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Daily Care from 2009

  1. Recently, my daughter is having lows, in the afternoon and at night. Her TDD is 14 units, down from 20 to 22. Why is she requiring less insulin now? (12 Nov 2009)
  2. The school doesn't want my son checking his blood sugar in class but, with the outbreak of flu, I am concerned about all the viruses now in her office. What do you suggest we do? (8 Nov 2009)
  3. Is it necessary to use short acting insulin or can my daughter take the one evening injection of Lantus if this is creating normal daytime sugar levels? She was diagnosed three months ago. (4 Nov 2009)
  4. Diagnosed six months ago, our toddler's blood sugars continue to vary from one extreme to the other daily. We worry about the effects on his body. Do you have any advice? (23 Oct 2009)
  5. My two-year-old has been put on a 1200 calorie diet, including one egg daily. How will this affect her cholesterol? Her blood sugars are still elevated. What do you advise? (18 Oct 2009)
  6. Two years after diagnosis, it now takes our daughter longer to come down from a high and up from a low. Why would this be happening? How can we increase her reaction times? (12 Oct 2009)
  7. I take R and NPH. Sometimes I am low. Are there any long term effects of this? When I'm high, is there a way to speed up the action of my insulin? (28 Sep 2009)
  8. I am a school nurse and have an incoming kindergartner on a pump. An LVN will be at the school when I am not there. What kind of nursing assistance should this student have? (31 Aug 2009)
  9. My teen daughter has been struggling with her A1c. She doesn't want to work to lower it, assuming it will lead to weight gain. How can we convince her she needs to work on lowering it? (29 Jul 2009)
  10. On two recent occasions, my son has taken "vacation days" from diabetes, skipping insulin on those days. How should I deal with this? (23 Jul 2009)
  11. Medicaid is going to limit my son to 100 test strips per month. How is he supposed to survive with so few strips? Are four tests a day the norm for people with type 1? (23 Jul 2009)
  12. My son has been doing well taking NovoLog, but the doctor wants him to switch to Humalog because it is faster acting. Is there a downside to Humalog? (20 Jul 2009)
  13. Is it possible for the honeymoon to last for "years?" If we keep our son on a lower carbohydrate diet, thus requiring less insulin, might this prolong the honeymoon? (22 Jun 2009)
  14. When the temperature is consistently over 75 degrees F., I have to reduce my medications drastically because I suffer many low blood sugars. Why does this happen? (18 Jun 2009)
  15. Diagnosed six months ago, my 13-year-old takes Levemir twice a day. His last A1c was 6.3. Would this be a good time for him to go on an insulin pump? (6 Jun 2009)
  16. I ran out of Lantus and the pharmacy was out of it. In the meantime, I am giving my daughter NovoLog every two hours. Is there anything else I can do or should do? (28 May 2009)
  17. Why is it so hard to keep my 14-year-old's blood sugar down? Is it normal for a teenager to be so insulin resistant? (22 May 2009)
  18. When my son goes to all day kindergarten in September, who will be responsible for counting his carbohydrates at lunch? (10 May 2009)
  19. We are going to Europe for a cruise. How do we adjust our son's Levemir dose? (30 Apr 2009)
  20. After sports, my teen son's blood sugar is quite high, but is low by morning. How can we avoid these sports related swings? (30 Apr 2009)
  21. My toddler has higher blood sugars. The endocrinologists are happy, but I am concerned about organ damage. What should we do differently? (29 Apr 2009)
  22. For two months, my son has been waking up high after being in range at 1 to 2 a.m. Other than getting up a 4 to give him a correction shot, what do you suggest? (7 Apr 2009)
  23. Sometimes my fasting blood sugar is higher. How can I achieve normal blood sugars during the night? I take Lantus in the morning, Humalog for foods. (20 Mar 2009)
  24. Since my pregnancy 20 years ago, I have been pricking my ear lobe to check my blood sugar. Is there any reason why I shouldn't use my ear lobe? (16 Mar 2009)
  25. To prevent lows at night, we give our son a small snack, no insulin, if his blood sugar is a little low. He is often high at 2 a.m. and before breakfast. What do you suggest? (1 Mar 2009)
  26. I have been instructed to calculate negative insulin for a young patient. Can you confirm that I am doing this correctly? (1 Mar 2009)
  27. Since moving, our daughter goes through periods of extremely high blood sugars requiring quite a bit of insulin. Why does this happen? (24 Feb 2009)
  28. We are considering switching our daughter from NovoLog to Apidra to combat postprandial spikes. Is Apidra really faster acting? (17 Feb 2009)
  29. We check our daughter at night after doing infusion set changes. If we were exhausted and slept all night, what would be the chances she would go into DKA or a coma? (20 Jan 2009)

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