Datasets:

datarush

/

dialog-chat-10k

like 0

[ { "role": "user", "content": "My girl friend is a type 1 diabetic and has high blood pressure she's 32 years old. She's been having really bad back pain like really bad. Mostly her lower back. She says by her tail bone the most. She says it feels like a ton of pressure on her bones she cry's day and night. She doesn't eat because of the pain she was 140lbs right now she's 114 in less than 3 weeks. Ive taken her to the ER twice this week for d.k.a.we tell the doctors but all they do is give her norcos. They took an X-ray and said she has arthritis. But then another \"doctor\" said it was a do to an UTI. I'm tired of seeing her in pain I'm getting anxiety and stressed out." }, { "role": "assistant", "content": "I am so sorry. No one deserves that. See if she can see another doctor..any new perspective  would be helpful." } ]

[ { "role": "user", "content": "My sister has had type 1 for 25 years, just started to get foot pain and numbness 6 months ago from high sugars for years. :( It is really progressing fast. Daily. Anyone here have progressive tight, searing pain in their toes and now discoloration, slightly? A light purple shade on toes. The pain is awful. She can barely WALk. Also very numb feeling too.\n She is trying to get sugars down but it is very difficult as they PLUMMET with even a tiny amount of insulin. So it's so hard to get them in normal range, for years. She has an appt. soon...but what else can be done? She is looking into spinal stimulator that supposedly helps foot pain. Any tips welcome. She is in true need of relief and treatment. Any tips on how you may have reversed your own neuropathy as well; what you ate, etc. Thank you so much." }, { "role": "assistant", "content": "My girlfriend has the same thing. But hers is worse it has spread all the way to her back. Im looking for answers too. N" }, { "role": "user", "content": "That's so awful!  Has she not had any help for understanding what is going on from her doctor? Are you sure it is diabetes related?" }, { "role": "assistant", "content": "She saw a neurologist  for this issue and it is neuropathy  from diabetes yes. He barely gave  any feedback  and told her no real treatment  option. It left her very hopeless. There ARE treatment  options we are now learning  but not all will be effective.  Ty for your words friend.  She is hoping to try laser therapy  soon." } ]

[ { "role": "user", "content": "Did it get worse as time went on?\nMy sister began to feel numbness and pain one day out of the blue. (In toe) Her sugars HAVE been high several years but she also cracked her back that day. So she is unsure if this pain in her toes IS neuropathy..but she has a hunch it is. Her other toes are now hurting too and feel like novacaine is in them.\nIf you had this, did the pain feel like your toe was so stiff it would break in two? Did you get any meds that helped the numb novacaine feeling?" }, { "role": "assistant", "content": "Hello. I'm sorry your sister is having this difficulty. Has it resolved? While it 'could' because of her fall, that she has diabetes without controlled blood sugar and seems to have suspected neuroathy in the past, I strongly suggest she see her doctor. Changes in sensation like that IS a symptom of diabetic neuroathy and she needs to follow up . I think her doctor is going to want to address the issue of her sugar levels as well.  Let us know how she is doing.https://www.mayoclinic.org/diseases-conditions/peripheral-neuropathy/symptoms-causes/syc-20352061" }, { "role": "user", "content": "Thank you. She is contacting  her doctor  today. Here is hoping she can lower her sugars so this pain can reverse. Ty for the link Sara." } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "Hi Mary, \n\nI have been Married for 18 years, I have 5 children, and have had Type 1 diabetes since 9 years of age.  I am 37.\n\nI have no complications to date.  I live a life of balance.  Diabetes is managable, and even more so if you are in a loving supportive relationship.\n\nDo your parents have any other reason to dislike this fellow?  Because diabetes is not a resaon to break up with him.\n\nGood luck!\n\nTrev" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "I was diagnosed with type 1 diabetes at 17. I'm now 50 with no complications, my eyes are doing very well, as is the rest of me. In fact, I have not been sick, not even had a cold, for over 4 years. I'm active and have worked nearly all my adult life. I have 3 grown-up sons who are all very healthy and wonderful people. I do take care of myself, checking my blood sugar numerous times and taking multiple shots each day. I am lucky to have a great husband who is caring and supportive. Diabetes treatment has come a long way and as long as your boyfriend educates himself about diabetes and takes care of himself, he will almost certainly live a long and healthy life. Because we diabetics MUST eat well and not overdo anything (booze, food, etc.) most Type 1s are actually healthier than a lot of the general population who take their health for granted, don't exercise, and eat too much junk food. Don't listen to your dad on this one, he's actually uninformed and ignorant of how well most Type 1s can do nowadays!" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "Honestly, this disgusts me - your parents are very misinformed... your father is a Dr. - how many healthy people do you think he sees?  So he's going to base his information for ALL diabetics off his unhealthy, poorly controlled diabetic patients who come to see him to be treated?  Now, if your boyfriend is poorly controlled, there is some reason to be concerned, but I would recommend taking an active part in his management with him - be supportive and encouraging with his diet and exercise and make it a part of YOUR life too - that way you can't just simply dismiss him... proper diabetic maintenance is how ALL people should live in terms of diet and exercise.  Adopt some of his practices for yourself and you'll see how much BETTER your life will be.  Don't listen to your parents - they are DEAD WRONG when it comes to this.  Can you imagine your mother leaving your father after him suffering a similar diagnosis?  Can you say, \"knock on wood\"?  I hope for his sake his \"principles\" don't come back to haunt him." } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "Leave your parents out of your love life instead" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "Bcrap! Anyone can be healthy as a horse one minute, sick as a dog the next. There are plenty of stories of people having DIABETES, and not know it till they go blind etc, usually type-2. \n\nIn Feb 1982, I went in the hospital for minor surgery, came out with a virtual death sentence, 10% chance of surviving just 12 months. Well I am still here and kicking decades later, despite diabetes type-1b, Multiple Sclerosis, Addison's & more. \n\nI have NEVER let my medical maladies stop me! I have lived longer, don more than most people w/o any medical problems!\n\nDr Gomer (Dr of life)" }, { "role": "user", "content": "Well, again----  thanks for posting and sharing your story and glad you are doing well!  We are looking for members on the multiple sclerosis forum and would love to read what you have to say on that forum.  There are a lot of people who think they have it and don't, a few there that do and you'd be a welcome member of that community.  Here's a link:  https://www.medhelp.org/forums/Multiple-Sclerosis/show/41" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "I am 72, type-1 diabetic, married for 45 years, w/4 grown kids. Having diabetes more than 1/2 my life, has not slowed me down. I also have MS, that does slow me down a little. that said I have done/experienced more than most, so called healthy people.  BTW my eyes are still good.\n\nI find it hard to believe your dad is so DARK AGES about diabetes!  I have experience the changes in diabetes care and tools, t is nothing like it was even a decades ago." }, { "role": "user", "content": "Hi Gomer2.  Thanks for chiming in.  It sounds like you have been through a lot.  Have you checked out our MS forum?  Find it by going to communities and then search A to Z for it.  And of course here.  Hope you come back as you seem to have a lot of good things to say.\n\nYes, agree there have been so many advancements to make life easier." } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "Of course they can get married. I have had diabetes for only a bit, but know three eople who have had diabetes since being a teenager, they all have families, and one is 80+ years old. Diabetes complications USUALLY only occur in those with poorly managrd diabetes. If you love this person and believe that you could make it through an unlikely complication with them (assuming they manage their diabetes well)  then marry them. Yes, your parents are being a bit paranoid, but honestly it is because they don't want your partner to die on you. This is unlikely and it seems your parents assume this since they have only been exposed to the unfortunate cases. Try to see if they and your partner would be willing to do a  teaching on their diabetes, and if not your parents will see that soon enough you'll both be fine! Best of luck. Diabetes isn't easy, but I believe you two can make it work!" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "This is non-sense. If the Type 1 diabetic is taking care of himself, works out, eats well, he will be very healthy. My bf of 5 years is a Type 1 and he 43, he is very healthy stronger than anyone you'll probably meet is a fire-fighter and all around amazing." } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "wow thank you everyone for posting their comments. I am a type 1 diabetic aswell, now 24, diagnosed at 22 (female).  I am sorry your parents feel that way about your boyfriend, but lets face it, its just ridiculous especially at these times.  How are you gonna feel if you break up with him and a cure comes up for type 1 diabetes in a few years...are you going to ask him to get back with you?? \n\nTrust me as long as your boyfriend takes care of himself your parents need to get over themselves assuming thats the only reason they dont like him.  \n\"treat others how you'd wanna be treated\" \nGolden rule !!!!\nall the best :)" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "wow than you everyone for posting their comments. I am a type 1 diabetic aswell, now 24, diagnosed at 22 (female).  I am sorry your parents feel that way about your boyfriend, but lets face it, its just ridiculous especially at these times.  How are you gonna feel if you break up with him and a cure comes up for type 1 diabetes in a few years...are you going to ask him to get back with you?? \n\nTrust me as long as your boyfriend takes care of himself your parents need to get over themselves assuming thats the only reason they dont like him.  \n\"treat others how you'd wanna be treated\" \nGolden rule !!!!\nall the best :)" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "hi to all\n\n     I am type 1 daibetic from my 14th year........ now am 25 . but i didnt get marriage . My parents are worried about me , me tooo.i dnt know what will happens in future . I hopefully waiting for my life partner........" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "hi,\nI am in Love with a Type 1 diabetic.. and let me tell you it is the most wonderful thing to have known him. He is 25 and has recently been diagnoized type 1 a year ago. \nHe takes care of himself, eats the right thing at the right time, takes his shots regularly. and belive me life has been just beautiful, though we are not married now, but very soon want to. I think because of this 1 reason, love would not turn away. It has taught me one thing and that is to understand his needs and care for him and support him all way. \n\nLife is still as beautiful as always. There is no reason that you should back out because this 1 reason. We have our medical experts to always guide us.. :)" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "I have been with my diabetic husband now for 7 years. I know he has been struggling with his diabates, but I have recently found out that he has found the comfort in an unmarried female co-worker, I have found that they have been talking for quite some time and talk numerous times per day and at very late hours. And this has been going on for at least 5 months\nTo me this is cheating and lying and hurts very much. But at the same time I know that he needs support from other people.\nI am just soo lost and hurt and just wanted someone else who may know how to react to this." } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "You will deal with certain problems being married to a diabetic. If you love him with all of your heart and he loves you the same, don't listen to anyone but your heart. You will give your all if you truly love and that goes for him too. Become one and live and conquer this disease together. All fear fades in love. You have my blessing." } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "I have had Diabetes since I was 16 and I went on to get married and have 4 beautiful children. I am 51 and I have taking very good care of myself. Ur parent are being silly. Don't break off a mariiage if u Love him truely. Diabetes is not a contagious disease. And he won't be the one having the babies, u will, so all will be fine. I feel sorry for your boyfriend, your parents are starting out holding a gridge all to soon for not a good reason...My, my..." }, { "role": "user", "content": "Does any of your children has T1D ?" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "I am a type 1 diabetic and just got married! And it's great (which has nothing to do with diabetes). \n\nI think that you parents are having some other issue, either with him or with the idea of you growing up. Plus, if you love him, then you love all of him. He may even be a lot healthier because a lot of people with diabetes take better care of themselves than other people!\n\nDon't base your relationship decisions on diabetes! We are normal people :)" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "I have been married to a Type 1 diabetic for almost 2 years now.  He is 41 and was diagnosed at the age of 9.  I will not tell you that it is not hard at times but you can not let this disease stop you from marrying someone you love.  My husband takes care of himself, works, hunts and fishes.  The only major complication he has had so far is diabetic retinopothy.  He is currently having his second set of laser treatments for this problem and his retina specialist says he should be fine as long as he has regular checkups. Good luck with your situation.  I hope everything works out for the best." } ]

