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Hypoglycemia in children - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi, my son is 7 years old. He seems to be thirsty all the time. (which I have just thought it was normal for an active little boy). His breath has this oder, even after he brushes his teeth. Today I finally did a finger prick and tested his blood sugar. I did the reading when he got home from school around 3:15 (3 1/2 hours after lunch) and it read 423. I had to retest it because I knew that was way to high, and it read 350. We took him to the doctor and they checked his urine, which was clear, and did another finger prick. This time it read 98. So our doctor sent us home telling us we probably got a wrong reading and that it happens all the time. I am concerned because he did not do a Gtt or any other testing. My son's breath problem has been going on for some time now along with the thirst. He has no weight loss, but eats ALL the time.
Doctor :   Hi,
User :   Hello
User :   What do you think about what happen with my son today?
Doctor :   The symptoms are typical , before excluding the juvenile diabetes , its better to get a GTT or atleast a blood glucose levels ( FBS and PPBS ) along with HBA1C
User :   why would our pediatric doctor not do that then? hmm. Is it normal for a child to have a spike and then go down in a three hour time frame?
Doctor :   not at all ,
Doctor :   the values are abnormal , never in a normal child the values go so high
Doctor :   and as doctor said it could be a faulty machine you used
Doctor :   but its better ti rule out the illness by good tests
User :   So, if a child was a diabetic then it could be "normal" for that child to spike and then go down. (in a diabetic child)
Doctor :   yes, hypoglycemia is also a common symptom in a diabetic child
User :   The meter we used tested my other son normal and my husband normal. When we got home my 7 year old was tested as norm then.
User :   Isn't hypoglycemia low sugar in the blood?
Doctor :   yes.
User :   Well my son was showing signs of Hyperglycemia
Doctor :   could be a chance
User :   so, where do you practice at?
Doctor :   India , I work as an online consultant only
User :   Okay. So, what should I do? Find a different doctor, keep an eye on my son, or go back and demand some good test to be done?
Doctor :   yes, get an gtt first
User :   how are those done?
Doctor :   Its a test where your child is asked to drink a glucose solution and then a hourly blood glucose is estimated
User :   is the hourly blood glucose done by a finger prick? what would a norm level be for that?
Doctor :   the normal level depends on the amount of glucose given and the blood sugar level before giving it, but it should not cross over 180mg/dl
User :   Oh okay. Have you ever heard of a child having a high reading like this and having the urine clean and blood glucose back to normal level after 3 hours? and that child NOT be a diabetic. That maybe it was just a fluke.
Doctor :   no, if the child has to be considered normal then only chance is the glucometer being faulty
Doctor :   but if the readings are right then diabetes has to be excluded
Doctor :   i mean ruled out
User :   I understand. okay. thank you. i think you have answered all my questions. Is there anything else i should know?
Doctor :   you are welcome
Doctor :   yes, and if the Gtt comes positive then you have to get FBS ,PPBS and HBA1c levels done and consult a diabetologist
User :   ok. thank you.
Doctor :   you are welcme
Doctor :   thanks fpr consulting me , kindly provide your feedback
Doctor :   Bye for now
Doctor :   Take care
Doctor :   I wish him all good health
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