Types of Diabetes, diabetes type 1 – diabetes type 2

Question: My daughter 7,5 years. Daddy type 1 diabetes at 14 years, for 22 years. Thankfully Tanya diabetes no. But sometimes, my daughter, we measure the sugar in 1,5-2 hours after eating, the testimony 7,5-9,2 millimole l. The morning fasting sugar 5. 5mmol liter. What should be the indicators of sugar were normal.

Answer: Norma on blood glucose meters – up to 5. 5 empty stomach (as if the blood glucose meter is calibrated for plasma – then to 6. 1). After 2 hours after a certain standard load (75 g glucose) – up to 7. 8. In general, your results – on the upper limit of normal or above it (depending on the type of your blood glucose meters), you must monitor children's endocrinologist. Most likely, the doctor would prescribe an analysis for antibodies to the pancreas (their absence will talk about a low risk of developing diabetes in the near future), maybe – the holding of a sugar load. "

Childhood diabetes

Question: I've already written, thank you for your reply. Before that I wrote to you: "Please odskazhite in the morning on an empty stomach, measured the blood of a child 2 years old (his father had diabetes, 1st type) your glucometer showed 6,0 Meriem immediately from the other hand the result of 5,2, Meriem again of the 5,8. Then he had lunch at 8-00, eat wheat porridge with apple and drank 150 grams kifira, 10-00 in the steering wheel and polkuska ate black bread with butter, a 11-50 measured his sugar 5,7. In 12 — 30 lunch, vegetable soup (made of potatoes, cabbage, etc.) with a piece of white bread in the 14-40 outcome-measured his 5,5. measured his sugar the next morning from one hand to 4,1 and 4,3 of the other, through 2 hours after breakfast (ate oatmeal and drank Actimel) sugar 5.8. The next day, the sugar in the morning on toschak 5,2, and yet next morning, sugar in the morning on an empty stomach 4,8. the next morning 4.6. I tres from the experiences of the fourth day. Why is the day when we measured his first sugar from one of his hands was 6,0 and 5,8. Can different hands so much different results (5,2 and 5,8, 6,0 )? For 4 days in a row Meriem sugar (as I understand it here in the next few days everything is OK) that we are now well measured every day (I still can not get uspakoitsya, although my husband says that I no longer 'go crazy') Perhaps the day when unego were rezeltaty 5,8 i6, 0 on one of his hands, he managed to tilt (measured this in 50 minutes after he woke up, from experience, I even do not remember what he did and he was crying in the next few days measured this as soon as he woke up.) Could glucometer mistake 2 times (5,8 i6, 0) Rukimy he washed. And why do so to separate the results in different hands.'ll show what to do? "I want to have to ask: we went to a consultation with Pediatric endocrinology, she told us to do a test with a load of glucose (sugar curve) and donate blood for antibodies to the beta cells of the pancreas. Please tell us whether we do with our predlospolozhennostyu glucose load? And in general, whether such a small child to do this test. And what we say an analysis of antibodies to beta-cells of the pancreas.

Answer: You asked a second question a little earlier – once responsible for both. . . "Go crazy" really not necessary. Test with the sugar load is done, because the available measurements do not speak clearly either on the norm, not an increase of sugar. If test results are normal – you should forget about worrying and stop to measure the sugar baby glucometer. If not the norm – keep to a diet (children endocrinologist will tell you). Drugs known to affect the risk of diabetes in this situation, to sozhaelniyu no. Antibodies to tissue of the pancreas, which are recommended to define, identify the autoimmune process that damages it leads to the development of the SD type 1 (but the carrier antibodies may occur in healthy people – diabetes does not develop in 100% of cases. If antibodies are detected – need more frequent monitoring, more serious approach to diet. This analysis, although it will not change therapy, will reduce uncertainty. The survey did not dangerous, blood taken from a vein (the usual method). Ingestion of sugar syrup is not dangerous (no increased risk of developing diabetes), but test is not conducted when the initial sugar (before taking the syrup) corresponds to the diabetic (6. 1 or more of the finger 7. 0, and more – from a vein). Number of sugar syrup is calculated on the weight of the child.

Childhood diabetes

Question: Dear Oleg! My 6-months. Daughter discovered ketone bodies in urine. The baby is fully breastfed, only snack I give her apple-pear puree. Blood sugar is normal – 4,0-4,3 during the day, after 1 hour p / meal – 5,3. In his diet try to use 'many' carbs – potatoes, buckwheat, etc., while trying to use a minimum of fat. Last month, she said no growth, or weight. Two weeks ago, a neurologist appointed reception Neyromultivita, about the same time noticed the smell from the mouth (as it seemed to me – acetone, although others have not noticed). The girl is very active, running around on all fours, getting up. Visually – no health problems. Please tell us with what may be linked to bad analysis (except for error, we will still donate).

Answer: See FAQ about acetone. In normal level of sugar and normal general condition of the child acetone in the urine does not require correction. This is a sign of transition of the organism to oxidize fat in a child's body may already be in the absence of meals for several hours.

