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  • Re: Any good diabetes therapists on cape cod ?

    Would you and your daughter consider meeting with one of the counselors at Joslin? You can book an appointment with one of our pediatric clinical psychologists on the same day as a medical appointment. The phone number is 617-732-2603. Some families find this very helpful. Good luck! -Debbie Butler, LICSW, CDE
    Posted to Parents (Forum) by Debbie on Thu, Nov 21 2013
  • Re: Parent of 19 year old

    Hi – I am sorry about my delay in replying to your post. I am glad that you have reached out for help. It sounds like she could be experiencing diabetes burnout. There is a great book about diabetes burnout by William Polonsky called Diabetes Burnout. However she may not have any interest in reading the book – but you may want to read it
    Posted to Parents (Forum) by Debbie on Fri, Oct 4 2013
  • Re: Additional question re undiagnosed teen

    You are very welcome. Thank you for the update and good luck! -Debbie Butler, MSW, CDE
    Posted to Teens (Forum) by Debbie on Thu, Sep 19 2013
  • Re: Additional question re undiagnosed teen

    I spoke to one of the doctors here at Joslin and he said that it seems like your son's endocrinologist is ordering the necessary tests to confirm both the presence and type of diabetes. In some instances, youth with type 1 diabetes may have negative antibody tests and some youth with type 2 diabetes or MODY may have positive antibodies. We suggest
    Posted to Teens (Forum) by Debbie on Mon, Aug 19 2013
  • Re: 13 year old maybe developing Type 1

    Hi I am sorry for the delay in my response. It is true that diet and exercise are a critical part of managing diabetes and that it is also very important to carry around fast acting carbohydrates, like glucose tablets, to treat low blood sugars. I also agree that it is important to find a health care team that is knowledgeable about type 1 diabetes
    Posted to Teens (Forum) by Debbie on Thu, Jul 18 2013
  • Re: Teen with T1D and eating disorder

    I am sorry for the delay in replying to your post. It sounds like you have a lot of valid concerns about your daughter's health. At the current time, we do not have any support groups for teens with diabetes. We offer fun events for Joslin teenage patients and their families, but we don’t have any teen support groups at the current time. I
    Posted to Teens (Forum) by Debbie on Thu, Jul 11 2013
  • Re: Teen - eating habits

    At Joslin we like to say that a healthy meal plan for an individual with diabetes is the same as a healthy meal plan for someone without diabetes. A healthy meal plan includes moderate portion sizes and encourages eating a nutritious mix of foods, with occasional treats. We also like to encourage patients and parents to look at all blood sugar information
    Posted to Parents (Forum) by Debbie on Mon, Jul 1 2013
  • Re: 13 year old maybe developing Type 1

    The Joslin providers and researchers certainly know a lot about MODY diabetes. If you move and you would like to schedule a consultation with one of our pediatric endocrinologists, then you can call 617-732-2603. Good luck! -Debbie Butler, MSW, CDE
    Posted to Teens (Forum) by Debbie on Fri, Jun 28 2013
  • Re: 13 year old maybe developing Type 1

    I am glad to hear that you are working with a local pediatric endocrinologist. It also sounds like the MODY testing would be a good idea if you can figure out a way to get the MODY testing covered. There are two centers that may be doing MODY testing as a part of a research study, so you may want to contact these two centers while you are trying to
    Posted to Teens (Forum) by Debbie on Thu, Jun 27 2013
  • Re: Eight year honeymoon? Misdiagnosis? A fluke?

    Ok well good luck! You may also want to consider coming to the Joslin Pediatric Unit for a second opinion. If you would like to -make an appointment at Joslin in the Pediatric Unit then you can call 617-732-2603. -Debbie Butler, LICSW, CDE
    Posted to Teens (Forum) by Debbie on Tue, May 7 2013
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