[ { "role": "user", "content": "Hello, My fiance (to be) has Type 1 diabetes.  she told at our first meet itself that she has Type 1 diabetes and want to insulin daily lifelong.\n\nMy question here is, What would be the complexity during pregnancy & delivery ?\n\nWill that gene replicate in baby ?\n\nIs this a serious issue?\n\nWhether i can proceed further or say no to this girl ?\n\nThanks for your answers in advance!" }, { "role": "assistant", "content": "I'm confused. You feel like her being type 1 is a hindrance to continuing the relationship because it is too much of a burden? I mean, that's your choice and the reason why we date is to judge if we want to continue on to the next stage in a relationship. Not everyone is a match nor do we have to stay with them. We're allowed to break up with those we have reservations about. \n\nBut Type 1 diabetes when controlled does not have to hinder one's life. I have three friends that I'm close to that are all type 1 diabetes. None of them know each other and all I met as a mom with my own kids that are their kids friends. They manage their own diabetes with no issue. They do use insulin and monitor their blood sugar. Two have children that do not have diabetes and are now in late teens (so type one which is considered juvenile diabetes usually shows by now) and one does have one of her three kids also diabetic. \n\nYour girlfriend is not flawed because she has diabetes!  Does she manage it? Is she a responsible person to her health? Honestly, my diabetic friends eat properly, exercise, take good care of themselves. Is it a chronic illness they must attend to? Yes. Is it reason for you not to be in a relationship with them? That's up to you. \n\nAs to pregnancy and deliver, if her diabetes is controlled, it is typically not an issue during pregnancy. She'll likely need more insulin that she does otherwise during pregnancy but her doctor will help her manage that and I'm sure she is monitoring. Type 1 diabetes is NOT gestational diabetes, keep that in mind. They will likely monitor her closely and instruct her how to self monitor so she can keep her blood glucose under control especially during the last third of pregnancy. She'll also have a regular delivery, waiting like all women for it to start on its own if her blood glucose is controlled. If she's having issues with that, they will induce her.  Lots of women are induced for many reasons when pregnant. Still birth and complications for pregnancy that glucose is well controlled is very low." } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "Mary,\n\nI have been a diabetic since I was 14.  I am now 49.\n\nI am very active and have no diabetic problems, but I do take care of myself.\n\nI was diagnosed with diabetic retnepothy when I was 28 and according to my eye Dr. at last months visit it has not progressed since I was first in his office 21 years ago.  In fact he told me he would be dead before I needed lasar on my eyes.\n\nYour parents are wrong.  Diabetics can have a very long and fulfilling life, but as with anyone healthy or not things can happen to us in our life that will shorten it, that is the chance you will have to take with anyone, diabetic or not.\n\nDiabeties can be taken care of with the proper meds, diet and exorcise.\n\nBob" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "Just a thought--do your parents like this boy?  Maybe there are other reasons for their dislike of this boy, because I guess I find it hard to believe someone would make you break up simply because they have diabetes.  In fact someone as knowledgeable as your father would know that diabetes management has progressed as above mentioned.  \nAnd are these patients your father sees Type 2 diabetics? Type 1 diabetes is when the pancreas does not produce insulin. Type 2 diabetes is most often diagnosed in people who are overweight, do not exercise and have a history of neglecting the needs of their bodies.  Therefore Type 2 diabetics still produce insulin but their bodies do not use the insulin sufficiently or I could say properly.    \nAnyway, why don't you try talking to your parents, maybe there was some miscommunication." } ]

[ { "role": "user", "content": "Is it advisable for people with juvenile-onset diabetes to get married? My parents are forcing me to break up with a diabetic because he is not \"marriage material\".. apparently diabetics who have had diabetes for a long time (this boy has had it since 17) begin complications really early.. my dad is an eye doctor and he says that he gets patients with diabetic complications in their eyes every single day, and that they get blind by their 40s if they even last that long.. not to mention all these other long-term complications... gangrenes, amputations, strokes, etc etc... are my parents being overprotective or do they have a point?" }, { "role": "assistant", "content": "Hello, Mary.  Of course people with diabetes can get married.  Having diabetes is not a reason to avoid marriage.  People with diabetes these days are doing much better with diabetes management, and the rate of complications in people who are using these management principles are dropping drammatically.  20 years ago, this wasn't the case, so the patients that your dad sees fall into that group, where they didn't have the tools and the knowledge that we have today.  I'd have your significant other show that he can and does manage his diabetes well.  Your parents need to understand that times have changed with respect to diabetes care, and there is no reason to break up with someone simply because of diabetes." } ]

[ { "role": "user", "content": "Had steroid shot today, blood sugar's are 343 now. Take 10 units of Humalog before meals and 55units of Lantus before bed. What is the sliding scale when sick. Have sinus infection and bad cough." }, { "role": "assistant", "content": "I had an epidural steroid procedure.  My sugars are running very high (330)  but do not want to go to hospital.  Can I do this at home?" }, { "role": "user", "content": "Hi Esther,\n\nDo you take insulin or are you on oral meds?\nIf you are on insulin and you have been trained to do so, you could take a correction shot using your fast acting insulin, with close monitoring of blood sugars.\n\n\nIf you are not on insulin / have not been trained how to take correction shots, you will need to contact your doctor for assistance.  Most likely you will need insulin to bring your sugar levels down. \n\nPlease let us know how you are doing now." } ]

[ { "role": "user", "content": "Had steroid shot today, blood sugar's are 343 now. Take 10 units of Humalog before meals and 55units of Lantus before bed. What is the sliding scale when sick. Have sinus infection and bad cough." }, { "role": "assistant", "content": "when your sick its hard to judge how your body is going to react or not react to insulin because so many things are going on inside of you.  try to check your blood sugars a little more often and if high cover, low drink a juice\npeace" }, { "role": "user", "content": "Thank you so much" } ]

[ { "role": "user", "content": "Decide insulin preference." }, { "role": "assistant", "content": "Hi Jimmy,\n\nPremixed insulin requires you to eat on a fixed schedule, and you cannot easily change your insulin dose.\n\nSeparate dosing of Lantus (long acting) and Humalog (short acting) where you inject each insulin separately (also called MDI for multi daily injections) is much more flexible.  You test and adjust your basal insulin (lantus), then you dose your fast acting for each meal based on how much food / carbs/ protein you eat.  You can also use your Humalog to correct for high blood sugars.  Mixed insulin cannot be used to correct high blood sugars. \n\nStrongly suggest you also ask your doctor that you should be trained to use MDI (with corrections and dosing based on carb and protein counting), not \"Sliding Scale\" where you simply take a fixed dose of insulin at every meal (irrespective of what you eat) and a correction in case you are high.\n\nThus I am strongly in favour of separate basal and bolus insulin.  Book on this \"think like a pancreas', \"Using Insulin\", Bernstein \"Diabetes Solution\" - there is also a Utube series called Bernstein Diabetes University that has lectures on how to use insulin and adjust diet.\n\nWishing you well. \n\nplease come back if you have questions." }, { "role": "user", "content": "Thanks, this is a very good reply, and good advice I think. However,  for a short while in past I tried 70/30 out. I can say it was more simple, less shots, fixed eating was ok. But I did get several lows!" }, { "role": "assistant", "content": "For t1d, mixed insulin is not flexible enough. The shots are probably the least painful part of our management.  \n\nI had 1 very serious low when i was first diagnosed and  put on mixed insulin. Then I educated myself and decided MDI, and I've never looked back. It is so important for us to have good blood sugar control to manage diabetes and prevent complications. I also eat very low carb and follow the teachings of Dr Bernstein. Mybhba1c is usually close to 5.0.  You can find him on utube under Bernstein Diabetes University, if you're interested. Best wishes." } ]

[ { "role": "user", "content": "I have a NovoLog FlexPen with 100 units which stopped working after about 1/3 of the insulin had been dispensed.  It simply stopped releasing the insulin left in the pen.  I pay a lot for these pens since my insurance only covers about half the cost.  I took it to my pharmacy who said I must get it from Novo Nordisk, Inc.   How can I get a replacement?" }, { "role": "assistant", "content": "You can also continue to draw the insulin out of the pen needle using a syringe, if you have one, and injecting the correct amount.\nThe pharmacy that dispensed the pen should be able to help you with a replacement pen, if you decide to go that option." } ]

