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Question: From Miami, Florida, USA: Recently, after a night of very high fever (105), my son (17 months old) woke up with no fever, I decided to take him to the doctor to have him checked out and before I left he drank a small bottle of baby apple juice. When the doctor checked his urine he decided to send him to the hospital because this doctor felt my son was a diabetic (this was not my son's regular doctor). After arriving at the hospital and many blood and urine tests, I was informed that my son probably had "Stress Hyperglycemia" but he should be checked after a few days to confirm the diagnosis, which later was confirmed, but I was told that children with this condition later turn out to become diabetics. I would like to know what "Stress Hyperglycemia" is, if it is true that children do develop diabetes after being diagnosed with this condition, and if there is anything I should be doing or can do to avoid this or any problems in the future. Answer: I receive many phone calls and several hospital consults a year about this diagnosis. Since I have worked with the same group of pediatricians for many years, I expect I don't hear about the vast majority. Stress hyperglycemia is very common in children. I cannot give the actual percentage of ill children with the diagnosis. The episode ends as it did with your son: without diabetes. I have seen glucoses of several hundred; worrisome, but fortunately, all turns out well. The real question is the risk for diabetes. I rarely see a child that had stress hyperglycemia and then diabetes. That isn't real science, but it's my experience. I expect you have been told the symptoms of diabetes. You and every other parent need to watch for these signs and report to your physician if they occur. A simple blood glucose answer the question of diabetes. P.S.: I wrote the above reply and then felt guilty and went to Medline and looked. Last year a good paper in Archives of Diseases of Children looked at all children seen in a pediatric ER for a year. 36 had hyperglycemia and were matched to controls. Bottom line: 36 months of followup and no diabetes. This confirms my non-science. LD Original posting 4 Oct 1998 Posted to Hyperglycemia and DKA

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sun Jan 15 12:03:04 2006
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