Guest guest Posted February 4, 2002 Report Share Posted February 4, 2002 Hello millsx4@..., In reference to your comment: ð Would a blood test be more conclusive? What should I ð do? you can do one of a few things... doing a glucose tolerance test on a young child is difficult, but.... you can do something like test his blood using a finger stick, then feed him something rather high in sugar/carbohydrates, that you nkow he will eat/drink, koolaid, juice, cookies, french fries, all come to mind for me with a 2.5 yr old child. then test his blood sugar ever 30 minutes for 2 hrs or so.... via the finger stick method.... if you don't have a blood glucose meter, i would think you would be able to find a friend and borrow one for a few hours, or ask your dr to help you with this.... Stress that you are concerned.... however i also think this may be a normal thing for a child, do you have a lot of history of diabetes in your family? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 4, 2002 Report Share Posted February 4, 2002 Hello millsx4@..., In reference to your comment: ð Would a blood test be more conclusive? What should I ð do? you can do one of a few things... doing a glucose tolerance test on a young child is difficult, but.... you can do something like test his blood using a finger stick, then feed him something rather high in sugar/carbohydrates, that you nkow he will eat/drink, koolaid, juice, cookies, french fries, all come to mind for me with a 2.5 yr old child. then test his blood sugar ever 30 minutes for 2 hrs or so.... via the finger stick method.... if you don't have a blood glucose meter, i would think you would be able to find a friend and borrow one for a few hours, or ask your dr to help you with this.... Stress that you are concerned.... however i also think this may be a normal thing for a child, do you have a lot of history of diabetes in your family? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 4, 2002 Report Share Posted February 4, 2002 What blood sugar #'s would be considered a possible concern for diabetes before eating/drinking carbs and 2 hours afterwards? I have an 8yo ds who I'm concerned about as well. I've done a fasting test of his bs's in the morning a couple times and they were between 100 and 106. Is that normal or a little high? I haven't tried testing him after a meal. The reason I am concerned is because he's very overweight - 135 pounds at about 4 1/2 feet tall, he started bedwetting last year and he constantly wants to eat. I asked my pediatrician to test him for diabetes last year, but he told me that kids don't get Type II diabetes. Well, from everything I've read on the internet, this is not true. Overweight kids are being diagnosed with Type II diabetes more often now and bedwetting is a sign of diabetes. He will be seeing his pediatrician again this month, but I did want to be armed with more information. Roxanne > you can do something like test his blood using a finger stick, then feed him > something rather high in sugar/carbohydrates, that you nkow he will > eat/drink, > koolaid, juice, cookies, french fries, all come to mind for me with a 2.5 yr > old child. > then test his blood sugar ever 30 minutes for 2 hrs or so.... via the finger > stick method.... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 These symptoms sound very suspicious. First I think I'd find a new doctor. You might also consider buying a blood glucose meter and testing him when he first wakes up in the morning and an hour of so after a meal. In the morning his blood sugar should be under 120 and after a meal it should be under 140 or so. Barb I > took him in to the Dr. to be tested for Diabetes. She was in a real > rush and took urine and said he was fine. He has been chronically > constipated since birth even when he eats 10 prunes per day he still > is constipated. I have read that constipation can also be a sign of > diabetes...is this correct? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 Thanks Vicki Thanks Vicki for the information on the glucose tolerance test. I will try this on my ds tomorrow. Roxanne in WA > Page 982 of Textbook of Medical Physiology, ninth edition > By Guyton & Hall > > Endocrinology and Reproduction > > FASTING BLOOD GLUCOSE LEVEL. The fasting blood > sugar level in the early morning is normally 80 to 90 > mg/dl, and 110 mg/dl is considered to be the upper > limit of normal. > > A fasting blood sugar level above this > value often indicates diabetes mellitus or, much less > commonly, either pituitary diabetes or adrenal diabetes. > > > GLUCOSE TOLERANCE TEST. > > As demonstrated by the bottom curve in Figure 78-10, called > a " glucose tolerance curve, " when a normal, fasting person > ingests 1 gram of glucose per kilogram of body weight, the blood > glucose level rises from about 90 mg/dl to 120 to 140 > mg/dl and falls back to below normal in about 2 hours. > > In a person with diabetes, the fasting blood glucose > concentration is almost always above 110 mg/dl and > often above 140 mg/dl. Also, the glucose tolerance test > is almost always abnormal. On ingestion of glucose, > these people exhibit a much greater than normal rise in > blood glucose level, as demonstrated by the upper > curve, and the glucose level falls back to the control > value only after 4 to 6 hours; furthermore, it fails to fall > below the control level. This slow fall of the curve and > its failure to fall below the control level demonstrate > that the normal increase in insulin secretion after glu- > cose ingestion does not occur in a person with diabetes, > and a diagnosis of diabetes mellitus can usually be defi- > nitely established on the basis of such a curve. > --------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 Thanks Vicki Thanks Vicki for the information on the glucose tolerance test. I will try this on my ds tomorrow. Roxanne in WA > Page 982 of Textbook of Medical Physiology, ninth edition > By Guyton & Hall > > Endocrinology and Reproduction > > FASTING BLOOD GLUCOSE LEVEL. The fasting blood > sugar level in the early morning is normally 80 to 90 > mg/dl, and 110 mg/dl is considered to be the upper > limit of normal. > > A fasting blood sugar level above this > value often indicates diabetes mellitus or, much less > commonly, either pituitary diabetes or adrenal diabetes. > > > GLUCOSE TOLERANCE TEST. > > As demonstrated by the bottom curve in Figure 78-10, called > a " glucose tolerance curve, " when a normal, fasting person > ingests 1 gram of glucose per kilogram of body weight, the blood > glucose level rises from about 90 mg/dl to 120 to 140 > mg/dl and falls