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March 25, 2019

Aches and Pains, Diagnosis and Symptoms, Other Illnesses

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Question from Spotsylvania, Virginia, USA:

My son was diagnosed with type 1 diabetes about a month ago. For the past three weeks, he has suffered headaches, nausea, stomach pain, blurred vision and dizzy spells daily. My son has been to school 2.5 days in the past month. His ketones are negative/trace. His appetite varies; at times, he cannot eat a thing and other times, he is very hungry. He is moody and has had behavioral changes. The endocrinologist and pediatrician say his body is just adjusting to the diagnosis and treatment plan. I am worried about ICP [sic] or possible tumor. What do you think this could be?

Answer:

There is not enough information for me to comment. You didn’t write what kind of blood glucose levels he is having, what insulins he is taking and when, or what has happened to his weight and A1c levels. It could all be the stress of a new difficult diagnosis like diabetes. For sure, you need to go back to your diabetes team and tell them exactly what you are worried about, maybe with a phone conversation first and then get him examined to see what they think. They will likely want to do some more blood testing, make sure no celiac disease and certainly check his eyes thoroughly since if there really were pressure in or around the brain from a tumor or anything else, the eye exam may provide a clue, either negative or positive. Once he is re-examined, then you and they together can decide what the next steps are. I agree that none of this is expected at this point in his diagnosis unless there is some major un-balance of his diabetes results (then A1c would be rising) or something else psychologically or medically going on – so, I recommend you go get it checked in detail.