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Type 1 in children
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<blockquote data-quote="jonathan183" data-source="post: 2459272" data-attributes="member: 491092"><p>The <a href="https://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html" target="_blank">spot blood glucose check</a> (random test cutoff is 11mmol/l) and HbA1c value (pre-diabetic 42mmol/mol, diabetic 48mmol/mol) point to type 1 diabetes.</p><p>C-peptide test would confirm insulin production is low and antibodies test is likely to confirm from a number of potential ones which are causing the problem.</p><p>I suspect they will start your daughter on insulin in the meantime - which sounds like the right and safe approach based on the information you have listed.</p><p></p><p>The medical team and you will not want to risk DKA ... lack of ketones at a particular point in time would not prevent this. I believe high blood glucose and dehydration is sufficient to cause major problems.</p></blockquote><p></p>
[QUOTE="jonathan183, post: 2459272, member: 491092"] The [URL='https://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html']spot blood glucose check[/URL] (random test cutoff is 11mmol/l) and HbA1c value (pre-diabetic 42mmol/mol, diabetic 48mmol/mol) point to type 1 diabetes. C-peptide test would confirm insulin production is low and antibodies test is likely to confirm from a number of potential ones which are causing the problem. I suspect they will start your daughter on insulin in the meantime - which sounds like the right and safe approach based on the information you have listed. The medical team and you will not want to risk DKA ... lack of ketones at a particular point in time would not prevent this. I believe high blood glucose and dehydration is sufficient to cause major problems. [/QUOTE]
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