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Question:

From Rock Hill, South Carolina, USA:

We recently admitted a nine year old new onset diabetic to our facility. Her admitting blood sugar was 323. The physician ordered an antipancreatic Islet Cell blood test which came back negative and also a serum insulin level which came back 48 (high). Please explain the significance of these tests. Any insight you can provide will be much appreciated.

Answer:

The absence of islet cell antibodies does not preclude Type 1 diabetes. You haven't stated the measurement units of the insulin level but in any case this was probably not a fasting level and was not therefore high in relation to the prevailing blood sugar. Diabetes appears when there is a relative deficiency of insulin which does not have to be absolute.

KJR

DTQ-19990329160415
Original posting 8 Jul 1999
Posted to Diagnosis and Symptoms

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