CWDAnswers-02-Crop2000

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My 38 year old mother has had a lot of problems with control even though she keeps to an eating plan and has tried a number of different types of insulin. I have heard that there is some evidence to suggest that certain fatty acids in the diet can aid in the absorption of insulin — is this true? If so what fatty acids and how can they help?

March 4, 2001
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I am 30 years old and have had diabetes for 22 years. I am in good control, have no complications, and have been using the insulin pump for three years. I just found out that I am five weeks pregnant, and I am concerned because I had an episode of high blood sugar with ketones a few days ago. How worried should I be? Is there anything I can do?

March 4, 2001
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My daughter has two spots of necrobiosis on one leg that are very large and are now forming into one, and another on the other leg that is slowly increasing in size. We have tried steroid injections once with absolutely no change. Are there any new treatments for necrobiosis?

March 4, 2001
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My four year old son is in the pre-clinical stage of type 1 diabetes. see parents writing in asking about the likelihood of having another member of their immediate family (a child or sibling) develop diabetes, and I have seen your response that there is only a 2%-5% chance. I see so many situations in which type 1 is passed on that your numbers of 2%-5% shock me! Where are you getting your figures?

March 4, 2001
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I am 39 years old, 21 weeks, pregnant with my second child, and have gestational diabetes. My fasting has never been below 105 mg/dl [5.8 mmol/L] even though I follow my diet. I have lost seven and one-half pounds since getting pregnant. My obstetrician told me I must go on insulin and that I have a very good chance of developing diabetes after this baby comes. Should I be concerned with the weight loss?

March 4, 2001
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I am very worried about a friend of mine who is approximately seven weeks pregnant and has type 2 diabetes. What are her chances of coming through this with a healthy baby? What complications might she have?

March 4, 2001
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What is the law in the state of New York concerning a pre-existing condition in children with type 1 diabetes?

March 4, 2001
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I have gestational diabetes and would appreciate answers to several questions.

March 4, 2001
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One of my patients asked about Gymnema Sylvestre for lowering blood sugar. I have searched, and cannot find any information on it. Is there any validity to claims made about Gymnema Sylvestre and diabetes?

March 3, 2001
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With the increase in patients on Humalog and insulin pumps, I was wondering if there are any guidelines for intraoperative management. hat do you foresee in the future? Will Humalog replace Regular insulin for hospital management? Can Humalog be titrated IV?

March 3, 2001
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