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Hyperglycemia and DKA

For high blood sugars, should my daughter get a shot of short-acting and long-acting insulin or just the long-acting insulin, then checked in an hour?

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I am concerned about a two-year-old boy in daycare, who wets extremely with an overflowing diaper, and whose blood sugar ranges from 77 up to over 450.

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My niece recently started a new insulin regimen to prevent constant highs. So far, it isn’t working. What insulins are there? How do we know what insulins she should use?

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I’m a school nurse with a student whose lunch time blood sugar is consistently high. We have called the parents and talked with the student. What else can we do?

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For weeks, my teen daughter has had consistently high blood sugars. She doesn’t seem interested in taking care of her diabetes. How much should we parents do? Do you have any suggestions?

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Although his blood sugars were elevated during his OGTT, my young son has had normal fasting blood sugars at home. Could the OGTT have had excess glucose that caused the blood sugar spikes? Do we still need to monitor our son’s blood sugars?

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On weekends and holidays, my son prefers to disconnect his pump and take injections. He runs high the first night even though I make sure he still has Humalog in his system when I give him Lantus. What do you recommend?

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Is the A1c affected most by transient high readings of greater than 250 mg/dl [13.9 mmol/L] that are corrected quickly or more frequent levels of less than 250 mg/dl [13.9 mmol/L] that persist for several hours?

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I want to suspend my young son’s pump up to seven hours to ensure even blood sugars throughout the night. Our doctor is concerned about ketones. Is it better to suspend the pump for longer or feed the insulin?

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When hospitalized with large ketones, my son got Regular and Lantus, which worked well. Back home, the doctor has said to use his usual Lantus/NovoLog regimen, but he’s high again. What should I do?

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