Back to Ask the Diabetes Team Daily Care

Daily Care from 2007

  1. As an LPN working at a school, am I able to treat a student that has an insulin pump or does that have to be an RN? (23 Dec 2007)
  2. When my daughter woke at 36 mg/dl [2.0 mmol/L], she ate cereal, took no insulin, went to work, then was 411 mg/dl [28.8 mmol/L]. What would have caused such a high? (16 Dec 2007)
  3. Our daughter sometimes has slightly elevated blood sugars before breakfast and before dinner. She takes Lantus and NovoRapid. How can we reduce these highs? (13 Dec 2007)
  4. After a recent episode of DKA, my nephew still has consistently high blood sugars. If he is eating properly and using the pump correctly, shouldn't he be in better control by now? (8 Dec 2007)
  5. Recently, my doctor put me on a 30/70 premix and "R." I am in range breakfast, lunch and at night, but high at supper. I do have lows 40% of the time. Why am I high at supper? (7 Dec 2007)
  6. Tested two hours after breakfast at school, my daughter's blood sugars are high, even when I give her a lower carbohydrate breakfast. What do you suggest I do? (2 Dec 2007)
  7. Diagnosed with type 1 very recently, I am in shock at my diagnosis and am freaked out about giving myself injections. When can I get a pump? (19 Nov 2007)
  8. I once had a low for which I needed to eat quite a lot to get back in range. Now, I tend to overeat and run high because I'm afraid to go low and not be able to recover. What should I do? (14 Nov 2007)
  9. During a stomach bug with large ketones and a low blood sugar, what is the best treatment for the patient? (12 Nov 2007)
  10. At diagnosis, my daughter was put on Mixtard. A second doctor put her on Actrapid and Insulatard. With fluctuating blood sugars, what insulin(s) do you recommend? (9 Nov 2007)
  11. Is it possible to cover breakfast, which is around 7:00 a.m., and a morning snack around 9:00 a.m. with a dual wave bolus? (9 Nov 2007)
  12. Is there any way of understanding if the morning glucose level is from a rebound? (25 Oct 2007)
  13. Since a recent bug, my son has been eating a banana and cookies instead of milk and cookies before bed. His morning blood sugar is now lower. Why is this? (23 Oct 2007)
  14. Since going on Levemir and NovoLog, my daughter has had two episodes of DKA during her menstrual cycle. Is this something other teens have experienced? (22 Oct 2007)
  15. My toddler's blood sugar is elevated after breakfast, but in range after dinner. She gets the same insulin for both meals. Why are the mornings so different? (22 Oct 2007)
  16. My teen son went off his pump, but had horrible control on injections. His insulin antibody count was 7. What does this mean? (16 Oct 2007)
  17. Are there any studies or statistics about the different hand cleaning agents that are available and if they (and by how much) affect blood sugar numbers? (15 Oct 2007)
  18. Over the summer, I gave my son insulin and food supplements. He had less hypoglycemia and needed less insulin. Do you know of any doctors who are familiar with such nutritional supplements? (15 Oct 2007)
  19. My son is lethargic and not doing well in his studies. How can I get my son back on track like he was before his diagnosis? (14 Oct 2007)
  20. What cleaning agents are recommended for cleaning the finger(s) prior to a blood sugar check? (3 Oct 2007)
  21. My work schedule can be hectic so I have erratic blood sugars. Should I change from injections to a pump? (28 Sep 2007)
  22. We give our son insulin based on his blood sugar and don't count carbohydrates. What are the pros and cons of these two methods of dosing insulin? (24 Sep 2007)
  23. Ever since his diagnosis, my son has had varying blood sugars, mostly high. He takes NPH and Regular. Should we switch him to different insulins? (24 Sep 2007)
  24. After about 30 years with type 1, I have been diagnosed with celiac and am having blood sugar spikes. Is this normal? How should I handle them? (13 Aug 2007)
  25. This year, like others, my teen daughter is now experiencing more lower blood sugars than before going to camp. Why does this happen? (12 Aug 2007)
  26. What is the normal protocol for blood sugar levels that are too high at a meal time? (12 Aug 2007)
  27. For three years, we've used a sliding scale for our daughter's insulin. Is there a better way to dose it? (31 Jul 2007)
  28. Knowing what we know now about the safety of Lantus and short term insulins, why do pediatric endocrinologists still use NPH to treat new type 1 patients? (15 Jul 2007)
  29. Since diagnosis, we've had trouble with highs that start as soon as the dinner bolus runs out. Increased basals work, but may cause lows. What should we do? (9 Jul 2007)
