Question:
From America OnLine:
My 17-1/2 year old daughter is type I diabetic and has been for five
years. She was recently diagnosed with ADHD (Attention Deficit Disorder,
without hyperactivity). She was seen by two different psychologists (I
wanted a second opinion) and they both positively diagnosed her, taking into
consideration that she has diabetes. I was the one who initially noticed
the symptoms (after reading an article on it). It sure sounds like she has ADD to me, but
do you think it is easy to make an error when diabetes is involved?
Thank you.
Answer:
This question was referred to our two pediatric endocrinologists, who have
each given an answer:
Answer from Dr. Lebinger:
It is a little unusual to diagnose Attention Deficit Disorder for the
first at the age of 17. though if there is no hyperactivity, this
diagnosis can be easily missed. When someone with diabetes receives
this diagnosis, I usually suggest that they make sure the she is not
having asymptomatic low blood sugars which are being confused with ADD.
I also suggest that the thyroid function be tested.
TGL
Answer from Dr. Robertson:
Many paediatricians in the UK are still rather sceptical about ADD and only
a few are prescribing Ritalin I believe that this is a common option in the
US. Like many "trendy" diagnoses there is a real danger that it will be
made too often and I think this is very much the domain of the child (or
adolescent in this case) psychiatrist.
We don't have enough information here about the age of onset of symptoms
or indeed what symptoms your daughter has. I guess that it's unlikely that her
behavioural disorder is due to damage from recurrent severe
hypoglycaemia, given her age and duration of diabetes. We really need to
know about birth history and other information.
KJR
Original posting 21 May 96