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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Repeat FP And PP Test To Know If It Is Juvenile Diabetes? What Should I Do?

my daughter aged13 yrs, her FP was 125 & PP was 159, urine FP & PP are NIL.HbA1c is 6.1 1. my question is should i repeat the test again or based on the first test any medicaton is right now reqd pl. ? 2. what test to be conducted for juvenile Diabetes, How to Know she has juvenile Diabetes, is it life threatening disease? 3. Children Diabetes cannot be postponed for some more years by Diet + Exercise. kindly advise. my daughter aged13 yrs, Her weight is 60 Kgs In routine blood work it was found that my daughter;s FP was 125 & PP was 159, urine FP & PP are NIL. her HbA1c is 6.1. As Iam worried about my Daughter,should I repeat one more FP & PP Test . 1.what is juvenile diabetes, medication is required can it be postponed for 10 yrs with strict diet and exercise. 2.one month ago she is matured my question is this sugar changes have taken place because of hormonal imbalances .or not 3.when blood work to be taken for GTT fasting are Random. kindly advise. Asked by: bvrkumari1999 On : Thu, 16 Aug 2012 Answers: 1 Views: 4 Report Abuse Also find answers on: Blood sugar Diabetes mellitus High-fructose corn syrup Answer this Question ยป Dr.Ramesh M.Vachharajani, General & Family Physician 5328 Answers since Mar 2011 Answered: 3 days ago Current rating Hi, BVkumari, Thanks for query. It seems that she might have juvenile diabetes. ( hours are enough for fasting blood sugar. To confirm the juvenile diabetes go for GTT and blood HbA1 C level. If juvenile diabetes is not there then it can be controlled with strict diet control and exercise.
Tue, 4 Sep 2012
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Diabetologist 's  Response
Hi There.

I went through the history you have posted here about your daughter's sugars. She fits in a classification of IGT- Impaired glucose tolerance. She DOES NOT HAVE JUVENILE DIABETES, a term used to be for type 1 diabetes, a insulin dependent type of diabetes.
She attained her menarche and yes, this is one of the reasons for mild hormonal changes in the body leading to insulin resistance. But being overweight, not exercising and eating too many calories, consuming more of a junk food are the main reasons why more and more of teen-agers are deveoloping this kind of impaired glucose tolerance. Please make sure she and the whole family change the lifestyle and she would certainly delay a frank diabetes for many years. Make sure the whole family is supportive and not critical of her lifestyle. Help her understand the ways to change it and be supportive in sharing the healthy diet and exercise patterns for her to bring her sugars down and avoid the diabetes for next many years. All the very best. Get back for any further queries.
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Diabetologist Dr. Madhuri Patil's  Response
Just repeat the test 3 months after she goes through diet and exercise planning. again I am repeating she doesn't have 'Juvenile diabetes' which people refer for 'type 1 diabetes'. please do not get overwhelmed by the terms. Act on the condition the way I mentioned. You have already done the fasting and PP tests along with HbA1c test, so need to repeat them now. Repeat them after 3 months to see the difference. If no difference in spite of strict diet control and exercise schedule, then see a Diabetologist for further evaluation. Take it easy and positively.
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Internal Medicine Specialist Dr. Prasad Akole's  Response
Dear friend, thank you for choosing HCM.
it is just one reading and the HbA1C is normal.
I would advise repeating a GTT which challenges with sugar and checks early glucose intolerence.
also there is no sugar in urine.
so , relax, take the repeat test fully fasting 8-10 hours at a standard NABL accredited lab.
if it shows criteria fitting diabetes, pl. start with consultation of a paediatrician.

I hope to have answered your query satisfactorily.
Take care and please keep me informed of your progress.
Good Luck !
May I request you to rate your experience here before you close.
Thank you.
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Repeat FP And PP Test To Know If It Is Juvenile Diabetes? What Should I Do?

Hi There. I went through the history you have posted here about your daughter s sugars. She fits in a classification of IGT- Impaired glucose tolerance. She DOES NOT HAVE JUVENILE DIABETES, a term used to be for type 1 diabetes, a insulin dependent type of diabetes. She attained her menarche and yes, this is one of the reasons for mild hormonal changes in the body leading to insulin resistance. But being overweight, not exercising and eating too many calories, consuming more of a junk food are the main reasons why more and more of teen-agers are deveoloping this kind of impaired glucose tolerance. Please make sure she and the whole family change the lifestyle and she would certainly delay a frank diabetes for many years. Make sure the whole family is supportive and not critical of her lifestyle. Help her understand the ways to change it and be supportive in sharing the healthy diet and exercise patterns for her to bring her sugars down and avoid the diabetes for next many years. All the very best. Get back for any further queries.