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What causes increases thirst, weight loss, blurry vision and high blood sugar levels?

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Posted on Mon, 25 Jul 2016
Question: My son had a car accident 4 weeks ago, and since then has had increased thirst, weight loss (about 13 lbs) and a little blurry vision. I checked his blood sugar (I am diabetic and have a kit) and it was 592. I am planning on calling my endocrinologist first thing in the AM to get him checked for type 1 diabetes.
I am just wondering if there is anything else that these symptoms could be besides type 1.
I know when there is trauma to the body, it can produce glucose for energy/strength and result in high sugar levels, but his accident was 4 weeks ago. He has a broken collar bone and fractured skull, but is getting around ok (with difficulty and pain, but overall ok). He is not on any meds.
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Answered by Dr. Shehzad Topiwala (44 minutes later)
Brief Answer:
Diabetes

Detailed Answer:
Sorry to learn about your son's bothersome symptoms.

He most likely has type 1 diabetes. Other possibilities include stress induced diabetes and another form of diabetes called diabetes insipidus. It is rare for both to be present together. He needs to go to the ER immediately. This is a medical emergency. Call 911. He will need to be hospitalized, starting with ICU care first.
The ER team will start insulin drip and safeguard his vital signs, while typically ordering the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies Urinalysis
X ray chest
Blood gases



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What causes increases thirst, weight loss, blurry vision and high blood sugar levels?

Brief Answer: Diabetes Detailed Answer: Sorry to learn about your son's bothersome symptoms. He most likely has type 1 diabetes. Other possibilities include stress induced diabetes and another form of diabetes called diabetes insipidus. It is rare for both to be present together. He needs to go to the ER immediately. This is a medical emergency. Call 911. He will need to be hospitalized, starting with ICU care first. The ER team will start insulin drip and safeguard his vital signs, while typically ordering the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies Urinalysis X ray chest Blood gases