Childhood diabetes

Question: A year ago, the child was furunculosis. We passed the blood sugar glucose 5. 7. We went to an endocrinologist, we have sent to donate blood for sugar curve: Fasting 4. 0 after 120 minutes 5. 8. Endocrinologist said that nothing terrible, treatment and diet do not need. Blood sugar sit twice a year. Sat for 4. 5. then 5,6, 5 more. 0. We decided to still go to an endocrinologist for a consultation. We were sent to donate blood from a vein in glycols. hemoglobin (unfortunately as it is correctly called not remember, but the doctor explained that we know how many times the sugar increased during the three months). The analysis 6,8. Tell me please, what does this mean

Answer: Result sugar load "really fully consistent with the norm. Glycated (glycosylated) hemoglobin reflects the average blood sugar over the past 2-3 months, but not equal to it (measured in other units), and there is a special conversion table, on it to determine the level of sugar. Depending on the method of measurement of glycated hemoglobin, the rate may be up to 6 (or 6. 4), or up to 9% – it is listed on the form of analysis, look. But the fact is that glycated hemoglobin is not a reliable criterion for diagnosing diabetes (this analysis was invented for another), a number of people of his level may be overstated. So if you are currently fasting blood sugar levels are normal (see the FAQ on the diagnosis) – I would be on-site doctor did not put to any diagnosis, but if in doubt – would have made re-analysis with the sugar load.

Childhood diabetes

Question: What is the maximum daily dose of insulin for child weight 38kg 13 years old ill 7 years. Current dose of 50 units per day. doctor said that when hormonal changes may increase the daily dose is almost twice that and then demand has decreased in number

Answer: In adolescence, indeed daily insulin dose may be 1. 5.2 units per 1 kg of weight and even more. Actually, this was not an end in itself, if to control the level of sugar need higher doses of insulin – nothing wrong with that (apart from economic aspects, but you also get free insulin). Thus it is necessary to be sure that you have everything in order with the technique of injection of insulin (a FAQ on this topic), which imposed, say, 6 units of insulin, acting really as a 6, not as 4, etc.

Childhood diabetes

Question: My daughter type 1 diabetes, found in 2 years, it is now 4. The last 2 – 3 weeks ago have high sugar 10 – 15 mm. In the night away with normal sugars, 5 – 8 mm. In the 21 hour snack on 1HE. I put the morning Levimir 4 units, 3 units novoropid evening Levimir 5 units, novoropid 3 units. All day sugar within normal limits. If the night do podkolku, the sugar in the morning are normal. Why sugar were high? It had previously been the norm in the mornings. What do I do not know? Zoom Levimir to 6 units or novorpid to 4ed? Thanks in advance.

Answer: Hello! You should definitely go to school diabetes! Your daughter probably syndrome dawn, measure it glycemia at 6 am. If the sugar high, you can enter the morning podkolku NovoRapid. And please, tell us about this doctor.

Childhood diabetes

Question: The child full 4 years old, thin. With the growth of 108 weighs 16 700 climb hair, nervous, hyperactive, many pet, bad sleep, bad breath, lack of appetite – may be almost a day does not have. Deposited on sugar after meals in 2 hours – 8. 8, 6 hours drank about 700 grams of liquid already appeared about a liter. What are the chances that it is not diabetes? The younger daughter is 2 years, with growth 102, weight 18 200 g, very confused about her hair, her grandmother had diabetes. What are the chances that the diagnosis is confirmed with her? Children from different fathers, by the son of heredity do not know.

Answer: Hello! The presence of blood glucose 8.8 mmol / L 2 hours after the load, said a violation of carbohydrate metabolism. Must be necessary to investigate the glycated hemoglobin and register at the place of residence to the endocrinologist. Besides, it was a good idea to examine the thyroid and adrenal glands.

Childhood diabetes

Question: Child 13 years. Weight 53 kg. Physical development is normal. Supporting Ukraine diabetes since 2004. They started jumping sugar. It happens from 5 to 18. We are on Humulin NPH, Humulin regular. Dose of the extended 8 in the morning, evening 8. Short to 7. Help to adjust the dose. How HEH day he should eat? "Very often high morning sugar.

Answer: Hello! Best in this situation, go to the hospital for a planned hospitalization, if there is an opportunity to put CGMS, to assess the cause of hyperglycemia. To date, there are analogues of human insulin, which is easier to adjust glycemia. Insulin pump therapy can be considered.

Childhood diabetes

Question: Our child 6 years. Recently, she drinks plenty of fluids, in the evening measured glucometer blood sugar levels. Was 7 mM, and in the morning on an empty stomach 5. 8 mmol what do I do

Answer: Hello. Quickly an endocrinologist. Perhaps this is the beginning of diabetes. Delay not, otherwise could end badly.

Childhood diabetes

Question: My child 4 years, 2 weeks ago, were taken to hospital with ketoacidosis, diabetes is suspected of diabetes. After the hospital child lean, eats every 1.5 hours, drinks and a glass of tea (200 ml). Handed over to the sugar in the hospital – 3,7; a week and then I rented – 4.24 mmol / liter. It is with the growth of 103 cm, weighs 13.8 kg. Could this be diabetes

Answer: sugar level normal. Diabetic ketoacidosis without specific hypoglycemic therapy fails. If I understand correctly, he uses up to 4-5 liters per day, check for diabetes insipidus, a general review of urine relative density lower than 1005, then a urine sample for Zimnitskiy.

Childhood diabetes