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Daily Care

I am having a hard time regulating my son’s mid morning and lunch blood sugars. If he is blood sugar is in range mid-morning, he runs quite low by lunch. I hate to have him so high, but, on the other hand, I don’t want him running so low at lunch. How can he drop so much in such a short time?

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My son has been on 4-5 injections per day. We just moved to Alaska in July of 2003, and his diabetes is out of control. He A1c is now 12%. The doctor up here says he’s too young for a pump. I think he needs a pump. Can I demand an insulin pump?

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I provide child care for a seven year old boy with type 1 diabetes. He takes Humalog and Lente. Are morning ketones, small to medium, likely to be present after blood sugars dip too low during the night followed by a rebound?

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My daughter has had type 1 diabetes for several months and is doing well. Does she need to be an ACE inhibitor to help prolong better kidney function?

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My mother, who has type 2 diabetes, is taking metformin along with glipizide. Her blood glucose is somewhat elevated with an A!c of 8.1%/. She has mild hypertension and EKG changes without chest pain. Do you suggest she change therapy to insulin?

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My 136 pound daughter takes about 107 units a day, might be low in the morning, but high at lunch and dinner. Is this a lot of insulin? Is she becoming insulin resistant?

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My nine year old son has used the Lantus with Humalog insulin combination for over a year, and lately, he runs pretty high at night, but during the day, his blood glucose levels are within range, or even low. It seems he needs two basal rates — one at night and the other for the day. How does one go about deciding how to split a Lantus dose? Could the injections be given at breakfast and supper times?

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About four months ago, I had a virus and was diagnosed with what they said was type 1 diabetes. I have several questions.

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We’ve switched to Mixtard in the morning, Actrapid before dinner, and Insulatard before bed, and from the time we started using this new regimen my brother’s blood sugar levels are constantly high, even fasting. Should we increase the morning Mixtard or should we increase the evening Insulatard to combat the high fasting sugars? Also, how long does Insulatard’s effect last?

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It appears that the doses of NovoRapid I am taking with my meals lead to good post-prandial results, but the Lantus does not appear to be working at all. I do have advice to increase the Lantus dose until I get to an acceptable morning blood glucose, but the impact of the Lantus on my blood glucoses seems so negligible. Is this a normal experience?

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