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Should I increase my son’s exercise regimen to help bring down his blood glucose readings? The doctor says he should not exceed more than 12.3 units per day, but he is currently taking 13.05 units.

February 13, 2004
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My 17 month old son was diagnosed with Type 1 a month ago. They switched his Lantus to the NPH without giving the Lantus much of a chance; do you believe that Lantus provides the best control? We have been finding that his blood sugars are often in the 300s two hours after he eats and the doctor suggests that this is okay and wonders why we check them two hours after he eats.

February 9, 2004
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Once you start taking insulin injections, is it possible to go back to oral medications? My grandson was just diagnosed with type 1 diabetes.

February 6, 2004
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My son takes 29 units of Lantus and anywhere from 20 to 35 units of NovoLog a day. I am somewhat confused as to why his insulin sensitivity seems so different than the 1500 or even the 1800 rule. Instead of using these rules, I now base my calculations on the action of 15 grams of carbs. Is there something wrong with this approach?

February 6, 2004
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The doctor won’t give us prescriptions for more than 3 months and says we have to do $200 worth of lab test each time. We are humble people without insurance and have a very small income. We just can’t do this. How can I get the medicines my son needs to stay alive?

February 2, 2004
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I’ve had type 1 diabetes since 1986. When I eat, my blood sugar goes high because the insulin effect starts 30 minutes after injection and blood glucose isn’t normalised until two hours after injection. So if I eat five times each day, my blood sugar is high for ten hours each day. Could we inject insulin straight into the circulation (intravenous), perhaps by an automatic machine?

January 28, 2004
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My daughter is three and was diagnosed in May 2003. She’s been doing really well on a two daily injection schedule of NovoLog and NPH. However, I’ve been having a tough time controlling her blood glucose levels during the night. So, her doc put her on Lantus for bedtime and she is still supposed to take her NPH and NovoLog during the day time. Is this a combination that is used? Both NPH and Lantus given during a 24 hour period?

January 21, 2004
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As a nurse in the hospital we evaluate preprandial blood glucose. If this is valid practice, is there an associated time frame for preprandial testing (e.g. within two hours, etc.) that is more valid for monitoring/treating with regular insulin?

January 16, 2004
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I live in India. It’s winter time out here. The temperatures remain under 15 deg. C. Since the last three days, my post breakfast sugar levels have been soaring as high as 250 mg/dl [13.9 mmol/L] when they usually remain between 140-170 mg/dl. I had to take an exceptionally high dose of Humalog to bring down the sugar level. What has gone wrong?

January 13, 2004
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Could you please explain to me in detail how NPH works? I am especially interested in how the insulin molecule is released into the blood stream detaching itself from its binding to protamine. I have read that protamine may cause the immune system to make antibodies to the insulin. Is this the cause of the unpredictable peaks of NPH?

January 7, 2004
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