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Hyperglycemia and DKA

I am a support worker with people with intellectual disabilities, and I have a client with type 1 diabetes whose blood sugar levels are very erratic. Sometimes her high blood sugar can be explained, but there are times when it can’t. Apart from the wrong food, what will send blood sugar levels high?

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I would like to know if there are any residual affects for DKA. My son was hospitalized for DKA in the beginning of January. He has fallen way behind in his class work, and his school is refusing to give him time to make up his work. I need to know if there are any affects that could cause him to have problems concentrating or doing school work.

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My daughter takes Lantus in the morning and evening, but still has high blood sugars after bedtime. Should we increase the morning dose of Lantus?

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When my blood sugar is over 250 mg/dl [13.9 mmol/L], I sometimes have tightness and cramps in my legs. Is this from poor circulation or something else?

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I have been having erratic blood sugars, ketones, and vomiting, but was not in DKA. Tests showed I had protein in my urine and high creatinine from kidney disease. What should I do to get help?

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My teen son gets severe muscle cramps during football practices. Is this because he usually lets his blood sugar run a bit higher for this?

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My boyfriend’s 17 year old daughter told us that her doctor put her on the strongest birth control pills because her period is so bad that it is affecting her blood sugar. For the last three or four months, she has been hospitalized with ketoacidosis. Can your period affect your blood sugar levels to the point of ketoacidosis? Is it common for a doctor to prescribe birth control to correct this problem?

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When my daughter was in the hospital in DKA, she said she’d smoked marijuana. Did it not show up in a drug test because of her high blood sugar?

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My granddaughter’s father has custody of her, but has not caring for her diabetes properly. She has been in DKA three times in the past few months. I just started caring for her recently and am trying to re-establish control, but she’s still high. Am I expecting too much, too soon?

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As a police officer, my daughter, who uses a pump, has “ground fighting” as training. Afterwards, her blood sugar is very high causing her to be ill that day and the next. What should she do?

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