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My 23 month daughter is taking three injections daily. We carb count carefully and closely monitor her blood sugars (six to eight readings per day), but her blood sugars are extremely erratic, and we cannot figure out what is going on. Do many endocrinologists recommend the pump for such a young child? Would pumping keep her blood sugars in better control ?

January 28, 2003
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I give my son the appropriate amount of insulin for his carbs and he is fine in two hours after his Humalog peaks, but then he has these really late highs when he eats foods like pizza. Is there any rule of thumb that I may use to help me with the high fat or protein meals?

January 28, 2003
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With all the talk of getting the nation prepared to possibly be vaccinated against smallpox, what dangers do our immunocompromised children face that others do not face? Will we be left to make the decision whether or not to vaccinate our children?

January 27, 2003
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My eight year old son has always had a rather nervous disposition from the time he was a baby. However, lately he seems to come to me with a new ailment every other day. I’ve found that reassuring him and distracting him are what work best when this occurs, which leads me to believe that these symptoms of his are mostly psychosomatic. Do other children with diabetes experience this?

January 27, 2003
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I have central diabetes insipidus treated with DDAVP, and I find that the effects of the DDAVP seem to diminish after exercise. Is there any relationship with the efficacy of DDAVP and exercise? Could this just be that my metabolism has sped up after the exercise? What effect does exercise have on DI? Are there any dietary considerations that have an effect on DI?

January 27, 2003
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I have newly diagnosed type 2 diabetes, and I am currently looking for a blood glucose monitor. The ones I have found so far are expensive, and I have no insurance so cost is very important. Do you have any suggestions?

January 27, 2003
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I have had type 2 diabetes for about two years now and lately, I have found it difficult to stay in range. When I last spoke to my doctor he was aware of the rise in my levels and did consider adding a small amount of metformin but did not do so. Why is he being hesitant?

January 27, 2003
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I am an advocate for a child who has type 1 diabetes and exhibits a number of problematic behaviors in school. In what published medical sources can I find basic information on the relationship between hypoglycemia and childhood behavior disorders?

January 27, 2003
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I have heard that magnesium helps promote sleep/calmness in children and high blood sugars can drain magnesium levels. Is there validity to this?

January 27, 2003
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When I went to my pharmacy to have the prescriptions filled, the pharmacist said that although I do have health insurance and prescription plan coverage, it only covered the Glucotrol. He then told me that I had to pay in full for the supplies. Is there a law that requires the pharmacist to fill the prescription for test strips and lancets, without requiring me to pay out of pocket?

January 26, 2003
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