CWDAnswers-02-Crop2000

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I am on Humalog before meals with NPH at bedtime. My blood glucose levels before breakfast and before lunch are okay. However, before supper the blood glucose levels often run very high. If I increase my Humalog dose before lunch, I get hypoglycemic in the afternoon. Do you have a good suggestion?

February 7, 2001
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My 16 year old son was diagnosed about nine months ago, he is out of the honeymoon period already, and we are trying to get him on the insulin pump. We have only heard positive things about the pump, but his doctor is hesitant. His doctor is concerned because he won’t have any NPH in his system.

February 7, 2001
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My eight year old daughter was diagnosed at age two and has been on an insulin pump for 15 months. She is also a competitive swimmer. Are you aware of any physicians who deal with competitive athletes similar to my daughter?

February 7, 2001
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I am 47 years old and may be pregnant. Three years ago, I was diagnosed with diabetes and a year later I was told I did not have it. Now, my blood sugar has gone as high as went as high as 561 mg/dl [31.2 mmol/L] and I’m on Glucovance. If I am pregnant, how will Glucovance affect my baby? Do I have diabetes?

February 7, 2001
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I am 14 years old and I was diagnosed about two months ago. Does having that many lows and having an occasional extreme low affect your brain in any way? If I wake up with a blood sugar of 75 mg/dl [4.2 mmol/L], does this mean that there is a good chance that I was low during the night? My doctor said that prolonged lows during the night are the ones I really have to worry about. Is this true? Can they do more damage?

February 7, 2001
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Recently, I took my 13 year old daughter to the hospital for what I thought were flu symptoms, and they admitted her into the PICU. She was responding to the questions, but then was put into a coma because her brain was swelling. When she is brought out of it, is there anything that can be done to reduce the swelling if it hasn’t gone down during her coma state?

February 7, 2001
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My seven year old daughter has type 1 diabetes, and my four year old daughter is ICA and GAD antibody positive. We are returning for the final glucose tolerance test to see if she will be part of the DPT-1. We have been doing some research and are considering niacinamide or nicotinamide as a supplement. What is the difference between nicotinamide and niacinamide?

February 7, 2001
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Lately, my son’s A1cs have been low, but his fructosamines have been high. Can you tell me what this means? Does this mean my son does not have as good control as I thought he did?

February 7, 2001
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I read that the digestion of the dinner meal takes substantially longer than other meals and that insulin resistance at dinnertime is about double. Can you comment on this?

February 7, 2001
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My 12 year old daughter has had diabetes for five years. Lately, she does not want to do her insulin or check her blood sugar. I cannot get her Hemoglobin A1c below 12% Is there someone out there she can talk to or help the whole family out?

February 5, 2001
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