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How To Check For Diabetes In A Child?

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Posted on Tue, 9 Sep 2014
Question: Dear Doctor,
Greetings
My daughter is 3 years old , last year she have had a fever and when I checked her blood sugar level was 190 mg/dL in the night time next day in the morning time it was 130 mg/dL after one day we visited the doctor he found the blood sugar 100 mg/dL and the doctore advised me to check her blood suger from time to time becuase she is in risk to have a diabetic and then for almost one year I am checking her blood sugar randomly and usually it is in the range of 100 but last yesterday when I checked her again it was 135mg/dL . is my daughter has diabetic or it is normal for the kids please advise.
Regards
XXXX
doctor
Answered by Dr. Venkata Subrahmanaym Mukkavilli (3 hours later)
Brief Answer:
It is difficult to say without investigating.

Detailed Answer:
Hi,
Thanks and welcome to healthcare magic.
A DIAGNOSIS of diabetic melitus is made when fasting serum glucose level is at or above126 mg/dl or a 2 hour postprandiol level is at or above 200mg/dl. on 2seperate occasions.
If fasting glucose varies between 100-125 mg/dl and 2 hour glucose following OGTT is140-199 is considered glucose intolerant.
Sporadic hyperglycemia can occur in children during inter current illness.
Hyperglycemia during illness, the incidence of DM is small < 5%.
Sporadic hyperglycemia occurring without stress or illness diabetes develops in at least 30%.
Hope this reply serves your purpose.
Please feel free to ask any further queries, I shall be happy to answer.
Dr.M.V.Subrahmanyam.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Venkata Subrahmanaym Mukkavilli (5 hours later)
Hi Doctor,
Thanks a lot for you answer.

But just I would like to clarify is my daughter has potentiality for diabetic development in the future or now she already diabetic and what shall I do for here at the mean time or in near future???

Thanks and regards
XXXX

doctor
Answered by Dr. Venkata Subrahmanaym Mukkavilli (21 hours later)
Brief Answer:
As per definition your daughter is at risk for DM.

Detailed Answer:
Hi,
Thank you for asking followup query question on health care magic.
As the fasting glucose level is above the threshold level 126 mg/dl at times, she is at risk for development of diabetic melitus.
If she is having any infection prior to testing for blood glucose the risk is <3%.
Other wise the risk is 30%.
Frequent checking for blood sugar levels and immediately after infection or stress will help you to estimate the risk.
Hope this answer will serve your purpose
Please feel free to ask any more queries if required
Take care
Dr.M.V.Subrahmanyam MD;DCH
Associate professor of pediatrics
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Venkata Subrahmanaym Mukkavilli

Pediatrician

Practicing since :1967

Answered : 2341 Questions

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How To Check For Diabetes In A Child?

Brief Answer: It is difficult to say without investigating. Detailed Answer: Hi, Thanks and welcome to healthcare magic. A DIAGNOSIS of diabetic melitus is made when fasting serum glucose level is at or above126 mg/dl or a 2 hour postprandiol level is at or above 200mg/dl. on 2seperate occasions. If fasting glucose varies between 100-125 mg/dl and 2 hour glucose following OGTT is140-199 is considered glucose intolerant. Sporadic hyperglycemia can occur in children during inter current illness. Hyperglycemia during illness, the incidence of DM is small < 5%. Sporadic hyperglycemia occurring without stress or illness diabetes develops in at least 30%. Hope this reply serves your purpose. Please feel free to ask any further queries, I shall be happy to answer. Dr.M.V.Subrahmanyam.