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May 15, 2000

Diagnosis and Symptoms

Question from Wilmington, Delaware, USA:

Our 9-month old was diagnosed with neonatal diabetes at 2 months of age. She is insulin dependent and receives an injection every time she eats at this time. We were told by her endocrinologist that there is a 50% chance that she may outgrow this and that the average time period would be from 6 to 12 months from diagnosis. Is this true? If so, what would we look for, specifically?

Answer:

I am inclined to believe that your daughter does not have transient neonatal diabetes because this is usually diagnosed within days of birth. Additionally, if her insulin requirement is not falling by now then it looks more like early onset Type 1 diabetes. Ask your endocrinologist if she had chromosome tests done for transient neonatal diabetes and autoantibody tests for Type 1 diabetes.

KJR