Conversation: The conversation between human and AI assistant.
[|Human|] My daughter is 45 and has had Type 1 Diabetes for 28 years and she is really struggling and the only place that will see her is a clinic and they have no clue how to help her with her blood sugar. She has been in 2 comas in the last 4 days. We live in Pooler Georgia ( outside Savannah) and desperately need help finding an endocrinologist.
[|AI|]  Thanks for asking on Chat Doctor. The preferred treatment of type 1 diabetes is injectable insulin, the dose of which is according to the levels of blood glucose. However, constant monitoring of blood glucose is important because a too high dose of insulin can lead to hypoglycemia and coma and a too low dose can lead to high blood sugar levels. So dose has to be carefully adjusted as per the blood glucose levels. In type 1 diabetes the pancreatic beta cells are unable to produce enough insulin to take care of the needs of the body. Oral hypoglycemic agents are not effective I type 1 diabetes because there is not enough beta cell function since Has act by increasing insulin action. You will need to monitor blood glucose at home with a glucometer and adjust insulin doses accordingly. Hope it helps.