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Question: From Granville, New York, USA: My 10 year daughter was having symptoms of high blood sugar and, at times, hypoglycemia. I bought a meter and her blood sugars are over 200 mg/dl [11.1 mmol/L] at times. She also has had blood sugars as low as 64 mg/dl [3.6 mmol/L]. Her regular doctor did blood work and her A1c was 5.9 while her cholesterol level was 213. She was referred to an endocrinologist who did a Glucose Tolerance Test (GTT) that was normal, 98 mg/dl [5.4 mmol/L] fasting and 107 mg/dl [5.9 mmol/L] at two hours. Her insulin levels were not done. At home, her fasting blood sugars are between 100 and 110 mg/dl [5.6 and 6.1 mmol/L]. She was wetting the bed and had two viral UTIs during which her fastings were 130 to 140 mg/dl [7.2 to 7.8 mmol/L]. She is due to be seen by her pediatrician and I was wondering what tests should be done to figure have type 1. Three out of four of her grandparents have type 2 and I had gestational diabetes. Answer: I am not sure that I would do anything. Assuming that the Oral GTT was done properly, then diabetes has been excluded, for the time being. I am disappointed that insulin levels were not measured during the OGTT. The hemoglobin A1c is not good way to diagnose diabetes. It is a good tool to continue to assess glucose control in someone with verified diabetes. There is no way to prevent type 1 diabetes, but there are research programs. Given the family history of the cousins and uncles with type 1 diabetes, this patient MIGHT be a candidate to participate in TrialNet. Ask you pediatrician or endocrinologist or search the Internet for participating centers. DS DTQ-20051128213618 Original posting 9 Dec 2005 Posted to Diagnosis and Symptoms

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ 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 Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sun Jan 15 12:10:19 2006
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