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I have heard that blood sugar fluctuations can cause long term damage. What is the latest research on this? Are blood swings just as detrimental as high A1cs?

Though tests for celiac have been negative, my 19-year-old daughter is still having some symptoms, even though she is trying to maintain a gluten free diet. Could she have celiac despite the negative results?

Since she has been behaving differently and complaining of thirst, I have checked my daughter’s blood sugar. The highest pre-meal reading was 8.9 mmol/L [160 mg/dl]. Do you agree with me that this seems a bit elevated? I have had type 1 for 25 years.

My grandson is in a four year honeymoon during which he eats a very low carbohydrate diet and exercises. His recent fasting blood sugar was 117 mg/dl [6.5 mmol/L]. He has yet to be seen by a pediatric endocrinologist. What do you think of this situation?

What is your recommended rule of thumb for converting to an injections strategy in the event of a pump failure and a replacement pump is not available for, say, 48 hours?

Other than pregnancy, what are the possible reasons for a very sudden increased insulin requirement? I have had type 1 for seven years and my diabetes has been stable for years.

I bought a supplement to help me gain weight, but it has a lot of carbohydrates. The package says it is not for those with diabetes. Is this safe for me to take?

The doctor said that, based on pathology reports, our son has both type 1 and type 2. Can you help us understand this diagnosis. If this is correct, what is the typical treatment plan?

My young son’s blood sugars are crazy, with highs from exercise, lows that take a long time to correct and nighttime highs. How can I gain better control?

Could you please explain “rebounding?”

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