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Hyperglycemia and DKA

Despite an extended bolus on her pump, my seven year old has delayed highs after eating pizza, ice cream and doughnuts. What do you suggest?

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When my daughter is high around midnight, I find a correction has little effect. I have to do a second correction to see her blood sugar drop. Why is this?

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Now 12 years old, my blood sugars are always somewhat elevated, even though I have tried to correct my insulin dosages. Is puberty affecting my blood sugars?

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I have had some elevated blood sugars for 11 months, but my A1c is not that high. Are there any newer drugs that can work with metformin and are not harmful?

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Now five, my daughter has become defiant, rebellious, devious, and at times, violent. Many times, this occurs when her blood sugar is high. How do we get the behaviors under control? How do we discipline her and get her to control herself better?

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Can persisting hyperglycemia be due to some instability of digestion, absorption and excretion besides glucose and other nutrients? How can digestive enzymes having proteolytic effects benefit/harm diabetic patients?

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Despite many increases in insulin, my daughter’s blood sugars have been off the scale. She is now in the hospital and under a doctor’s care, but her daytime blood sugars remain elevated. Do you have any ideas what could be going on?

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Despite controlling my blood sugar and taking insulin, I keep getting ketones. Why is this?

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Since getting a Depo Provera shot for her PCOS, my daughter’s blood sugars have remained between 300 and 600 mg/dl [16.7 and 33.3 mmol/L]. Is this from the shot? How long will this last?

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My toddler, whose father has diabetes, has intermittent high blood sugars, but blood work for diabetes was negative. Should I continue to monitor him?

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