Back to Ask the Diabetes Team Ask the Diabetes Team

From Hillsdale, Michigan, USA:

I have typeá2 diabetes, and since my nine year old daughter gained seven pounds in one month, I tested a random blood sugar which was 167 mg/dl [9.3 mmol/L]. A fasting blood sugar was 148 mg/dl [8.2 mmol/L] and random evening blood sugars have been 299 mg/dl [16.6 mmol/L]and 332 mg/dl [18.4 mmol/L] on my meter. The doctor did a fasting test which was 74 mg/dl [4.1 mmol/L] and said my daughter was okay, but I am still worried about the high readings. Should I make her do more tests? If so, what tests should I ask for?


I think that you should try to accept the normal blood sugar obtained in the doctor's office as indicating that your daughter does not now have diabetes. At the same time, I am sure that you are concerned about the high fasting and random blood sugars that you have found at home and about the weight gain with its possible link to typeá2 diabetes, an increasing problem in childhood. The high blood sugars at home could well have been due to a nonverbal communication of your own anxiety.

So to begin with and with the doctor's or a pediatric dietitian's help, you need to find out if your daughter really is overweight for her age in terms of her position on a standard weight/height chart or from calculating a Body Mass Index (BMI= Wt in Kg/Ht in meters squared). If she is, then it would make sense to do all you can to encourage physical activity and to increase fiber in her diet and restrict fast foods, etc. At the same time, and especially if there is documented evidence of obesity, you need to repeat the office fasting blood sugar at intervals to see if overt glucose intolerance develops.


Original posting 27 May 2001
Posted to Diagnosis and Symptoms


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:22
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.