  30. I have maintained good control on injections since my diagnosis. Would a pump work just as well? (4 Jul 2007)
  31. Any change in my son's insulin dose causes fluctuations in his blood sugar. On Lantus and Humalog, what is the best treatment option for him? (3 Jul 2007)
  32. My son just switched to Lantus a month ago and takes it at night. Because his morning blood sugars are high, should he take Humalog at night as well? (30 Jun 2007)
  33. Since he has gotten better control, my nephew is gaining extra weight. How do we prevent this? (24 Jun 2007)
  34. My teen has started taking one shot of Levemir in the morning. His morning numbers are high. Does he need two daily injections? (24 Jun 2007)
  35. Are NovoRapid/glargine as safe as Actrapid/Insulatard? Is there a limit to the amount of insulin one can take daily? (23 Jun 2007)
  36. In general, how often do children test their blood sugars? (30 May 2007)
  37. I take 10 or 11 units of Humalog three times a day, plus four or five more units at bedtime. Is this a lot of Humalog compared to others? (30 May 2007)
  38. Diagnosed two weeks ago, my toddler's blood sugar is often lower than 100 mg/dl [5.6 mmol/L] in the morning. Is this the "honeymoon?" (19 May 2007)
  39. Where can we find information on nonconventional ways to type 1 diabetes? If one's blood sugar is in range, why don't you dose insulin later, after the blood sugar has gone up? (12 May 2007)
  40. I am on NPH and Humalog for type 2. The NPH covers my dawn phenomenon, but the NP wants me on Lantus. Can Lantus control the dawn phenomenon? (9 May 2007)
  41. Just diagnosed with type 2, I've been put on Glucophage. I was told not to exercise when my blood sugar is elevated. Could you explain this better? (7 May 2007)
  42. Even though she's on insulin, my niece's blood sugars are around 300 mg/dl [16.7 mmol/L], which my brother says is okay. How do I convince him otherwise? (4 May 2007)
  43. Currently on nasogastric feeds for an IPEX-like syndrome, my toddler has erratic blood sugars. He cannot take Lantus or Regular. What do you recommend? (27 Apr 2007)
  44. Since giving birth in February, I have needed to decrease my insulin and I still have lows. Could there be a medical reason for my this? (25 Apr 2007)
  45. My daughter's blood sugar is high at bedtime, then somewhat high at 1 a.m. Is this normal? She takes NPH in the morning. (18 Apr 2007)
  46. Although my teen sister's post-meal blood sugars are in-range, her pre-meal blood sugars are elevated. Why is this? (12 Apr 2007)
  47. My daughter, who takes Lantus and NovoLog, has normal bedtime blood sugars, but is very high overnight. What do you suggest we do? (31 Mar 2007)
  48. My daughter is high after she disconnects her pump for four hour dance sessions. Would the untethered regimen be a good idea for such days? (16 Mar 2007)
  49. Since my daughter's blood sugars are out of control, the endocrinologist wants to add Lantus to her regimen of NPH and NovoLog. What would this do? (16 Mar 2007)
  50. I am taking long acting insulin once a day and short acting insulin before every meal. Is an insulin pump for me? (14 Mar 2007)
  51. My son has been consistently high. Our endocrinologist has suggested small increases in his NPH, but he's still usually over 200 mg/dl [11.1 mmol/L]. Does this sound right? (14 Mar 2007)
  52. The nurse at the endocrinologist's office says my teen son is bolusing too frequently, causing swings in his blood sugars. Could this be true? (22 Feb 2007)
  53. What should the target range of blood sugars be for my eight-year-old son? I've heard different ranges. (23 Jan 2007)
  54. In case of pump failure, I am supposed to inject Levemir. How do I determine the amount to dose and if I need it once a day or twice a day? (22 Jan 2007)
  55. Based on her blood sugars, should we change our daughter's Lantus dose or her insulin to carbohydrate ratio? I've e-mailed the doctor, but wanted your opinion. (22 Jan 2007)
  56. I am concerned about my daughter's post-breakfast blood sugars, which are around 200 mg/dl [11.1 mmol/L], 90 minutes afterwards. What do you recommend? (22 Jan 2007)
  57. We recently increased our daughter's Actrapid, which has led to wide fluctuations in her blood sugar. Why is this? What should we do differently? (20 Jan 2007)
  58. After switching to Lantus, my son would have extended periods of lows. Next on Levemir, the lows continued. So, now, my son is taking Humalog only. What is going on? (15 Jan 2007)
  59. Since my daughter's blood sugar is dropping at least 67 mg/dl [3.7 mmol/L] at night after dinnertime Levemir, might she not need a basal insulin? (14 Jan 2007)

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