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Insulin

On what should insulin dose corrections be based?

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My sons were having low pre-breakfast blood sugars so we switched their NPH from 8 p.m. to 11 p.m. Our doctor does not feel they need middle of the night blood sugar checks unless we are changing their NPH doses. Is this okay?

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My teen daughter has “intermittent” insulin resistance during her period and when she feels stressed. Her blood sugars are very high using her pump and injections. Do you have any suggestions?

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Every time I take my insulin, I experience swelling in my face, legs, and feet (especially), but really all over. It’s just very frustrating to take something I ‘need’, and it does this to me. Have you ever heard of insulin causing swelling and/or water retention?

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I have a patient who also has type 1 diabetes, and the parents asked me about insulin metabolism and excretion. I learned that insulin is metabolized by the liver and kidney and in normal subjects there is no excretion. Is that information correct?

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Diagnosed 19 months ago, my daughter has excellent control so the doctor suggested we stop insulin. Her blood sugars are still in range, but is this stressing her pancreas? Do positive autoimmune antibodies confirm this as type 1?

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Since my diagnosis on June 24, I have been able to reduce drastically the amount of insulin I take. Could I have type 2? Is my diabetes reversible?

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In his honeymoon, we are now to give our son NPH with Humalog for high blood sugars only. Would it make more sense to give Humalog with meals? Should we try Lantus? How can we best preserve his functioning beta cells?

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My wife takes Regular and NPH and is having highs after her injections, but lows several hours later. Why is her blood sugar spiking?

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My son recently had a stomach flu, then needed less insulin. Now, he needs higher correction doses to combat nighttime highs. Is this common following the flu?

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