back to below normal in about 2 hours. > > In a person with diabetes, the fasting blood glucose > concentration is almost always above 110 mg/dl and > often above 140 mg/dl. Also, the glucose tolerance test > is almost always abnormal. On ingestion of glucose, > these people exhibit a much greater than normal rise in > blood glucose level, as demonstrated by the upper > curve, and the glucose level falls back to the control > value only after 4 to 6 hours; furthermore, it fails to fall > below the control level. This slow fall of the curve and > its failure to fall below the control level demonstrate > that the normal increase in insulin secretion after glu- > cose ingestion does not occur in a person with diabetes, > and a diagnosis of diabetes mellitus can usually be defi- > nitely established on the basis of such a curve. > --------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 Thanks Vicki Thanks Vicki for the information on the glucose tolerance test. I will try this on my ds tomorrow. Roxanne in WA > Page 982 of Textbook of Medical Physiology, ninth edition > By Guyton & Hall > > Endocrinology and Reproduction > > FASTING BLOOD GLUCOSE LEVEL. The fasting blood > sugar level in the early morning is normally 80 to 90 > mg/dl, and 110 mg/dl is considered to be the upper > limit of normal. > > A fasting blood sugar level above this > value often indicates diabetes mellitus or, much less > commonly, either pituitary diabetes or adrenal diabetes. > > > GLUCOSE TOLERANCE TEST. > > As demonstrated by the bottom curve in Figure 78-10, called > a " glucose tolerance curve, " when a normal, fasting person > ingests 1 gram of glucose per kilogram of body weight, the blood > glucose level rises from about 90 mg/dl to 120 to 140 > mg/dl and falls back to below normal in about 2 hours. > > In a person with diabetes, the fasting blood glucose > concentration is almost always above 110 mg/dl and > often above 140 mg/dl. Also, the glucose tolerance test > is almost always abnormal. On ingestion of glucose, > these people exhibit a much greater than normal rise in > blood glucose level, as demonstrated by the upper > curve, and the glucose level falls back to the control > value only after 4 to 6 hours; furthermore, it fails to fall > below the control level. This slow fall of the curve and > its failure to fall below the control level demonstrate > that the normal increase in insulin secretion after glu- > cose ingestion does not occur in a person with diabetes, > and a diagnosis of diabetes mellitus can usually be defi- > nitely established on the basis of such a curve. > --------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 I'm not looking to diagnose him myself, but just trying to determine if there is a physical cause for his bedwetting. I don't want to run a bunch of unnecessary tests on him. I've had the glucose test myself and it requires not eating before the test and waiting several hours after taking the test before being able to eat as well. Four or five hours with a hungry kid is not my idea of fun. So, I figure I can test him at home, which while not totally accurate, will give me some indication if there's a possible problem that requires further testing. I've been considering the possibility of sleep apnea as well, since he does snore, but after observing him more carefully these past couple weeks, I've discovered that he doesn't snore every night, so I suspect the snoring is more allergy related. Again, the only way to diagnose sleep apnea is with an all night sleep lab, so I don't want to put him through that unless he really displays more symptoms that point to that possibility. Roxanne > I've never had this test done myself, but if I recall correctly from what > I've read, in order to give accurate results you have to drink some specific > high-sugar solution first...so if this isn't done it's not going to give > accurate results. Vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 I'm not looking to diagnose him myself, but just trying to determine if there is a physical cause for his bedwetting. I don't want to run a bunch of unnecessary tests on him. I've had the glucose test myself and it requires not eating before the test and waiting several hours after taking the test before being able to eat as well. Four or five hours with a hungry kid is not my idea of fun. So, I figure I can test him at home, which while not totally accurate, will give me some indication if there's a possible problem that requires further testing. I've been considering the possibility of sleep apnea as well, since he does snore, but after observing him more carefully these past couple weeks, I've discovered that he doesn't snore every night, so I suspect the snoring is more allergy related. Again, the only way to diagnose sleep apnea is with an all night sleep lab, so I don't want to put him through that unless he really displays more symptoms that point to that possibility. Roxanne > I've never had this test done myself, but if I recall correctly from what > I've read, in order to give accurate results you have to drink some specific > high-sugar solution first...so if this isn't done it's not going to give > accurate results. Vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 I'm not looking to diagnose him myself, but just trying to determine if there is a physical cause for his bedwetting. I don't want to run a bunch of unnecessary tests on him. I've had the glucose test myself and it requires not eating before the test and waiting several hours after taking the test before being able to eat as well. Four or five hours with a hungry kid is not my idea of fun. So, I figure I can test him at home, which while not totally accurate, will give me some indication if there's a possible problem that requires further testing. I've been considering the possibility of sleep apnea as well, since he does snore, but after observing him more carefully these past couple weeks, I've discovered that he doesn't snore every night, so I suspect the snoring is more allergy related. Again, the only way to diagnose sleep apnea is with an all night sleep lab, so I don't want to put him through that unless he really displays more symptoms that point to that possibility. Roxanne > I've never had this test done myself, but if I recall correctly from what > I've read, in order to give accurate results you have to drink some specific > high-sugar solution first...so if this isn't done it's not going to give > accurate results. Vicki Quote Link to comment Share on other sites More sharing options...
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