[ { "role": "user", "content": "I have a NovoLog FlexPen with 100 units which stopped working after about 1/3 of the insulin had been dispensed.  It simply stopped releasing the insulin left in the pen.  I pay a lot for these pens since my insurance only covers about half the cost.  I took it to my pharmacy who said I must get it from Novo Nordisk, Inc.   How can I get a replacement?" }, { "role": "assistant", "content": "You can also continue to draw the insulin out of the pen needle using a syringe, if you have one, and injecting the correct amount.\nThe pharmacy that dispensed the pen should be able to help you with a replacement pen, if you decide to go that option." } ]

[ { "role": "user", "content": "I have a NovoLog FlexPen with 100 units which stopped working after about 1/3 of the insulin had been dispensed.  It simply stopped releasing the insulin left in the pen.  I pay a lot for these pens since my insurance only covers about half the cost.  I took it to my pharmacy who said I must get it from Novo Nordisk, Inc.   How can I get a replacement?" }, { "role": "assistant", "content": "I had this problem a lot. The fix I discovered was to change the needle on the pen. I don't know why this worked it just did. Good Luck." } ]

[ { "role": "user", "content": "Does anyone use Novolog sliding scale for insulin diabetes? What health benefits you people get from it?" }, { "role": "assistant", "content": "Hi Simon, \n\nSliding scale is quite an old-fashioned way of dosing insulin, and can have much error unless one eats exactly the same way every day.\n\nMore modern approach is basal-bolus approach. \n\nThis is where basal (slow acting insulin) is adjusted to cover insulin requirements without food, and bolus (fast acting / meal time insulin) is dosed based on amounts of carbs and proteins that will be eaten at any meal. \n\nThe ratio of how much insulin to how much carb / protein is determined over time and with experimentation.  \n\nMy Dr first told me to use 1 unit of fast acting insulin for 25 g of carbs, and adjust from there.  Typically I will use 1 unit of insulin for 10 g of carbs in the early mornings, 1 unit of insulin for 20 g of carbs later in the day. \n\nHope this helps you find some direction. \n\nPlease come and ask more questions." }, { "role": "user", "content": "My dr wants me to change from a sliding scale to taking Novolin 3 units each meal.  Consistency is so important.  Then another week I am changing to Lantus once a day from taking Levimir 2x a day.  Change is hard for me but I need to remember to stay with my carbs small amount and protein and fat." } ]

[ { "role": "user", "content": "I eat veggies and fruits.  I'm a Type 1 Diabetic and need to lose some weight.  My doctor says I don't get enough protein in my diet to lose weight.  I'm not a big fan of beans.  What is a good source of protein for my case?" }, { "role": "assistant", "content": "Both Dr Mark Hyman MD and Neal Bernard claim plant based eating will reverse diabetes.  That is both type 1 and 2.   Plus no matter how advanced the diabetes is.  Of course the worse the diabetes the more effort is needed.  However  any degree of the disease can be reversed with this type of eating." }, { "role": "user", "content": "Type 1 diabetes cannot be reversed.\nType 2 can be reversed with diet in many, but not all cases. \nThere are two approaches to diet that may be effective:  \n\n1. Low carb, adequate protein, fat for energy balance - otherwise known as ketogenic of low carb diet.  In this diet carbs are typically restricted to 30g or less per day.   This diet also includes abundant non-starchy, non-sweet vegetables and plant foods. \n2. Very low fat, adequate protein, high carb.  This is the plant based and even vegan diet that some are promoting.   This diet does not have processed foods.\n\n\nThe diet that absolutely does not work is a diet that is high in both carbs and fats. \n\nFor me, considering that diabetes is an inability of the body to properly process glucose I choose low carb / ketogenic diet.  This diet is fairly easy to follow.  No grains, no sugars, no starchy vegetables. \n\nThere are some people for whom the low fat / high carb works.  You would need to find out which suits you best and which one you can manage sustainably." }, { "role": "assistant", "content": "There are different types of carbs>  complex and simple>   the latter consists mostly of pastry     Neither the glycemic index  and the glycemic load was mentioned in your comments>  Many endocrinologists recommend either the  GI  or t he  GL" }, { "role": "user", "content": "Thank you!!!!!!!  I do wish Type 1 Diabetes could be reversed.  That would definitely give me incentive to do just about anything.  This is a miserable disease; I take 6-7 shots per day and check my blood sugar 6-7 times per day.  That's a lot of pokes!" } ]

[ { "role": "user", "content": "I eat veggies and fruits.  I'm a Type 1 Diabetic and need to lose some weight.  My doctor says I don't get enough protein in my diet to lose weight.  I'm not a big fan of beans.  What is a good source of protein for my case?" }, { "role": "assistant", "content": "Is it the taste of beans you dislike or the texture? I don't like the texture, so I puree beans to add to things to up my protein." }, { "role": "user", "content": "I think it's a little of both.  I guess black beans are better in texture; not too mushy.  They're so bland, though!!!!!!!" } ]

[ { "role": "user", "content": "I eat veggies and fruits.  I'm a Type 1 Diabetic and need to lose some weight.  My doctor says I don't get enough protein in my diet to lose weight.  I'm not a big fan of beans.  What is a good source of protein for my case?" }, { "role": "assistant", "content": "Glad I could give you some direction ideas.  Wishing you well!" } ]

[ { "role": "user", "content": "I eat veggies and fruits.  I'm a Type 1 Diabetic and need to lose some weight.  My doctor says I don't get enough protein in my diet to lose weight.  I'm not a big fan of beans.  What is a good source of protein for my case?" }, { "role": "assistant", "content": "Thank you for this information!!!  I am a vegetarian for personal reasons.  I absolutely LOVE vegetables and have been told that my good cholesterol is super high because of this.  I've looked into protein shakes since reading your post.  I think I might try the Herbalife brand.  Those darn beans - I wish I liked them better - LOL!  I'll eat them in soups or chili in the winter, though." } ]

[ { "role": "user", "content": "I eat veggies and fruits.  I'm a Type 1 Diabetic and need to lose some weight.  My doctor says I don't get enough protein in my diet to lose weight.  I'm not a big fan of beans.  What is a good source of protein for my case?" }, { "role": "assistant", "content": "Are you vegetarian for any personal reason?   Would you consider including other protein sources such as those from whey protein, or eggs?\n\nMaybe you could also look into a protein supplement to include with your regular meal, in a shake for example.\n\nFruits are high in sugar.\n\nI would be looking into eating a low carb and/or ketogenic diet.  It is possible to do this even if you are vegetarian, but will need quite a lot of work on food preparations and research.   If you also don't eat beans this will make getting more protein challenging due to most plant foods being quite low protein." } ]

[ { "role": "user", "content": "Is there any pills I can take to help me lose weight I'm a type 1 diabetic" }, { "role": "assistant", "content": "There are thousands of \"magic diet pills\" on the market.  My Endocrinologist and other doctors say none of them work.\n\nI use diet and exercise.  I've been on the insulin pump for over 25 years. I've come down from 260 to 220 in about 2 years, so it's not going to happen over night.\n\nAsk your diabetes team about geting a good dietician and exercise therapist.  It will do wonders for you.\n\nI wish you well" } ]

[ { "role": "user", "content": "Is there any pills I can take to help me lose weight I'm a type 1 diabetic" }, { "role": "assistant", "content": "Losing weight can be difficult, if you have Type 1 diabetes. But it;s possiable \nReducing insulin intake safely.\nLower your protein intake.\nIncrease physical activity.\nReduce basal insulin gradually.\nif you want alternative treatment for diabetes take homeopathy treatent for diabetes" }, { "role": "user", "content": "To lose weight the correct approach is to lower carbs, not protein. Monitor insulin doses carefully as you lower carbs as it is very likely that smaller doses of insulin will be required when eating less carbs." } ]

[ { "role": "user", "content": "Is there any pills I can take to help me lose weight I'm a type 1 diabetic" }, { "role": "assistant", "content": "Hi, \n\nFor type one diabetes, insulin dosing can accelerate weight gain. On the other hand insulin is essential for your health and well being.   Thus you want to use the minimum effective dose of insulin so that your blood sugars are kept normal for health, and your insulin levels are not excessive. \n\nI am type 1, I find that eating a low carb diet (I follow Dr. Richard Bernstein's teachings, checkout Bernstein Diabetes University on U-tube, or look for his book \"Diabetes Solutions\") is the best way to reduce insulin requirements, and thus to assist in weight management." } ]

[ { "role": "user", "content": "Is there any pills I can take to help me lose weight I'm a type 1 diabetic" }, { "role": "assistant", "content": "The problem with taking a pill to lose weight is that this is often not a long term health solution.  People typically gain the weight right back and then some just like if they lose from a fad diet.  What about significant life style changes  Change your diet, exercise more?  Over time, doing this slowly has the best chance of permanent weight loss.  good luck" } ]

[ { "role": "user", "content": "I am asking here because I am very worried. He has seen a doctor some but hasn't pushed for testing as much as necessary bc of their financial situation.\n\nAfter having pneumonia a month ago, and taking antibiotics and symbicort, his blood sugar started droping extremely low especially at night. The Dr said to stop the symbicort and it should be ok.\n\nHe is still having problems. He and my mom are having so much anxiety and no sleep. She wakes up several times a night and finds He is having symptoms of extreme low blood sugar. She force feeds him glucose but sometimes that won't even rise it enough and she calls an ambulance.\n\nHe hasn't even been taking his night time insulin, and still is having dangerously low blood sugar. He also has been having extreme swelling in his foot, and his \"stump\" (he had one leg amputated 10+ yrs ago). About the swelling, they did a scan and said no issues with veins or arteries.\n\nI am just so worried and wanting some ideas of what could be causing this, so they can go to the Dr and request specific testing to hopefully be able to afford it. This has gone on every night for over a month and it is wearing on them." }, { "role": "assistant", "content": "You may become too weak or confused to eat something with sugar to raise your blood sugar level. Anytime your blood sugar drops below 50 mg/dL, you should act whether you have symptoms or not. If your blood sugar level drops very low (usually below 20 mg/dL), you may lose consciousness or have a seizure." } ]

