advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From Fincastle, Virginia, USA:

We suspect our seven year old may have diabetes. She had a 3 hour GTT [glucose tolerance test]. Her fasting was 40 mg/dl (2.2 mmol/l); one-hour was 201 mg/dl (11.2 mmol/l); one-and one-half-hour was 215 mg/dl (11.9 mmol/l); two-and-one-half-hour was 191 mg/dl (10.6 mmol/l); and three-hour was 154 mg/dl (8.6 mmol/l). I don't know enough about these numbers to know if these point to diabetes, but I do know that she is very difficult to wake up in the mornings and wakes up tired all of the time. She has muscle aches, headaches, and "stomachaches" throughout the day. She breaks out in a cold sweat without warning. Her hands and feet are always cold. She is anxious a lot of the time and suffers from mood swings.

She was placed on a "diabetic diet" for two weeks. Then, we are to return for a follow up visit. I am not very comfortable with the way this is being handled. I need help and reassurance that this treated properly. There is a long family history of diabetes, and I have seen how dangerous this can be.

Answer:

First of all, I really don't understand the GTT times. Standard bleeding times are baseline, and one hour, two hours and three hours after the glucose load. The diagnostic ones are actually the baseline and two hour values. Cutoff sugar values are set accordingly and it's very difficult to correctly interpret your daughter's values. Fasting is too low whilst the one-and one-half-hour and two-and one-half-hour values seem high. Moreover, an oral GTT is seldom used in children. An intravenous GTT or a glucagon test along with an autoantibody test are much more useful to make or to exclude a diagnosis of type 1 diabetes in a child. I strongly urge you to ask your doctor for a consultation with a pediatric endocrinologist skilled in diabetes.

MS

DTQ-20000708234249
Original posting 1 Sep 2000
Posted to Diagnosis and Symptoms

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:14
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.