advertisement
 

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

From South San Francisco, California, USA:

My three year old son, diagnosed at the age of 22 months, has had hemoglobin A1cs of 6-7% over the past year, but since catching gastroenteritis two months ago, his blood sugars have been high and low, and have never returned to normal. Lately, he's been having ketones when he wakes up in the morning.

One night, his reading at 9:00 pm was at 98 mg/dl [5.4 mmol/L], he had a 1 carb snack, at 11:00 pm he was 165 mg/dl [9.1 mmol/L], at 2:00 am he was 133 mg/dl [7.4 mmol/L], and then he woke up at 8:00 am with a blood sugar of 165 mg/dl [9.1 mmol/L] but a serum ketone level of 0.9. On another night, before his 9:00 pm bedtime, he was 94 mg/dl [5.2 mmol/L], and he had his snack. Then at 11:00 pm, he was 131 mg/dl [7.3 mmol/L], at 3:00 am he was 76 mg/dl [4.2 mmol/L] so I gave 2 ounces of milk, at 6:00 am he was 219 mg/dl [12.2 mmol/L], and then he woke up at 266 mg/dl [14.5 mmol/L] with a serum ketone level of 0.4.

Any idea what's going on? Why is he so susceptible to ketones all of a sudden when previously his sugar could go as high as 500 mg/dl [27.8 mmol/L] without ketones?

Answer:

There could be some damage to residual pancreatic function from the virus or merely less insulin being produced and some ongoing normal growth that allows this to show up. It's hard to know for sure.

You should ask these questions of your son's diabetes team since they know your child well. You should also be checking some overnight blood glucose readings to be sure you are not missing any nocturnal hypoglycemia which can sometimes cause morning ketones to be positive.

Has anyone checked for celiac disease with a test called transglutaminase antibody?

SB

DTQ-20020416201342
Original posting 16 May 2002
Posted to Daily Care

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:34
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.