[ { "role": "user", "content": "I am asking here because I am very worried. He has seen a doctor some but hasn't pushed for testing as much as necessary bc of their financial situation.\n\nAfter having pneumonia a month ago, and taking antibiotics and symbicort, his blood sugar started droping extremely low especially at night. The Dr said to stop the symbicort and it should be ok.\n\nHe is still having problems. He and my mom are having so much anxiety and no sleep. She wakes up several times a night and finds He is having symptoms of extreme low blood sugar. She force feeds him glucose but sometimes that won't even rise it enough and she calls an ambulance.\n\nHe hasn't even been taking his night time insulin, and still is having dangerously low blood sugar. He also has been having extreme swelling in his foot, and his \"stump\" (he had one leg amputated 10+ yrs ago). About the swelling, they did a scan and said no issues with veins or arteries.\n\nI am just so worried and wanting some ideas of what could be causing this, so they can go to the Dr and request specific testing to hopefully be able to afford it. This has gone on every night for over a month and it is wearing on them." }, { "role": "assistant", "content": "Sorry, I read your post in more detail.  What is happening with your father's blood sugar during the day?  Is he still going low during the day, or also going high? \n\nIt is best that he does coordinate this with a doctor.  Symbicort (steroid) usually causes high rather than low blood sugars, so there could be something else going on.  For him to suddenly be going low after 50 years as T1 is highly unusual.  \n\nIs he on separate short and long acting insulin?  If he is maybe his basal insulin needs to be cut back dramatically, and focus more on the short acting insulin to cover meals, as necessary and for corrections. \n\nPlease feedback and give some more information.  I will watch for your reply.." } ]

[ { "role": "user", "content": "I am asking here because I am very worried. He has seen a doctor some but hasn't pushed for testing as much as necessary bc of their financial situation.\n\nAfter having pneumonia a month ago, and taking antibiotics and symbicort, his blood sugar started droping extremely low especially at night. The Dr said to stop the symbicort and it should be ok.\n\nHe is still having problems. He and my mom are having so much anxiety and no sleep. She wakes up several times a night and finds He is having symptoms of extreme low blood sugar. She force feeds him glucose but sometimes that won't even rise it enough and she calls an ambulance.\n\nHe hasn't even been taking his night time insulin, and still is having dangerously low blood sugar. He also has been having extreme swelling in his foot, and his \"stump\" (he had one leg amputated 10+ yrs ago). About the swelling, they did a scan and said no issues with veins or arteries.\n\nI am just so worried and wanting some ideas of what could be causing this, so they can go to the Dr and request specific testing to hopefully be able to afford it. This has gone on every night for over a month and it is wearing on them." }, { "role": "assistant", "content": "How low is your father's sugar going at night? \n\nDoes your father know how to adjust his insulin doses?  If he is going low at night then his insulin doses may need to be reduced.  \n\nA protein snack at bedtime may also help.  Please be sure to monitor closely and know how to treat low blood sugar if it does occur." } ]

[ { "role": "user", "content": "I am asking here because I am very worried. He has seen a doctor some but hasn't pushed for testing as much as necessary bc of their financial situation.\n\nAfter having pneumonia a month ago, and taking antibiotics and symbicort, his blood sugar started droping extremely low especially at night. The Dr said to stop the symbicort and it should be ok.\n\nHe is still having problems. He and my mom are having so much anxiety and no sleep. She wakes up several times a night and finds He is having symptoms of extreme low blood sugar. She force feeds him glucose but sometimes that won't even rise it enough and she calls an ambulance.\n\nHe hasn't even been taking his night time insulin, and still is having dangerously low blood sugar. He also has been having extreme swelling in his foot, and his \"stump\" (he had one leg amputated 10+ yrs ago). About the swelling, they did a scan and said no issues with veins or arteries.\n\nI am just so worried and wanting some ideas of what could be causing this, so they can go to the Dr and request specific testing to hopefully be able to afford it. This has gone on every night for over a month and it is wearing on them." }, { "role": "assistant", "content": "Diabetic hypoglycemia (low blood sugar) can be very serious. There are a number of different causes - https://www.mayoclinic.org/diseases-conditions/diabetic-hypoglycemia/symptoms-causes/syc-20371525 - but the swelling could indicate a circulation problem. This needs to be checked out immediately. Have them call the doctor today.\n\nI know it's hard when finances are an issue. A lot of pharmaceutical companies offer assistance programs, so maybe that can help offset some problems. If hospitalization is needed, or if they owe money to the hospital, have them talk to the billing office about different programs they offer. I'd be surprised if they didn't qualify for something. \n\nIn case his hypoglycemia isn't related to diabetes - though it likely is - here is an article on the causes of it - https://www.mayoclinic.org/diseases-conditions/hypoglycemia/symptoms-causes/syc-20373685\n\nI hope this helps, and I hope you all get some answers so he and your mom can find some relief soon." } ]

[ { "role": "user", "content": "Do diabetes symptoms come and go? Because past couple months on and off I have been having to pee like twice everyb3 hours when I used to hold it a lot better than that and my stomach have been upset for a couples weeks straight at a time.  As for dried lips, I have them really bad when I wake up but I drink a lot of juice so should be hydrated. Then all of a sudden the symptoms are gone again for a good solid month but then re occur. Thank you. How long do I have to wait to get tested anyway." }, { "role": "assistant", "content": "Hi. Diabetes symptoms usually do not come and go.  \n\nIt is very easy to test for diabetes.  There are two tests that should be considered.  1. Hba1c - this is 3 month average blood sugar.  Optimal level is  6.5 is diabetic.  2. Fasting blood sugar.  Optimal is in the 80s, though less than 95 is still totally normal. \n\nPlease get tested and let us know how you go." } ]

[ { "role": "user", "content": "Do diabetes symptoms come and go? Because past couple months on and off I have been having to pee like twice everyb3 hours when I used to hold it a lot better than that and my stomach have been upset for a couples weeks straight at a time.  As for dried lips, I have them really bad when I wake up but I drink a lot of juice so should be hydrated. Then all of a sudden the symptoms are gone again for a good solid month but then re occur. Thank you. How long do I have to wait to get tested anyway." }, { "role": "assistant", "content": "Please let us know how your appointment goes and Happy Holidays!" } ]

[ { "role": "user", "content": "Do diabetes symptoms come and go? Because past couple months on and off I have been having to pee like twice everyb3 hours when I used to hold it a lot better than that and my stomach have been upset for a couples weeks straight at a time.  As for dried lips, I have them really bad when I wake up but I drink a lot of juice so should be hydrated. Then all of a sudden the symptoms are gone again for a good solid month but then re occur. Thank you. How long do I have to wait to get tested anyway." }, { "role": "assistant", "content": "Thank you very much for this information, I will be doing this next appointment  but backed up a bit because of holidays." } ]

[ { "role": "user", "content": "Do diabetes symptoms come and go? Because past couple months on and off I have been having to pee like twice everyb3 hours when I used to hold it a lot better than that and my stomach have been upset for a couples weeks straight at a time.  As for dried lips, I have them really bad when I wake up but I drink a lot of juice so should be hydrated. Then all of a sudden the symptoms are gone again for a good solid month but then re occur. Thank you. How long do I have to wait to get tested anyway." }, { "role": "assistant", "content": "If you suspect diabetes, you should see your doctor for diagnosis.  A blood test would be very telling and a simple way to know.  The signs of type 1 diabetes can be attributed to other things so it is best to have a doctor evaluate.  Here is some information on this, however.  https://www.medicinenet.com/type_1_diabetes/article.htm\nIn type 1 diabetes, your body stops making insulin.  If left untreated, this becomes dangerous. \n\nA blood glucose test would be easy to do.  Here is information on the diagnosis procedure: https://www.webmd.com/diabetes/guide/diagnosis-diabetes#1\nWe hope you are wrong in your self diagnosis and wish you the best of health." } ]

[ { "role": "user", "content": "So my mom has been type 1 for over 30 years. She's in her mid to late 50s. She is divorced and lives alone part time and will eventually live alone full time once my brother and I move out. She doesn't do the best job at taking care of herself but with being a type 1 diabetic you have to be on yourself constantly. I check in with her and text her to make sure her sugar levels are good and that she has eaten. I check in at noon, dinner time, and before bed. My grandma calls her every morning and checks in. There has been cases where it is low and I eaither directed her to eat or drink some juice or just went over to her place or called someone to go over to get her sugar levels back to normal I don't want to constantly have to text and call her because it's stressful and I'm not her caretaker but I'd rather know she is alright when I'm not around.\nSo with that being said, is there any technology out there that let's her more aware of her sugar or something that let's me know her sugar levels through a phone? Or anything else I can do to make this easier? I don't know what's out there and what advancements have been made over the last few years. She currently has a pump which helps insulin levels. Any input is greatly appreciated. Thanks." }, { "role": "assistant", "content": "I ave heard of he Dexcom, I think it's a bit expensive for me. I had a serious need for a CGM, I became BRITTLE, swinging both highand low quickly, on a limited budget.  I think the Dexcom is a lot fancier unit." }, { "role": "user", "content": "I did a little research on it. So the Libre CGM system is what is inserted while MiaoMiao sensors the sugar and Gimp is the app that detects it? Is this available in the US? What was the best method for obtaining it? I think I will order one." }, { "role": "assistant", "content": "You NEED a prescription for the Libre reader & sensors. There is a transition going on right now. I am currently on the 10 day sensors The new 14 day sensors are just becoming available. At Wal-Mart pharm sensors are $40 each, but cheaper to get them in 3s, 3 sensors for $75. (30 days worth)  I do not know the cost involved in the 114 day version, yet. TALK to your pharmacist FIRST to see which is the best most cost effective way to buy them. The Dr's Rx needs to be written to match, how you are going to buy them.  The reader, you only need one, was $75-80. for the 10 day sys reader. It recharges via USB, as needed.\n Hope this info helps........" }, { "role": "user", "content": "Sorry 4 typo, NOT 114 days, just 14 FOURTEEN DAYS........ would be nice????" }, { "role": "assistant", "content": "The best way, for ME, to attach the MiaoMiao was to use 3M Nexcare tape, flexible, clear, & breathable. I use 2 3\" strips, and place the one on each side of the charging terminals, so they are left open for charging while in use. \n\nI also switched from back of arms to belly. With using just a few finger sticks to get GLIMP to yield corrected results, I find it as good, better in some ways FOR ME, than back of arms. \n\nIf you have any more questions, just ask, I may bark, but yet have to bite......\nI think I have gone thru a gauntlet of getting the Libre sys to work the way I WANTED. In other words, I tried this & that etc etc, maybe you can hit the ground running w/o all my experimentation." }, { "role": "user", "content": "Thank you for all the input. I have also done some additional research. It does not seem MiaoMiao is as accessible in the U.S. but I will still consider. I might try the Dexcom G6. Insurance may cover it but regardless, I'm happy that there is technology out there that is such a game changer and helpful." }, { "role": "assistant", "content": "You should find the MiaoMiao online, just do a Google search. I bought mine that way. They all have their good & weak points. For ME, my limited budget was a factor." }, { "role": "user", "content": "After digging I'm seeing the budget as a factor. I'll search it." } ]

