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Insulin

My daughter is 27 months old, diagnosed with Type 1 diabetes in May 2003. She sometimes goes low during the night, then wakes up much higher. I know she could have a Dawn Phenomenon, but I really do not understand much about that. Can you give me any clarification or suggestions?

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How much insulin should my 14 year old, 128 pound, son be taking when his honeymoon is over? How do we know when the honeymoon is over? What is the average amount of insulin he should be taking? Should his pre-diagnosis tests be repeated?

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My young son is taking five units of NPH at bedtime, but is consistently high. Should we keep increasing the dose of half units until we see an improvement in his blood sugars?

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My daughter’s endocrinologist recently had us switch from NPH to Lantus. Overall, she has higher reading, except at night when she is low. Is this related to her insulin dosing or her age?

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Despite rotating her shots, my teen daughter has bulges in her stomach and sides. What could be causing them?

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The other day, I wasn’t thinking and pushed the Humalog (I had just drawn) into the NPH (relatively full vial). I discarded the NPH and opened a new vial. Would a small amount Humalog make the NPH unusable? If so, is it due to a chemical reaction that “ruins” the NPH or just the effect of diluting the NPH?

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A friend in Brazil he heard about a new type of insulin that is supposed to be better than the traditional one. However, Brazilian doctors are still conservative about it, and the Brazilian association has not approved it. She also heard that here in the US, this type of insulin is much more accepted and has been used for a long time. Do you know something about this?

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In general, we check our son’s blood sugars before meals and at bedtime. Sometimes, between meals, he will be very high, only to drop low in about two hours. Are these fluctuations normal for someone diabetes?

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Before, my son took Lantus at bedtime, NovoLog for meals, nothing for his three 15 gram snacks. Our new doctor says insulin for all foods. What is your opinion of these two different regimens?

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How do we figure out the amount of insulin to be given when removing the pump for football practice and games?

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