Questions from October 2008

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  1. My niece was just diagnosed with type 1 and put on 70/30 insulin. She has developed a rash. Could she be allergic to the insulin? She is also still having blood sugars as high as 500 mg/dl [27.8 mmol/L]. Is this common? (31 Oct 2008)

  2. When my son travels to Europe, where can he find information on carbohydrate counting for the international foods that he will be eating? (31 Oct 2008)

  3. Is it safe to put my already thin daughter on a low glucose, low carbohydrate, low calorie diet? This was suggested after she had a fasting blood sugar of 106 mg/dl [5.9 mmol/L]. (31 Oct 2008)

  4. After several years of poor control and high blood sugars, I am in better control, but have shooting, burning pain, mainly in my back and shoulders. Is this neuropathy? Is the increased pain with higher blood sugars normal? (31 Oct 2008)

  5. How do I treat my diabetes when I have a cold or the flu? (28 Oct 2008)

  6. At 31 weeks pregnant, my family doctor had me do a fasting test. The technician said my blood sugar was 5.6 mmol/L [151 mg/dl]. Should I be worried? (28 Oct 2008)

  7. Shortly after he received an oral steroid, my son had a blood sugar of 296 mg/dl [16.4 mmol/L]. Once he got to the P.I.C.U., his blood sugar was normal and it has remained that way at home. What does this mean? (28 Oct 2008)

  8. Where can one find a resource for determining carbohydrate content for casserole dishes and such? (27 Oct 2008)

  9. During the past year, my mother, who has type 2, has remained in a semi-conscious state for two to three days after lows. Why would this happen? (27 Oct 2008)

  10. Which is the best method of administering mealtime insulin when you encounter a pre meal low? (25 Oct 2008)

  11. My son has been experiencing fatigue, headaches and nausea in the afternoons. Almost 13, could these symptoms be related to puberty? (24 Oct 2008)

  12. Why would an A1c be "normal" when the patient often has elevated blood sugars? If prolonged use of metformin can cause kidney damage, is there another safer drug? (24 Oct 2008)

  13. Sometimes I let my son go to school after he has had ketones in the morning. We change his site and insulin first. Is this okay? The school has no nurse. My son is to check again in two hours and call me. (22 Oct 2008)

  14. Can a CT angiography detect coronary plaque in a diabetic as well as coronary angiography? (21 Oct 2008)

  15. I am controlling my diabetes by diet. On days that I eat extra, can I take Xenical and Acarbose? Can I skip metformin, too? (21 Oct 2008)

  16. How much of a difference can there be in a fasting report done by laboratory and an Accu-Chek home glucose meter? (21 Oct 2008)

  17. My daughter has some of the symptoms of diabetes, which the doctor ruled out. Could it still be diabetes? Could this be the honeymoon phase? (20 Oct 2008)

  18. When I used my pre-filled pen, blood leaked into the pen and mixed with the insulin. Is this normal? Will the insulin still work? (20 Oct 2008)

  19. Following his first episode of DKA two weeks ago, my teen son's vision has blurred considerably. Is this a result of the DKA? Will it correct itself? (20 Oct 2008)

  20. What are the present and future ramifications of refusing insulin with gestational diabetes? (20 Oct 2008)

  21. My son has a variety of symptoms, including spikes in his blood sugar. He tested negative for MODY and passed a three hour glucose test. What could this be? How do we go about finding a proper diagnosis? (19 Oct 2008)

  22. Based on her symptoms, what could be going on with my daughter? An endocrine doctor has said it's a panic disorder and put my daughter on metformin. (19 Oct 2008)

  23. Can aspirin or other drugs affect urine glucose readings? (16 Oct 2008)

  24. Where can one find resources for training staff and hiring a nurse for children's camps? (16 Oct 2008)

  25. English theme parks provide special bands for diabetics allowing them to skip the queues. Do theme parks in Orlando have the same system? (9 Oct 2008)

  26. My daughter recently had a low that lasted several hours and was on no insulin for several days. Could this have been caused by the Catapres TTS 3 she takes for PTSD? (9 Oct 2008)