[ { "role": "user", "content": "So my mom has been type 1 for over 30 years. She's in her mid to late 50s. She is divorced and lives alone part time and will eventually live alone full time once my brother and I move out. She doesn't do the best job at taking care of herself but with being a type 1 diabetic you have to be on yourself constantly. I check in with her and text her to make sure her sugar levels are good and that she has eaten. I check in at noon, dinner time, and before bed. My grandma calls her every morning and checks in. There has been cases where it is low and I eaither directed her to eat or drink some juice or just went over to her place or called someone to go over to get her sugar levels back to normal I don't want to constantly have to text and call her because it's stressful and I'm not her caretaker but I'd rather know she is alright when I'm not around.\nSo with that being said, is there any technology out there that let's her more aware of her sugar or something that let's me know her sugar levels through a phone? Or anything else I can do to make this easier? I don't know what's out there and what advancements have been made over the last few years. She currently has a pump which helps insulin levels. Any input is greatly appreciated. Thanks." }, { "role": "assistant", "content": "I use the Libre CGM system, coupled with a MIAOMIAO add-on & GLIMP software on my cell phone.  The Libre itself is not very accurate. However the GLIMP software on my Android phone ahs an option to send BGs to another person/phone. I do not need or use this feature. GLIMP software also let you enter finger-stick BG reading. That makes it far more accurate. \n\nThe GLIMP software also has an ALARM function, you can set, (both high & low BGs. For people that hate finger sticks, morning noon & night, tis GREAT. When I start a new sensor, I do a finger stick at a relative low end, not hypo, a med BG reading, and a high. Then the GLIMP starts giving CORRECTED results, and also in smaller text raw sensor readings. All this sounds more complicated than it is in reality. \n\nBefore I got the MiaoMiao, I tried a BluCon, I was NOT happy with it.  Too many problems with it. The MiaoMiao is a little more expensive but it was worth the extra cost.  The MiaoMiao was about $125 usd." }, { "role": "user", "content": "I did look up and also found one called Dexcom G6 which was a continuous glucose monitor. I believe that is similar to what you mentioned. I'm not as familiar with all the terminology and technology so I'll have to research more. They seem great and are exactly what I'm looking for. Are the devices you mentioned two separate entities that go along with the meter or insulin pump or is there a device that is all combined into one?" } ]

[ { "role": "user", "content": "Hi, I went to urologist this morning bc I've been having burning sensation when urinating, frequent urination, and irritation/pain at the tip if my penis. I have diabetes but it's usually well managed. My urine test showed my glucose is 250 in the urine, but my sugar checks are usually in range 2 hours after I eat. Can this high glucose in urine cause these problems I'm having for the last 10 days? I've been on doxycycline for the last 6 days, but it's not helping at all. Any advice would be appreciated. Thanks." }, { "role": "assistant", "content": "What are you taking doxycycline for?  Since you already have diabetes, you know your urine count being high is something to talk to your doctor about.  Diabetic neuropathy can affect your genitals. I'd guess your issues though are more related to whatever you are taking doxy for if your diabetes is well managed (although your high urine numbers is confusing. Check with your doctor about that)." }, { "role": "user", "content": "Taking doxy to clear up some mild sinus congestion. I don't have neuropathy bc my diabetes is managed pretty good, but would this dugsr in my urine cause frequent urination and burning when urinating for 10 days so far? When do these things clear up? Thank you." }, { "role": "assistant", "content": "*sugar in urine (sorry for above typo)" }, { "role": "user", "content": "What does your doctor say? It doesn't sound like your well managed if your urine sugar is that high." }, { "role": "assistant", "content": "My finger checks are in range about 95% of the time. With these good finger checks, would the 250 glucose in urine still cause these problems? I also did a quick uti test from the pharmacy which was negative. Does that mean I can still have these urinary problems from sugar right now?" }, { "role": "user", "content": "Have you asked your doctor about the discrepancy related to your sugar checks?" }, { "role": "assistant", "content": "Your information is conflicting and a bit confusing. See your doctor for follow up.  https://www.healthline.com/health/frequent-urination-diabetes" } ]

[ { "role": "user", "content": "I just registered to this forum. My cousin has diabetes type-1. He asked me to write to you as his English is poor.\nHe wants to know whether the pump is really practical to use. i.e. does it need hand monitoring or it is automatic, does it need regular spare parts. How long does it last or is disposable after a while Does it really replace the pancreas, or you add additional skill to use it\nthank you\nEzz" }, { "role": "assistant", "content": "Hello and welcome to the forum. Thank you for the question worded so well for your  cousin.  His doctor is his best source of information, always.  But we will try to help provide some information.  Here's an article on the insulin pump and advantages to it.  https://www.webmd.com/diabetes/insulin-pump  It states that doctors like the pump because it delivers insulin SLOWLY like the pancreas, mimicing that better than injections.  IIt also can be set to delvier different amounts at different times of the day.  t is computerized so considered to be more accurate and exact. It also really helps with the morning sugar issues so many have issues with.  Research shows that it's usage improves glucose blood levels greatly.  It gives patients greater flexibility around meal times. The down side is that he will be attached to the pump inputting information several times a day.  And it can have a financial cost associated to supplies.  Hopefully that is a non issue for him.  He also will need to check his blood sugar which is very important when using the pump. There is a learning curve to using it.  \n\nWeight gain is a common thing that happens when using insulin.  This article discusses that and has ideas of how to combat that. https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/insulin-and-weight-gain/art-20047836  Diet and exercise is still key." } ]

[ { "role": "user", "content": "I just registered to this forum. My cousin has diabetes type-1. He asked me to write to you as his English is poor.\nHe wants to know whether the pump is really practical to use. i.e. does it need hand monitoring or it is automatic, does it need regular spare parts. How long does it last or is disposable after a while Does it really replace the pancreas, or you add additional skill to use it\nthank you\nEzz" }, { "role": "assistant", "content": "I forgot to ask one more question\nAfter he had started to inject insulin I noticed that he put on some weight. Upon asking him for the reason he said insulin is a fat storage hormone. Now the company selling the product (pump) told him that one of the advantages of the pump is that the pump injects insulin like the pancreas when needed only so that each drop of insulin is used. So he is asking whether by using the pump can he reduce his weight i.e. resolve this obesity issue.\nmany thanks\nEzz" } ]

[ { "role": "user", "content": "I'm prone to headaches, especially after laying down at night, but I've noticed that I get pretty bad ones after going low in blood sugar. I'm a Type 1 diabetic. Anyone else have this problem and is there a remedy for it?" }, { "role": "assistant", "content": "What a surprise to read that a nurse is advising low carb.\nI went low carb and my numbers were back to normal very quickly - and I feel great. My Hba1c of 41 was last summer, so hopefully I am even lower now." } ]

[ { "role": "user", "content": "I'm prone to headaches, especially after laying down at night, but I've noticed that I get pretty bad ones after going low in blood sugar. I'm a Type 1 diabetic. Anyone else have this problem and is there a remedy for it?" }, { "role": "assistant", "content": "Hi, it is not uncommon to have headache or otherwise feel unwell when blood sugar goes too high or too low.\n\nThough it is easier said than done, keeping blood sugar stable and within a fairly narrow range is the best bet.\n\nFrequent testing of blood sugar to catch lows before they become a problem is a good bet.  \n\nI find blood sugar is easier to manage if I eat low carb... which means less insulin dosing and less risks for low blood sugars." } ]

[ { "role": "user", "content": "I'm prone to headaches, especially after laying down at night, but I've noticed that I get pretty bad ones after going low in blood sugar. I'm a Type 1 diabetic. Anyone else have this problem and is there a remedy for it?" }, { "role": "assistant", "content": "Hello and welcome to the forum. Thanks for your question.  Hypoglycemia or low blood sugar can indeed result in a headache and sometimes severe.  https://www.migrainetrust.org/about-migraine/trigger-factors/hypoglycaemia/  You may find this treatment guide helpful as well.  https://www.mayoclinic.org/diseases-conditions/hypoglycemia/diagnosis-treatment/drc-20373689.  Are you having trouble managing your type 1 diabetes?   I would talk to your doctor about how to keep your range at as consistent of a level as possible.  https://www.diabetesselfmanagement.com/blog/diabetes-headaches-soothing-aching-head/   Talk to your doctor about this." } ]

[ { "role": "user", "content": "I'm a type 1 diabetic (for 27 years now), and am dealing with some reoccurring symptoms. I don't know that they have anything to do with my diabetes, but I don't know where else to start.\n\nFor the past 3 winters I experience the same symptoms irregularly throughout Feb and March. They include a cloudy-head feeling, muscle aches in arms and legs, tingling all over, a sore throat, headaches, ear aches, and general exhaustion. Sometimes the symptoms exaggerbate my acid reflux. I often get diagnosed with a sinus infection or an obscure form of strep, but I've not gotten any definitive explanation for the whole of these flare-ups. (And they are flare-ups, as they come and go across much of Feb and March and then generally go a way for a good while). This happened the last two years and this year again. When I mention all this to my doctors, they don't seem to know what to do because there's so much. None of this is debilitating, but it sure takes energy to deal with. Any thoughts on where to start? Anyone with similar experience?" }, { "role": "assistant", "content": "You should take (Barley)porridge on daily basis.\nIt will help you to maintain your sugar level and after few month it may normalize your sugar." }, { "role": "user", "content": "Hi Assistance2021.  Thanks for your inputs.  \n\nThis is a Type 1 Diabetes forum.  People with Type 1 diabetes do not make sufficient insulin.  The foods that they eat cannot correct that situation, they need to dose insulin to maintain normal sugar levels.\n \nBarley is also high carb and can raise blood glucose.    However, it can be high fibre which some people may find helpful." } ]

