January 31, 2003
Other
Question from Trophy Club, Texas, USA:
Ever since his diagnosis (about two months ago), we feel we have had very good control (average low 100s mg/dl [5.6 mmol/L] of our four year old son’s blood sugars. He is followed by a a pediatric endocrinologist, we check his blood sugar four times a day, and he receives insulin two-four times daily. However, at his routine pediatrician checkup, the doctor commented that his urinalysis showed a lot of sugar, but no ketones. Is it normal for a child with diabetes (who is taking insulin and having “good” numbers) to still show sugar in the urine?
Answer:
Absolutely! Why? You cannot control the glucose 24/7 and to try would condemn him to hypos plain and simply. His glucose rises after he eats and then comes back down to the next reading before a meal. He will not eat the complex carbs and beans and fiber needed to keep the glucose from rising. I wouldn’t either.
LD