  27. My son's blood sugars fluctuate from 43 mg/dl [2.4 mmol/L] to 500 mg/dl [27.8 mmol/L] on Humalog 72/25. How can we control his blood sugars better to ensure he has a healthy life? (9 Oct 2008)

  28. Is there any connection between type 1 diabetes and hidradenitis suppurativa? (8 Oct 2008)

  29. Why is milk a good option for treating hypoglycemia? I read about using milk on your web site. (8 Oct 2008)

  30. What would cause an increase in blood sugar levels in response to an increase in insulin when there are no lows prior to elevated blood sugar levels? (8 Oct 2008)

  31. Our health insurance provider said our son must have his A1c test done at a separate laboratory. I plan to appeal. Do you have any suggestions to help with this? (7 Oct 2008)

  32. My son has always wanted to eat a lot, especially protein. The school nurse suggested that he might have hypoglycemia. Should I have him tested? By what kind of doctor? (6 Oct 2008)

  33. My chiropractor has suggested that I start my daughter on Orthomega, which includes "cleansing," fish oil and a diet, to help her JRA and her blood sugars. What do you think? (6 Oct 2008)

  34. Do you have any suggestions for helping us avoid our daughter's hospitalizations for DKA? She has an unusual insulin insensitivity, takes several medications, is is overweight. (6 Oct 2008)

  35. I'd been monitoring my daughter's blood sugars, but stopped since she was asymptomatic. I just learned she tested positive for GAD antibodies. What does this mean? (5 Oct 2008)

  36. My young son is on Lantus only, but he sometimes is as high as 350 mg/dl [19.4 mmol/L]. Is it okay to give him rapid acting insulin? (5 Oct 2008)

  37. Can you help me understand why the doctor has put my daughter on a Humalog-Regular-NPH-Lantus regimen? (4 Oct 2008)

The Diabetes Team

Tessa G. Lebinger, MD (Pediatric Endocrinologist, member since November 1995)
Kenneth J. Robertson, MBChB MRCP FRCPCH (UK) (Consultant Paediatrician and Diabetologist, member since April 1996)
Bill Jones, MD (Specialist in the management of diabetes during pregnancy, member since April 1997)
Marco Songini, MD (Italy) (Pediatric, adolescent, and adult endocrinologist and diabetologist, member since April 1997)
Larry Deeb, MD (Pediatric Endocrinologist, member since July 1998)
John Schulga, MBChB MRCGP MRCP FRCPCH (UK) (Consultant Paediatrician in childhood and adolescent diabetes and endocrinology, member since July 1999)
Stuart Brink, MD (Pediatric Endocrinologist, member since October 1999)
Matthew Brown, MD (Pediatrician and a Pediatric Diabetologist, member since January 2000)
Jim Lane, MD (Adult Endocrinologist, member since November 2000)
David Schwartz, MD (Pediatric Endocrinologist, member since May 2001)
Andrea Scaramuzza, MD (Italy) (Pediatric Endocrinologist, member since October 2003)
Fran Kaufman, MD (Pediatric Endocrinologist, member since August 2006)
Linda DiMeglio, MD (Pediatric Endocrinologist)

Barb Schreiner, RN, MPH, CDE (Diabetes Nurse Specialist, member since July 2002)
Jane Seley, RN, GNP, MPH, MSN, CDE, CHES (Diabetes Nurse Practitioner, member since August 2002)
Linda Mackowiak, RN, MS, FNP, CDE (Diabetes Nurse Specialist)

Jill Weissberg-Benchell, PhD (Medical Psychology and Psychiatry, member since January 2000)

James Michael Schurig, MS, RD, LD, CDE (Dietitian, member since December 2000)

Exercise Physiologists
Rick Philbin, M.Ed., A.T.C., C.S.C.S (Sports Medicine, member since July 2004)

Lois Schmidt Finney, RD, MPH, CDE (DPT-1 Research Coordinator, member since July 1998)
Heather Speer, MPH, CCRC, CDE (Clinical Diabetes Research and Education Coordinator, member since July 1998)

Social Workers
Debbie Butler, CDE, MSW, LICSW (Licensed Clinical Social Worker, member since October 2004)

And Our Occasional Experts

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Last Updated: Fri Oct 31 18:41:45 2008
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