[ { "role": "user", "content": "I'm a type 1 diabetic (for 27 years now), and am dealing with some reoccurring symptoms. I don't know that they have anything to do with my diabetes, but I don't know where else to start.\n\nFor the past 3 winters I experience the same symptoms irregularly throughout Feb and March. They include a cloudy-head feeling, muscle aches in arms and legs, tingling all over, a sore throat, headaches, ear aches, and general exhaustion. Sometimes the symptoms exaggerbate my acid reflux. I often get diagnosed with a sinus infection or an obscure form of strep, but I've not gotten any definitive explanation for the whole of these flare-ups. (And they are flare-ups, as they come and go across much of Feb and March and then generally go a way for a good while). This happened the last two years and this year again. When I mention all this to my doctors, they don't seem to know what to do because there's so much. None of this is debilitating, but it sure takes energy to deal with. Any thoughts on where to start? Anyone with similar experience?" }, { "role": "assistant", "content": "Hi.  Can I ask how good your control is?  Complications can start at relatively low levels of Hba1c.  Thus, if you can further tighten control it can only be beneficial.\n\nAs another thought, could you request a thyroid check, if you haven't already.  Your symptoms could be due to something else." } ]

[ { "role": "user", "content": "I'm a type 1 diabetic (for 27 years now), and am dealing with some reoccurring symptoms. I don't know that they have anything to do with my diabetes, but I don't know where else to start.\n\nFor the past 3 winters I experience the same symptoms irregularly throughout Feb and March. They include a cloudy-head feeling, muscle aches in arms and legs, tingling all over, a sore throat, headaches, ear aches, and general exhaustion. Sometimes the symptoms exaggerbate my acid reflux. I often get diagnosed with a sinus infection or an obscure form of strep, but I've not gotten any definitive explanation for the whole of these flare-ups. (And they are flare-ups, as they come and go across much of Feb and March and then generally go a way for a good while). This happened the last two years and this year again. When I mention all this to my doctors, they don't seem to know what to do because there's so much. None of this is debilitating, but it sure takes energy to deal with. Any thoughts on where to start? Anyone with similar experience?" }, { "role": "assistant", "content": "Hello and welcome to the forum.  Thanks for your question and we are glad you're working with your doctor on it even though an answer or solution has not yet been forthcoming.  This must be very challenging to deal with every year.  Where do you reside. Do you use heated air during these months?  Some do have some issues that you describe when there is heavy usage of this.  Please note that some people get sinus issues as well when suffering gerd. They are often interrelated.  Fatigue can aslo be related to gerd.  Sometimes seasonal issues will impact gerd such as periods of a little less exercise or eating more fatty foods.  Could that be at all involved? There IS a link between diaberes and blood sugar levels (especially if high) and sinus issues." } ]

[ { "role": "user", "content": "I'm a type 1 diabetic (for 27 years now), and am dealing with some reoccurring symptoms. I don't know that they have anything to do with my diabetes, but I don't know where else to start.\n\nFor the past 3 winters I experience the same symptoms irregularly throughout Feb and March. They include a cloudy-head feeling, muscle aches in arms and legs, tingling all over, a sore throat, headaches, ear aches, and general exhaustion. Sometimes the symptoms exaggerbate my acid reflux. I often get diagnosed with a sinus infection or an obscure form of strep, but I've not gotten any definitive explanation for the whole of these flare-ups. (And they are flare-ups, as they come and go across much of Feb and March and then generally go a way for a good while). This happened the last two years and this year again. When I mention all this to my doctors, they don't seem to know what to do because there's so much. None of this is debilitating, but it sure takes energy to deal with. Any thoughts on where to start? Anyone with similar experience?" }, { "role": "assistant", "content": "I should add that my sugars are good, as is my A1C (doctor is very pleased with my control), although they tend to fluctuate a little more when I'm having these flare-ups (I adjust insulin as needed)." } ]

[ { "role": "user", "content": "I was shaking so much today.   I lost my concentration.  My son was so weak, he had dark circles under his eyes. He's only 7. Why?? Why? I ask.  That had to take him to a hospital in the city so that they could get fluid in him,  he was so dehydrated, he wasn't him.  I'm so scared people, what do I do? I know it's gonna be ok, but what do i do?" }, { "role": "assistant", "content": "Hi, the biggest part is getting diagnosed.  The next big challenge is learning to manage this well.  Please ask any questions to your diabetes management team.... and you are also welcome to discuss here. \n\nThe best advise I know is to monitor closely.  Ask his team if he can be qualified for a continuous glucose monitor (CGM).  This will be super helpful.  Look into  low carb to assist management.  This is suitable, even for children.  On utube check out \"Bernstein Diabetes University\" and \"children\"... you will find a series of presentation that can help increase your knowledge about diabetes and it's management. \n\nWishing you and your son very well." } ]

[ { "role": "user", "content": "I was shaking so much today.   I lost my concentration.  My son was so weak, he had dark circles under his eyes. He's only 7. Why?? Why? I ask.  That had to take him to a hospital in the city so that they could get fluid in him,  he was so dehydrated, he wasn't him.  I'm so scared people, what do I do? I know it's gonna be ok, but what do i do?" }, { "role": "assistant", "content": "Hi, the biggest part is getting diagnosed.  The next big challenge is learning to manage this well.  Please ask any questions to your diabetes management team.... and you are also welcome to discuss here. \n\nThe best advise I know is to monitor closely.  Ask his team if he can be qualified for a continuous glucose monitor (CGM).  This will be super helpful.  Look into  low carb to assist management.  This is suitable, even for children.  On utube check out \"Bernstein Diabetes University\" and \"children\"... you will find a series of presentation that can help increase your knowledge about diabetes and it's management. \n\nWishing you and your son very well." }, { "role": "user", "content": "Thank you so much. Yeah, it's getting easier, I'm looking at the positives and I'm eating way better myself.  Just so i can be an example to him.   My family keeps calling up and asking what he's eating. I mean it's not the best stuff,  but at least hes eating,  and taking his insulin.  It kinda makes me feel bad, like we caused this, or we don't feed em well.  Idk. That's the part that sucks.  But if I'm an example, then hopefully he can feed off of that." } ]

[ { "role": "user", "content": "I was shaking so much today.   I lost my concentration.  My son was so weak, he had dark circles under his eyes. He's only 7. Why?? Why? I ask.  That had to take him to a hospital in the city so that they could get fluid in him,  he was so dehydrated, he wasn't him.  I'm so scared people, what do I do? I know it's gonna be ok, but what do i do?" }, { "role": "assistant", "content": "Wow, just reading this.  How is your son, poor kid  So, was his diabetes not controlled at that moment?  I had one son become severely dehydrated and he passed out completely.  People with diabetes have an increased risk for dehydration and it's important to monitor that intake.  I know it is hard!  But we worked with a marked water bottle. My son had to drink to the lines on the bottle matched with a digital watch.  Maybe that would work for your little guy." }, { "role": "user", "content": "Yea thanks, that sounds like a good idea.   Yea he was really dehydrated had black circles under eyes.  They diagnosed him this pasr Wednesday.  He's doing great now,  just hates being a pincushion that's all,  and I hate it.  He's 7, how old is your child,  or how old was he when he was diagnosed?" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "Low blood sugar can develop if you take too much insulin, do not eat enough food or skip meals, exercise without eating enough, or drink too much alcohol (especially on an empty stomach)." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "Placing a sweet ice pop at the mouth will help if the patient can't function." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "Symptoms of hypoglycemia are usually manifested as sweating, hunger, panic, trembling, paleness, etc. In severe cases, there may also be lack of concentration, restlessness, irritability, or even coma.\n\nFor mild to moderate hypoglycemia, oral sugar water, sugary drinks, or eating candy, biscuits, bread, buns, etc. can be relieved.\n\nFor drug-induced hypoglycemia, relevant drugs should be stopped in time." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "7 units of short acting insulin at one time is too much for safety sakes, cut that down unless she is eating five bread exchanges at dinner time.  She also needs the Glucose gel packets handy-- I use the Transcend(TM) glucose gel packets.  this you can squeeze in her cheek if needed.  Does she check her blood sugar (BS) at Bed Time? (I have been Type I for over 50 years, and use a pump now with CGMS, due to low blood sugar unawareness, and have an A1C of 5.8.)  Checking her BS level with a forearm stick instead of finger stick (less pain than a finger stick) or else a continuous sensor may be her best option." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "Your body needs glucose to properly function. Your cells rely on glucose for energy.\nWhat Can Cause Low Blood Sugar Levels?\nskipping meals and snacks\nnot eating enough food during a meal or snack\nexercising longer or harder than usual without eating some extra food\ngetting too much insulin\nnot timing the insulin doses properly with meals, snacks, and exercise" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "If a diabetic is HYPO and can not swallow, placing frosting inside the cheeks can help. It gets absorbed directly w/o swallowing. NEVER give an unconscious diabetic ANYTHING that needs to be swallowed.\n\nI can not believe a TYPE-1 taking 10 units at a normal meal. I a on MDI, (over a decades), and never take that much even for a big restraint meal. (but that is me). \n\nBASAL needs to be such that it keeps you B/S level/stable w/o food or exercise. I shoot (puntended) for a BG of 100 (or near) and be stable for at lest 5hrs. \n\nI became BRITTLE this past spring, NO FUN! I was swinging between the 40s to 280+! I had damaged my left adrenal in a fall in 2012, then damaged my right adrenal this past Feb. I had to start dealing with Addison's in addition to my type-1b. \n\nI had to get a CGM & go to 1/2unit dosing. I got a Libre, combined it with a MiaoMiao that links to my android phone for tru CGM with alarms etc. I went to a NovaPen Echo that does 1/2 unit increment doses of insulin. Between the 2, it was a  life saver for me.\n\nBTW my endo did NOT want to deal with my now \"brittle\" (a title bestowed upon me an ER trip last April).\n\nI am doing better, my Addison's is being treated and my diabetes is easier to tame with the Addison's steroids and 1/2 unit insulin pen.\n\nPS sound to me like your wife is being treat more like a TYPE-2, NOT GOOD for a type-1. IMO get a NEW Dr! (jez me opinion) Duckors  (quack, quack) see a lot more type-2s than type-1s, while the goals are the same, they are NOT quite the same animal I have a Hx myself of being improperly treated due to WRONG type label." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "You’d be brain dead in about 10 seconds as your neurons deplete the last of their very-small stores of ATP. It would be extremely difficult to revive you. However, before your blood sugar levels reached zero, most of your physiological functions would have already shut down—enough that blood sugar levels don’t actually reach zero because cells cease to function before that point. Deadly low blood sugar levels are really low, usually (your electrolyte status makes a big difference in how your body responds to low sugar levels) below 20 mg/dl (1 mmol/L), but there are deadly low blood sugar levels that are above zero." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "However, to breath is a process that requires other essential ingredients which are less known. Sugar is one of those other essential ingredients. \n\nIn other words, if your blood sugar level reaches 0, you (especially your brain) cannot breath. \n\nSo, what would happen to you if you cannot breath? \n\nNow, what Lexii told you is 100% true, you would be having a seizure long before that. \n\nWhen your sugar level is low, it is as if you are not getting enough oxygen." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "You die. Am a ER nurse your brain needs glucose to function without it, it started to die. I think this patient may have overdosed on insulin. Her brain swelled to the point it herniated down her spinal cord and was essentially a organ doner at this point. Nothing we could do." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "you have to keep your blood sugar levels at a good rate and also a stroke can happen when too high or also call diabete stroke or a diabete heart attack can happen" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "now the 100s all fine but 240s are not and 51 and is low you eat some candy or cake or some food sugar attack can apear when too low and another think if your blood sugar never goes back up as it should be 911 quick or if your loved one or anybody is an acoma the doctor should give them a shot to bring back up and you should have a kit just in case" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "and if your sugar gets too high you can and to an acoma and left untreat death can happen don't let you or anybody is blood sugar over 600 or even 200 500 your blood sugar should only be around 99 to 100 or even 120 102 110 or even 130  240 is higher then it should even stroke or heart or kidney failture  keep your blood sugar at it least in the 100s" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "well if your blood sugar drops to 0 they will not make it they will past away but even when your blood sugar drops to 30 or below a seizure can come on" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "Thank y'all for your information. I usually register low but I felt so funny this morning a tested again, and it was an alarming 22! I had a glass of cashew milk and some nonfat plain yogurt and feel so much better. If I take Dristan, I have a funny reaction to it-my son says that is like taking a trip with no luggage- and this was like that! My doctor has me off insulin and with that low I wouldn't take it. I will call to find out what to do and get back to you with what he says. It may be a couple of days, but I'll let you know!" } ]

