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Sick Days

When a child has ketones in the urine, and is sick, is it a problem if the ketones are more than “small”? How do they get ketoacidosis? Is it from being sick?

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My nephew, who has type 2 diabetes, has been sick and his is blood sugar has not been stable. Last night when my sister went to see him, she was shocked. He has lost weight, his eyes are sunken, his blood sugar was elevated, and within two hours, just prior to going to bed it was higher. Is his blood sugar at a dangerous level?

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My young daughter has been vomiting today. We are worried about lows and ketones. Our doctor has us giving small doses of glucagon and insulin. What is your approach under these circumstances?

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Should we be dosing for the antibiotic our daughter is taking for a sinus infection? Her blood sugar has been elevated despite adjusting her insulin to carbohydrate ratio.

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This past winter, my 10 year old daughter, who has had type 1 diabetes for three years, caught numerous colds, stomach bugs, and fevers whereas she was not this ill during the past two years and has received a flu shot for the past four years. What are your recommendations to help her avoid getting sick?

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Shouldn’t a pediatrician have a more aggressive set of protocols for treating infections of a child who has diabetes?

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When ill, my son-in-law, who has type 1, is angry and moody. He refuses to seek medical help. Are his mood swings caused by fluctuating blood sugars?

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In the past, when my daughter has been sick, her blood sugars have been high requiring more insulin, but for the past month, she has had ear infections and strep throat and her blood sugars keep going low. Nothing else has changed — diet, carbs or exercise. Can this be caused from being sick?

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Are people with type 1 diabetes and good glycemic control immunocompromised? Are they any more susceptible to infectious diseases?

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My son had moderate to large ketones during a viral illness despite good glycemic control. We checked his blood glucose at two- hour intervals and they were okay. The ketones cleared with extra insulin and increased fluid intake. Were the ketones a result of improper insulin dosing or a direct result of the viral infection?

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