From Atlanta, Georgia, USA:
My daughter has strep throat for the fifth time since November. We just had the strep confirmed again today even though she is still on antibiotics. It looks like she cannot get rid of the strep throat. Is this because she is a diabetic and it is harder for diabetics to get over infections or is this unrelated to the diabetes? We will be going to see an ENT at the end of February. If they decide to remove the tonsils, what should I expect with respect to her diabetes during and after the surgery? Should this surgery be avoided, if at all possible? Currently, her blood sugars are fairly normal and her last A1C was 6.2. We did have elevated blood sugars when she first started to get the infections, but now it does not seem to effect her blood sugars anymore. I have herd that even though the removal of the tonsils is fairly easy, there is a lot more involved with diabetic patients.
Some children and adults can be strep carriers and they require different treatment than just a course of the typical antibiotics for strep. When a child is getting recurrent strep throat, they sometimes are candidates for surgical removal of the tonsils and sometimes adenoids. Your pediatrician will best be able to determine whether your child should have that surgery. The surgery is typically well tolerated even among children with diabetes.
[Editor's comment: Should your daughter require surgery, be sure to consult with your diabetes team about dealing with blood sugars just before, during and after the procedure. Most surgeries require fasting beforehand, which may warrant an adjustment to your daughter's diabetes regimen. You might also need to educate the physician/nurses involved about your daughter's diabetes and insulin pump. It is often better if YOU test your daughter's blood sugars at the hospital, which may or may not have the most up-to-date glucose meter. And, if she's on an I.V., be sure you know exactly what's in it as it may contain dextrose, which could cause elevated blood sugars. BH]
Original posting 5 Feb 2007
Posted to Other Illnesses
Last Updated: Tuesday April 06, 2010 15:10:10
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.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.