[ { "role": "user", "content": "Yesterday I picked up my book to start to read and I couldn't not understand what I was reading!  It was very difficult. I read and re-read, but got little out of it. Also my vision was a bit blurred. Apart from the frustration of this, I felt fine.   When I came away from the book I felt normal, no other signs of trouble at all.  Since then, I have been fine. I have not contacted the doctor yet but will do shortly. My speech is fine, my thinking seems fine, everything except that.  Any ideas whether this might be a mini stroke (ischemic attack)?  I was diagnosed with Diabetes Type 1 in 2019, and I am 69 years old. I have not had this symptom before." }, { "role": "assistant", "content": "How are you doing?  I was just wanting more information myself on diabetes and eye sight.  Did you see your doctor about this?" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "Well put, and congratulations to you for getting back on track caring for your diabetes! I hope you are seeing the results of your commitment and probably had forgotten what it was like to feel good!" } ]

[ { "role": "user", "content": "Yesterday I picked up my book to start to read and I couldn't not understand what I was reading!  It was very difficult. I read and re-read, but got little out of it. Also my vision was a bit blurred. Apart from the frustration of this, I felt fine.   When I came away from the book I felt normal, no other signs of trouble at all.  Since then, I have been fine. I have not contacted the doctor yet but will do shortly. My speech is fine, my thinking seems fine, everything except that.  Any ideas whether this might be a mini stroke (ischemic attack)?  I was diagnosed with Diabetes Type 1 in 2019, and I am 69 years old. I have not had this symptom before." }, { "role": "assistant", "content": "I'm super sorry no one has responded to you!  Did this happen again or was it indeed a one off thing? I hate to say this, but I have had that issue when I had actual issues with my vision changing.  Let me know an update and we'll chat." }, { "role": "user", "content": "I did want to say that it can be due to a blood sugar spike as well.  Let me know if this has happened again. https://www.webmd.com/diabetes/diabetes-eye-problems" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "as a type 1 diabetic for almost 10 years now, i was like your wife. i didn't care about checking my b/s levels for just about the whole time i've been a diabetic until last year when my blood average was 350 with a1c of 10.9-11.4. i decided that i did not want to die before i turned 40(i'm 36)! yes it is a pain in the *** to test as many times a day as recomended and yes it does get expensive, but ask her this, is it worth her life and the grief that you and other loved ones will go through when this could have been prevented? also say to her that testing only takes 5-30 sec of her day (depending on the type of tester). the agnozing death of constant high blood sugars is not something any one should go through. hope this helps.\n\ndtxpress74" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "Your wife's handling of her diabetes is dangerous in so many ways. She absolutely needs to check before each meal because that is how she determines the correct dose, as well as know the carbs she is about to eat. If she \"feels\" her sugar is high, she takes a shot of fast acting insulin???? When? After she eats? This is called a correction shot and the correct dose (correction factor) needs to be figured out in order to know how many units will drop her blood sugar by how far. It is not a surprise that she is experiencing both highs and lows frequently if she is managing her diabetes this way.\n\nYou might want to find out WHY she doesn't want to monitor her health. Is she thinking that if she ignores it, it will go away? It won't; she will end up in the hospital, in a diabetic coma or with serious complications. She is a lovely young woman with, obviously a loving husband, and she deserves better! By your description of her sleep patterns and her not caring about her diabetes, I'm wondering if she is suffering from Depression. Depression is 3 times more common in people suffering from Diabetes. If she is suffering from Depression it probably won't just go away on its own. When you see the doctor I would mention this to him and see if he can refer her to someone to talk to and perhaps prescribe medication if it is warrented." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "Thanks Jadi ,\n\nwe have reduced her lantus to 16 units , and there are changes , not she is not so low at early mornings . but last few days she is feeling vewry sleepy , she sleeps at 12 midnight and cannot wakeup till 10-30am to 11 am . she feels sleepy all day .\nshe is also having a headace all day .\nwe have fixed an apointment with the doc .\n\nbut as you know , she does'nt like checking her sugar everynow and then , i do make sure that she checks it once she is awake and before sleeping at night , but she trys to avoid checking her sugar .\nshe does'nt like it .\nalso she doesnot keep a check on what she eats and what she should not eat , she eats everything she like  and if she feels her sugar is high , would take a shot of fast acting insuline .\nhow do i motivate her to keep a good check on her own health ?" }, { "role": "user", "content": "Check sugar at bedtime. If 70-120 NO Lantus. If below 70, eat a snack or drink Orange juice and check again after 15 minutes. or fast acting should have a sliding scale. you can get it from your Doctor or look it up on the Internet." }, { "role": "assistant", "content": "The complications from uncontrolled diabetes is not worth it. Somehow you have to make her understand. Ive been T1 for 30 years now. When I was a teenager I didn't care, I didn't look after myself, didn't test sugars, didn't give correct insulin etc. By the time I was 30, I was blind. I had massive bleeds in both eyes. It was a miracle that a specialist was able to restore my sight after having surgery, but going in I was told don't count on this working. Since then, my control is the best it can be (no control is perfect but its pretty good). But all those years of not caring means I also now have another complication, nerve damage. I get stabbing, burning pain in my legs if I walk a certain distance or for no reason at all.  Im lucky that i dont yet have kidney issues or havent had bad infections that uncontrolled sugars can make worse. To put it all in perspective, I am only 39 and I struggle to walk the dog because of the pain. Every time I go the the eye specialist I hold my breath and hope there are no new bleeds that I can't see. If I could go back to when I was younger and know what I know now....." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "I agree with what others are saying.  Your wife needs to adjust her bedtime shot and I personally always check my sugar before giving my bedtime shot and will sometimes adjust my Lantus accordingly.  Worsecase for myself, I would rather be high in the night and then take a fast acting insulin in the early morning (4am/5am) so that when I eat at around 8-9am my sugar is fine.\n\nIf she is low in the am she is taking too much insulin either at supper and is her sugar is not high enough at bedtime or she needs less Lantus.\n\nI do not feel my low sugars so I always run a bit high to be safe.l  \n\nLastly, you should not try to give liquids to your wife is she is unconscious.  CALL 911 and keep a Glucagon kit in your home.\n\nGood luck,\n\nJodi\n\nps...speak to your wife's doctor before making any changes but do so ASAP" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "Thanks a lot for the info , \nShe was taking 18 units at 10pm every night . now from yesterday night we got it to 16 units at night .\n\ni will moniter her numbers after food .\ntoday morning when she woke up , her sugar count was again 41 .even after taking only 16 units of lantus and 7 units of actrapid ( short acting insuline ) maybe she din eat much of carbs required last night .\n\nnow i will keep a check on her number after food , to understand her intake of insuline units compared to her carbs .\n\nOnce again thanks a lot .\nyou can see her gluco meter as i have updated it as much possible by me ." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "It's not good to go low like that every day; you need to talk to her doctor and get her does changed. A set dose of mealtime insulin (bolus) is not standard of care and also is not safe because we don't eat the same amount of carbs daily. I really recommend the book Using Insulin by John Walsh as it explains everything in a really clear manner. However for starters she needs to learn to know how many carbs she is eating. Packaged foods list carbs on the labels; for other foods there are lists online like CalorieKing.com. An average insulin/carb ratio is 1 unit of insulin for every 15 carbs, but this is only an average, we are all different in terms of our insulin needs. 10 units sounds very high, what are her numbers 2 hours after eating? What you can do to determine HER I:C ratio is start from 1:15 and see how that turns out two hours after eating, then adjust it up or down. Many of us have different ratios for different meals. Mine for instance is 1:10, 1:12 and 1:17. It sounds complicated but after a week of counting carbs and testing it starts to come clear. Her Lantus level might also be high, if you cut it back by a unit or two and then see a couple days how her morning numbers go, you might get good results. If your doctor is not responsive, many of us have to educate ourselves. I also suggest two boards with lots more information: TuDiabetes.com and Diabetesforums.com" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "thanks a lot for your suggestions .\n\nshe take lantus 18 Units at 10 pm at night \nand actrpid 3 times a day 10 units each \nonce in morning before breakfast\nsecond before lunch\nthird before dinner .\n\nalmost evry morning she goes in hypo...even today morning her blood sugar was 37 .\n\nhow do i get more info on an Insulin/Carb ratio ???" }, { "role": "user", "content": "If she bottoms out with only 18 units of Lantus, it needs to be lowered or not taken at all. You need to talk to your Doctor. Those are dangerously low levels." } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "If your wife is experiencing frequent lows then she probably needs an adjustment in her medication. Is she on insulin? Basal/bolus? How does she determine her bolus dose? Does she have a set dose? If so, it may be too high for the amount of carbs she is eating; an Insulin/Carb ratio is much safer. When does she take her basal (long acting) insulin? If she takes it at bedtime, then that may be too high a dose that is making her blood sugar so low in the early morning. Many people are able to treat their hypoglycemia down into the 30s, but much lower than that and they could lose consciousness. It is not safe to try and get someone to swallow something if they are unconscious, but they will need a glucogon injection or to call 911. Much better than risk dangerous hypos is to find out what is causing them to begin with. It is usually too much insulin or a combination of too much insulin and too little food (carbs).\nZoe" } ]

