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Question:

From Cairo, Egypt:

My 7 year old daughter was tested yesterday for random blood sugar. The result was 227 mg/dl. What other tests you recommend for her case, and is she going to need insulin injection or tablets as a treatment?

Answer:

One glucose does not diagnose diabetes unless there are signs and symptoms. These include increased thirst, increased urination (especially at night in children), increased appetite and usually weight loss. The diagnosis of diabetes needs to be confirmed first.

Treatment in most 7 year old children is with insulin. In populations where obesity is a problem, then type 2 diabetes is being diagnosed more and more in children, but not usually at 7 years old. Your child, if diabetes is truly the diagnosis, will likely use insulin.

Pursue a true diagnosis. If it is diabetes, blood sugars will be up on many other occasions in a relatively short period.

LD

Additional Comments from Lois Schmidt Finney, diabetes dietitian:

Was the blood glucose done with a meter or at a lab? Many times, meters are not accurate enough for the diagnosis. If the reading was done in a lab on plasma, a confirmation needs to be done with either a fasting plasma glucose (if over 125, diagnosis can be made) or a random glucose (if over 200, diagnosis can be made).

LSF

Original posting 8 Jan 1999
Additional comment added 28 May 1999
Posted to Diagnosis and Symptoms

  
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Last Updated: Tuesday April 06, 2010 15:09:02
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