Back to Ask the Diabetes Team Ask the Diabetes Team

From Grayling, Michigan, USA:

My 19 year old fiance, who has had diabetes for a year and half, has been taking one shot a day of NPH since his diagnosis, and his sugar has been fine (usually 70-120 mg/dl [3.8-6.7 mmol/L]) since the first few months. If anything, we were always worried about him going too low. However, for the last month or so, he has been running higher and higher (usually 110-200 mg/dl [5.6-11.1 mmol/L]). His diet has not changed, nor has his life style or exercise. We cut some carbs out of his diet, and he increased his insulin, but it still hasn't gotten better. We're concerned about the high sugars even though his recent A1c was 6.5%.

He does not have a diabetes team, his family physician is now hundreds of miles away, and I called every endocrinologist in the area, but no one will see him. Either they are no longer seeing new patients, he's a year too old, or they don't accept his insurance. What should we do? Should he see a doctor? If so, where? The hospitals all say "sorry" there isn't anyone else in our area! What do they expect us to do? Is the situation critical?


It sounds to me like your fiance has real diabetes, the insulin dose isn't enough, and he likely needs more intense management. Someone also needs to decide if he has type 1 or type 2 diabetes.

We can't manage diabetes in this forum, but can only advise you that your fiance needs to see someone who can sort it all out. A good internist could do it too, if asked, as well as an endocrinologist.


Original posting 6 Aug 2002
Posted to Daily Care and Community Resources


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:36
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.