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Type 1 in children
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<blockquote data-quote="Antje77" data-source="post: 2459265" data-attributes="member: 372207"><p>She didn't come in fasted so they couldn't do a fasting blood test.</p><p>Didn't they check her blood glucose the next morning as well? That would be the first instance they could do a fasting test.</p><p></p><p>What I can find on this is that hba1c tests for <strong>screening</strong> children on diabetes might miss some diabetic children. Your child had a very much positive result on their hba1c test, so this is not applicable.</p><p></p><p>It takes time for that one to come back, it's not a quick test. </p><p>There is also no other likely diagnosis than T1 in a 12 year old with very high BG, a high hba1c and symptoms.</p><p></p><p>Treating is the first call of order with a blood glucose of 27, regardless of the cause, this is an emergency situation!</p><p>Everything else can wait.</p><p></p><p>Not everyone develops ketones, especially early on, as we tend to still produce some insulin at that point.</p><p>Weight loss is often seen but not always, especially if caught early.</p><p></p><p>I really want to ask you to go with the T1 diagnosis for now and focus on that. </p><p>There's a lot of new things to be learned for both your daughter and yourself.</p></blockquote><p></p>
[QUOTE="Antje77, post: 2459265, member: 372207"] She didn't come in fasted so they couldn't do a fasting blood test. Didn't they check her blood glucose the next morning as well? That would be the first instance they could do a fasting test. What I can find on this is that hba1c tests for [B]screening[/B] children on diabetes might miss some diabetic children. Your child had a very much positive result on their hba1c test, so this is not applicable. It takes time for that one to come back, it's not a quick test. There is also no other likely diagnosis than T1 in a 12 year old with very high BG, a high hba1c and symptoms. Treating is the first call of order with a blood glucose of 27, regardless of the cause, this is an emergency situation! Everything else can wait. Not everyone develops ketones, especially early on, as we tend to still produce some insulin at that point. Weight loss is often seen but not always, especially if caught early. I really want to ask you to go with the T1 diagnosis for now and focus on that. There's a lot of new things to be learned for both your daughter and yourself. [/QUOTE]
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