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Question: From a nurse in Mitchell, Indiana, USA: My two year old nephew has always drank a lot of fluids, complained of thirst and frequent urination, and he gets up usually once, sometimes twice, a night to urinate. Last week he fell in the floor while walking to the bathroom, and the babysitter thought he may have had a seizure, he had felt bad all day. He does have congestion and a cold. I did a fingerstick blood sugar which was 115 mg/dl [6.4 mmol/L] that evening and the next morning's fasting was 149 mg/dl [8.3 mmol/L]. My nephew's pediatrician examined him, did a urine dipstick which was negative for glucose, and told my sister was told that a child's glucose can rise during an illness. Since he was not spilling glucose in his urine, he does not have diabetes. While I hope this is true, shouldn't some lab work be performed? Is the urine dipstick diagnostic enough? My sister thinks I am interfering, but I am an RN, and I am too worried to let it drop with a simple urine test. I thought that in order to spill glucose in the urine you had to reach a threshold level that can be higher people with diabetes. I have read that diagnosis is two separate fasting glucose levels of 126 mg/dl [7 mmol/L] or higher. Can a child's be higher during a cold? Answer: This type of problem is common. I would agree with the paediatrician. Stress can cause the blood sugar to rise. This wouldn't normally be associated with symptoms of thirst and frequent urination, but toddlers often drink a lot of juice. KJR [Editor's comment: I would suggest that, once your nephew is over his cold, and if his symptoms persist, you encourage your sister to take him back to the pediatrician for a fasting blood glucose followed by a large breakfast and a repeat blood glucose two hours postprandially. SS] DTQ-20010201144220 Original posting 19 Apr 2001 Posted to Diagnosis and Symptoms

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:20
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