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Question: From Lancaster, Pennsylvania, USA: My six-year-old nephew recently fell off the monkey bars and fractured his right tibial plateau. He is in a long leg cast. Recently, his mother has noticed nocturia, polyphasia and a thirst she cannot quench. He was in the doctor's office for a follow-up appointment for his fracture. His fasting blood sugar was in the 400s mg/dl [over 22.2 mmol/L]. The doctor's office wants to send him to the Emergency Room at a hospital 2.5 hours away for treatment. Is the long bone fracture in itself enough to cause the hyperglycemic events? Answer: The fracture will not cause a blood sugar of 400 mg/dl [22.2 mmol/L]. This child needs urgent medical attention for the high blood sugar. MSB DTQ-20070430093506 Original posting 1 May 2007 Posted to Hyperglycemia and DKA and Diagnosis and Symptoms

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