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Tight Control

I am 40 years old. I am on 15 units of Regular and 15 units of NPH insulin in the morning and 5 units of Regular and 15 units of NPH insulin in the evening. I think that I am eating right, but for whatever reason, my sugar level is high. What can I do to bring it under control?

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I am 35 years old, have type 1 diabetes, I am on a four shot a day program with Lantus and Humalog, and my last A1c was 6.3%. What is the target that is suggested for people with type 1 diabetes in order to maintain good long term health? How will going on the pump help make my control better than it is now?

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My four year old daughter was diagnosed at three weeks of age with type 1 diabetes. The long term affects are what have me concerned since her readings run in the 400-500 mg/dl [22.2 – 27.7 mmol/L] range. What are the long term effects on children with diabetes?

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My son is 7 years old and has had type 1 diabetes for about 4 years. We have had an ongoing problems of mid morning high blood sugars. We have tried several combinations of insulin, (Humalog/NPH, Humalog/Lantus, regular/NPH, and regular/Humalog/Lantus) and we continue to get the same results. Do you know what might be causing this, and do you have any suggestions on how to solve this problem?

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I am a 40 year old, mother of two, who has had type 1 diabetes for 19 years. My HbA1c levels are consistently below 6.5%, but the range of blood sugars is large. I would like to know what would be an acceptable standard deviation in my situation.

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I wish to know if there is a possibility to reduce the hemoglobin A1c by exercises or diet. Mine is 6.9%, and although I am doing 30 minutes walk and diet, nothing changes.

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I need to figure out how much Humalog lowers his blood sugar, and if there is a formula for determining the amount of Ultralente to give. Are there any sorts of formulas or ways of calculating these items?

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I would certainly like my son to have a little more spontaneity in his life and not live as rigidly as we have done for over a year with the two shot method. I am under the impression that you can be very flexible with the multiple shots. Since blood sugars are a little challenging to control during adolescence, what is the best approach, in your expert opinion, for keeping tighter control over blood sugars?

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My 2 year old’s endocrine doc recently told me that studies have shown that high blood sugars that occur (300’s for instance) on a regular basis (say every morning) in an otherwise fairly well-controlled (mid 100’s) diabetic child will not have the same harming effects for later in life as they would if the child were over the age of 10.

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How low would he have to go to have a rebound? Is it better to rebound? Is there any more sensitivity to giving insulin after a rebound? If he hadn’t rebounded, what would have been the likely scenario?

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