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From Pocahontas, Illinois, USA:

My four year old is overweight, about 53-55 pounds. One month ago, we took him to the doctor thinking he had some sort of infection (frequent urination, etc). Basically, now I know he had every symptom for diabetes except weight loss. The doctor did a finger prick test and found his blood sugar to be 90mg/dl [5 mmol/L]. She called it a "borderline diabetes" and recommended a change in his diet. We have done this -- we've removed all sweets (concentrated sugars), are trying to watch carbohydrates, and are making a better effort to encourage fruits and vegetables. One month after the initial test, his fasting blood sugar was 92 mg/dl [5.1 mmol/L]. We are going for a hemoglobin A1c test. The more I read about this disease I keep seeing 70 to 120 mg/dl [3.9 to 6.7 mmol/L] or so as the "normal" range. So, in your judgement is a 90 mg/dl [5.0 mmol/L] or 92 mg/dl [5.1 mmol/L] blood sugar "borderline?" I should also add that there is strong family history of both type 1 and type 2 diabetes in the family. I have been really distraught over all of this, but the more I read the more I question it. Does his blood sugar level combined with his weight increase his risk for developing the disease? What is "borderline" diabetes?


Ninety is a normal blood sugar. I assume your son was tested for a urine infection? Regardless of risk of type 2 diabetes later in life, your son should lose weight.


Additional comments from Stephanie Schwartz, diabetes nurse specialist:

His weight, combined with the family history does put him at risk for type 2.


[Editor's comment: "Borderline diabetes" is a very abused term that roughly can be translated to "impaired glucose tolerance": it's not used by diabetes specialists because it's so vague, although it's still in use among non-specialists. (Many diabetes experts consider "borderline diabetes" to be about as "borderline" as "borderline pregnancy": you either are, or you aren't!) WWQ]

Original posting 25 Aug 2000
Posted to Diagnosis and Symptoms


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Last Updated: Tuesday April 06, 2010 15:09:12
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