Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
October 27, 2001
Diagnosis and Symptoms
Question from Deerfield, Michigan, USA:
I am 30 year old with type 1 diabetes since age one and a half, and my three year old son (who has not been diagnosed with diabetes) has been ill so I checked a checked his blood sugar with a meter that had been recently calibrated, and it was 412 mg/dl [22.3 mmol/L]. My wife took him to the ER where his blood sugar an hour and a half later was 120 mg/dl [6.7 mmol/L], and the ER doctor claimed it was impossible for my son's blood sugar to have been so high. This ER doctor did not feel it was necessary to perform a full blood workup. Could my son's pancreas be going bad and working only sometimes?
The chances of your son developing type 1A (autoimmune) are only a little over 5%, and a random blood sugar of 120 mg/dl [6.7 mmol/L] is perfectly normal. With a normal random blood sugar at the hospital, I think it unlikely that he in fact has clinical diabetes at this time.
At the same time, the other blood sugar of 412 mg/dl [22.3 mmol/L] is certainly abnormal. Whilst it might be due to stress perhaps compounded by some technical error, in view of the family history I think you should talk to his doctor about some further testing. The simplest of course would be to get a fasting blood sugar in a clinical laboratory. Even so, if he is in the preclinical stage of diabetes, blood sugar levels may be a rather erratic index of a problem. So to allay anxiety, I would ask for antibody testing and not just the immunofluorescent ICA test, but the now conventional triple of anti -GAD, ICA512, and anti-Insulin antibody.