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Question:

From North Carolina, USA:

Can severe dehydration, not associated with vomiting or diarrhea, and a blood sugar of 156 after 12 hours of not eating be associated with diabetes? She is 16 and is anemic. She has a fasting glucose tomorrow.

Answer:

Whilst the fasting blood sugar of 157 mg/dl was clearly abnormal it is possible as you have already heard that whatever stress gave rise to the dehydration might have been sufficient to raise the blood sugar.

I suspect, though, that your daughter has some intercurrent infection that has triggered the advent of clinical diabetes. Her doctor will want to do another fasting sugar level and a test for glucose in the urine. He/she may also do a hemoglobin A1c test to see if the glucose intolerance has been present for some time and perhaps an antibody test to confirm that this is the commonest form of diabetes, that is, Type 1A which is an autoimmune disorder. Apart from this website, you may find it helpful to read or download Understanding Insulin-Dependent Diabetes by H. Peter Chase, M.D. It might be helpful at this stage to discuss with her doctor whether her diabetes care might be better undertaken by an interdisciplinary team that also has a nurse educator,a dietitian, and a medical social worker. This is often particularly helpful in the months until good control is established. Furthermore, at 16 she does not have too long before going to college, by which time she may welcome the flexibility of an insulin pump.

DOB

Original posting 26 Mar 1999
Posted to Diagnosis and Symptoms

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