Yes, insulin levels in all individuals fluctuate, even diabetics, hypoglycemics. If your dr. does not refer her to an endocrinologist, you should get a second opinion, and if you don't have to have a referral for a specialist (for insurance purposes), you should go ahead and let and endo. look at her asap, the earlier it is treated, the better the future is for her. My heart is with you two and please keep me updated.

http://www.clinicalaserdepiel.com.c...pigmentadas.htm (it is in English) There may be these laser clinics elsewhere in other countries. Check into it. I know it is in the UK for sure and should be in the States.