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April 20, 2006

Aches and Pains, Celiac

Question from Kilauea, Hawaii, USA:

Lately, my daughter has been complaining in the mornings of her stomach hurting and nausea, although she doesn't vomit. Her blood sugar has not tested low and is sometimes in the high range, 150 to 250 mg/dl [8.3 to 13.9 mmol/L], but most often in normal range, 70 to 150 mg/dl [3/9 to 8.3 mmol/L]. This most often happens at school. She is taking 10 units of Lantus upon waking and Humalog with breakfast, lunch and diner (dosage based on a sliding scale and carbohydrates). Is this a common side effect or cause for concern? I asked our general practitioner and he was of the opinion that it could be a low grade virus since she had a runny nose at the time. The cold symptoms have passed, but she still has occasional stomach complaints. Her appetite doesn't seem to be what it used to either, mainly at breakfast and lunch. Any thoughts?

Answer:

Kids and teens with diabetes certainly may develop other stomach problems. One of the problems that kids and teens with diabetes are more prone to is Celiac disease. I would suggest having her tested for this. Your pediatrician may have additional tests also that they may request if the stomach pain persists.

MSB