[ { "role": "user", "content": "what happens if the sugar level goes as low as 10 or zero ?\n\nToday morning just half an hour before my wife woke up and found that her sugar level went as low as 35 .o \nshe is 28 years old 50 kg weight .\nI would like to know what happens if it goes really so low , i have made her drink sugar water as of now .\n\nregards,\nDipen" }, { "role": "assistant", "content": "She could go into insulin shock, and need immediate medical attention. It can cause all sorts of problems including brain damage. The best thing to do is to give her orange juice when that happens. They also sell glucose tablets at Wal-Mart that work well. I'm sure there are other things to do, but I'm not that well-knowledged about diabetes type 1 yet. My hubby has it." }, { "role": "user", "content": "Hi,\nGreat explanation. she needs medical attention ASAP.\nThanks." } ]

[ { "role": "user", "content": "I have a question regarding my insulin pump and yellow bruises I have been getting.  I have been on my insulin pump for about 7 months now and within the last two weeks every time I change my infusion set the old site has a yellow bruise left and some dried blood.  Is this something to be worried about?  Am I not changing my infusion set soon enough?  Thanks for your help." }, { "role": "assistant", "content": "She could go into insulin shock, and need immediate medical attention.For this, you can also take the help of Ayurvedic treatment. So that your wife will not be harmed. And you can also give him fruit juice, so that his sugar level remains normal. I hope you will agree with my advice.\n\n\njacfruite pickle" } ]

[ { "role": "user", "content": "I have a question regarding my insulin pump and yellow bruises I have been getting.  I have been on my insulin pump for about 7 months now and within the last two weeks every time I change my infusion set the old site has a yellow bruise left and some dried blood.  Is this something to be worried about?  Am I not changing my infusion set soon enough?  Thanks for your help." }, { "role": "assistant", "content": "I'm another volunteer & a pumper for about 10 years.  Bruising seems \"to happen\" from time to time and as SGG posted, it can sometimes be helped by changing the type of infusion set we use or the infusion sites we choose.\n\nAs you know, some sets are inserted at 90 degree angle & others can be inserted at any angle.  For very slim folks, without a good \"inch to pinch,\" the angled sets might be a good choice.  They look more intimidating with a longer insertion needle, tho'.\n\nThe bruising is simply a sign that we've injured a capillary.  If it doesn't affect the absorption then, you've got an \"easier\" problem.  If you notice bloood in the cannula, it means that insulin is being blocked a bit by the uptake of blood.  That can cause very high blood sugars.  I'm sure you've been taught to change the set if you get more than 2 \"unexplained\" (that is, can't be explained with \"Oh! I forgot to bolus for lunch\" or \"yikes! I guess that cookie had more than 15 gms or carbos!\" ;-)  ) highs in a row.\n\nI was trained using the angled infusion sets & used them successfully for many years.  At the recommendation of an internet pal I've never met, I tried the Minimed \"Quicksets\" along with their nifty \"serter\" that works somewhat like a staple gun to quickly insert the set.  \n\nThat has worked out very well for me.  I choose the 6mm cannulab because I'm on the slim side.  I have no personal or financial connection to Medtronic Minimed, but I have found the serters to make the insertion easier.  I have also noticed that I occasionally get a bruise from the Serter itself!\n\nI have also read taht a new type of infusion set is soon to hit the market.  It will have several tiny cannulas instead of just one small one.  The theory is that it can deliver insulin with even less trauma to the infusion site and will cause less scar tissue.  As you know, the buildup of scar tissue definitely interferes with insulin absorption and so we need to rotate our sites regularly.\n\nIf you want to experiment with a totally new site, but sure to talk with you doc as the absorption rates for most folks, of say, abdominal area, is quite different from the absorption rate in the buttocks area and so you may need to adjust basal rates.  \n\nCheck out the latest edition of the book Pumping Insulin by Walsh & Roberts if you don't already have access to a copy. It's a great reference to go back to for troubleshooting." }, { "role": "user", "content": "I've been on Medtronic mini med for ten years. I have just gotten my first nasty bruise. After one day the site got uncomfortable, but not hurting, my sugars were fine. I decided to change it anyway. When I took it out blood splurted out, had it running down my leg, on the floor and took about 10 min to get it to stop with a clean tea towel which was covered in blood. First time I've ever had a big bleeder. I now have a bruise about half the size of my palm on my stomach, which has gotten darker as time goes by. Now Day 3 since removing it and no better. Site healed no infection, bruise not sore anymore just nasty looking. The blood amount freaked me out but I assume I just damaged a capillary??" } ]

[ { "role": "user", "content": "I have a question regarding my insulin pump and yellow bruises I have been getting.  I have been on my insulin pump for about 7 months now and within the last two weeks every time I change my infusion set the old site has a yellow bruise left and some dried blood.  Is this something to be worried about?  Am I not changing my infusion set soon enough?  Thanks for your help." }, { "role": "assistant", "content": "I personally have not read too much about this issue. In fact, many pump users love their pumps because they find that they have less bruising with a pump than with multiple injections. So, that being said, let's see if I can offer some suggestions. \n\nI did some research and did not find any sites that listed CAUSES for bruising. Some did list suggestions for aiding in healing if bruising occurs, though. So I will pass this info along to you even though it doesn't address the root problem.\n\nI read that if you find bruising happening in an infusion site or blood appearing, you should possibly look at changing types of infustion sets (discuss this with your doctor if your doctor is knowledgable in pumps, or possibly with a specialized pump educator if your doctor can refer you to one). Even a different brand may work better for you, or perhaps a smaller size. Your doctor can help you evaluate this, for he knows what you are currently using.\n\nSome of my sources suggest that you change the infusion site if you notice the beginnings of a bruise, and also that you wait until that bruise is COMPLETELY healed before returning to that area. You don't want to cause scarring or permanent damage to the tiny blood vessels or tissues in the bruised areas. This is just common sense, but is probably worth mentioning to you.\n\nFinally, while none of the things I read mentioned that changing the infusion site more often may be the answer to bruising, this seems like a logical suggestion. While I don't think anyone can guarantee that you won't bruise if you change infusion sites more frequently, it is worth trying for a few weeks and watching carefully to see if the bruising still happens or not. Some people do bruise easier than others, and you may have to do some trial and error until you find the right solution for you, personally. \n\nCalling all other pumpers out there... has anyone else run into this problem? Has anything helped? Let's hope you hear some other suggestions." } ]

[ { "role": "user", "content": "My hba1c was 7.6 and I managed to drop it to 6.9. I am diabetic for past 4 years . Can I get pregnant in this situation ?" }, { "role": "assistant", "content": "You need to discuss it with your Endo and OBGYN. They will tell you. I got pregnant with my 2nd child with an A1c of 7.7. We got my A1c to 5.0 in a month. Anything is possible so talk to your doctors and keep up the hard work! You are doing awesome!" }, { "role": "user", "content": "I am 8 week pregnant an a1c 7.2 just taking metformin to control my daibetes .tell me you deliver a healthy baby" }, { "role": "assistant", "content": "Hi Hiramalik!  Congrats on the baby. Yes, you'll most likely deliver a healthy baby.  It's important to work with your doctor and communicate regularly. Are they working to get your a1c down a bit?  Under 6 is best (that's normal range).  You are so close to that. Your ob and endo will want to make sure you keep yoru A1c's on target and you may be classified as high risk.  Just so they can monitor you and baby closely. https://www.cdc.gov/diabetes/library/features/type-1-and-pregnancy.html  Metformin is generally considered safe during pregnancy." } ]

[ { "role": "user", "content": "My hba1c was 7.6 and I managed to drop it to 6.9. I am diabetic for past 4 years . Can I get pregnant in this situation ?" }, { "role": "assistant", "content": "Hi,\nCongratulations on reducing your Hba1c.  Keep up the good work. \n\nYou will need to ask your Doctor this question, and hopefully also work with a team of diabetes educators so you can have a healthy and successful pregnancy.\n\nI know that medical personnel want blood sugar to be as close to normal as possible prior to pregnancy.  Definitely this is less than Hba1c = 7.0 and ideally it will be hba1c in the 5 - 6 range.\n\nAre you eating lower carb?  this will also help in managing blood sugars.  I can recommend the book Diabetes Solutions by Dr. Richard Bernstein.  He has lots of great information that can be helpful to managing diabetes.  Type1Grit also has heaps of great low carb recipes. \n\nHave you done basal-bolus testing to make sure your insulin doses are ideal?  \n\nBest wishes.  You can do this!" } ]