Question from :

I have a nine year old son who was diagnosed with diabetes at age two, and we have two other sons. Our doctor asked if our three year old was checked, so we had a glycohemoglobin done. It was 4.8 which we understood as very good. One year later, our son does not exhibit signs of diabetes, except he on occasion wets the bed and is thirsty. We started checking blood sugars, and they were all over the place. On one day his sugars would be higher than normal — anywhere from 150-247 mg/dl [8.3-13.7 mmol/L], although his fasting was only 60 mg/dl [3.3 mmol/L]. The doctor did another glyco and a C-peptide and an antibody test. The glycohemoglobin was 6.5%, and his C-peptide was 0.9, which I understood as low insulin production, though his glycohemoglobin is normal. They told me to check sugars for two weeks four times a day, and his fasting is perfect but somewhat low — around 60 mg/dl [3.3 mmol/L]. Yesterday, we checked his sugars and it was 247 mg/dl {13.7 mmol/L] — not fasting, but he had moderate ketones. The rest of the day, we continued to monitor, and his sugars were anywhere from 247 to 90 mg/dl [13.7 to 5 mmol/L], with negative ketones after the initial 247 mg/dl [13, 7 mmol/L] was down. Is this normal for this age and what should be done if anything? If there is something going on I would like to try anything to help his as we don’t want any complications from this.

As it is, my nine year old son has microal buminuria — high microalbumin and creatinine — but plans on going on the pump shortly. His 24 hour microalbumin was 21 and his 24 hour creatinine clearance was 28 — whatever that means. All we know is that it is slightly elevated, and it could possibly be the beginning of something with the kidneys.