can do?

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In November, my son was admitted to the Emergency Room in DKA. He was given fluids, but no insulin. After several hours, he couldn’t breathe and started foaming at the mouth. His blood sugar had gone down, but he could not be revived. Should he have been given insulin along with the fluids?

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My daughter’s stepmother is keeping my daughter’s blood sugars quite high. My daughter is now having vision problems, which I believe are a result of her high sugar levels. How do I make the stepmother understand the high levels are dangerous?

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My young son is taking five units of NPH at bedtime, but is consistently high. Should we keep increasing the dose of half units until we see an improvement in his blood sugars?

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Anytime my daughter becomes anxious or agitated about something, she begins a cycle of high blood sugars along with moderate to large ketones in the urine, nausea without vomiting, muscle pain and mild shortness of breath for several days. Usually, she ends up in the hospital. How common is this problem? Do you have any suggestions or insight?

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When he used NovoLog, my son had high blood sugars up to three hours after a meal, then he’d have lows. Could we have had a bad vial of NovoLog? Or, do you think there is some physiological reason for this reaction?

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My 16 year old daughter has been having high blood sugars, although no ketones. Is it safe for her to drive? I am very nervous about her highs and driving.

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My teen son keeps needing to increase his daily insulin. Our endocrinologist will not add metformin as was recommended by someone else. What are the average amounts of insulin taken and A1cs, typically, that key a physician to add a drug like metformin to a teen’s daily medications?

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Sometimes my insulin makes my blood sugar drop from dancing, but I usually am high afterwards. Is this normal? What should I do to prevent the highs?

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My son has type 1, celiac, and hypothyroidism. His blood sugar average is high, but he often goes low at night after his Lantus. We are awaiting the results of his test for Addison’s disease. Could he still be in his honeymoon?

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