From Denham Springs, Louisiana, USA:
My 10-year-old daughter is 4 feet, 4 inches and weighs 53 pounds. For the last two years, she has been having episodes of getting clammy, pale, and dizzy, with a headache, stomach ache and blacking out. If you can give her sugar, she comes back around within 15 minutes. She does not have to be doing anything to trigger these episodes. We have been through six doctors in the last three years. Our new doctor re-did a four hour OGTT with insulin and her results have changed. Her A1c in the last six months has stayed at 5.5. Her OGTT results follow: (insulin first) fasting - 16.5; one hour - 29.1; two hours - 36.9; three hours - 93.1; and four hours - 123.5. Her glucose was: fasting - 92 mg/dl [5.1 mmol/L]; one hour - 85 mg/dl [4.7 mmol/L]; two hours - 108 mg/dl [6.0 mmol/L]; three hours - 135 mg/dl [7.5 mmol/L]; and four hours - 88 mg/dl [4.9 mmol/L]. Her doctor has mentioned MODY as a possibility. Could this be MODY or is this the start of type 1? What test should I request to see what this is? What treatment should we be considering?
It sounds like classical hypoglycemia, not diabetes. The OGTT results suggest excess insulin so, making sure she is not overweight is critically important. It would be very important to document actual blood glucose during symptoms. If not below 60 mg/dl [3.3 mmol/L], then other autonomic dysfunction is more likely. Growth hormone and cortisol levels during hypoglycemic episodes should also be checked to be sure there is no insufficiency. Occasionally, celiac presents like this as well as thyroid dysfunction. More than 95 percent of kids with hypoglycemia like this can have symptoms prevented by (1) avoiding simple sugar: candy, soda, juice, fruit, etc. and (2) always eating something with protein and fat every three hours (cheese, peanut butter, meats, eggs, etc.).
Original posting 25 Aug 2008
Posted to Diagnosis and Symptoms
|Return to the Top of This Page|
Last Updated: Tuesday April 06, 2010 15:10:16
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.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.