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Insulin

I have a 12 year old patient on Human Mixtard twice a day. Sometimes, she has low blood sugars, but a reduction in insulin causes high blood sugars. What do you suggest?

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What do you think of using a tuning fork to detect neuropathy in the feet? What do you think of dosing Regular insulin prandially at lunch if you are on NPH?

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Can persistent hyperglycemia cause vasoconstriction? Can this vasoconstriction affect diffusion or leaking of glucose and insulin from vascular compartments into target tissues resulting in hyperglycemia and insulin resistance?

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After a month, the school nurse send home the cartridge from my granddaughter’s insulin pen. Is it okay to use the cartridge at home? It stays refrigerated at school.

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If an open vial of insulin (at a coolish room temperature) is good for 30 days, how long is an open vial of insulin good for when stored in the refrigerator?

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Since a stomach bug a week ago, my son has needed no insulin to cover the foods he has consumed and has had in range blood sugars. He is still getting Lantus, but I need to reduce this, too. Is this common after an illness?

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My daughter has been running high both in mornings and evenings. She is on Humulin 70/30. What do you recommend? My youngest son was just diagnosed, but I don’t want to start him on insulin. What should I do?

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How long can a very newly diagnosed type 1 diabetic survive without insulin?

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My six year old daughter has had type 1 diabetes since she was 18 months of age and is in excellent control. We use a sliding scale to adjust her insulin dose based on her readings or how much she wants to eat. We recently were told by a pediatric endocrinologist that the sliding scale is not appropriate for a child so young. Is this true?

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My 4 year old grandson has type 1 diabetes. Please advise which insulins may be mixed together in the same syringe for his injection, without adversely affecting each other.

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