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.
May 10, 2003
Diagnosis and Symptoms
Question from Pittsburgh, Pennsylvania, USA:
My six year old daughter has had several episodes of cyclic vomiting during which she needed hydration, and her sugar levels remained in the normal range. She was hospitalized four weeks ago on two separate days. The first day her sugar levels were normal, but on the the second it jumped to 342 mg/dl [19 mmol/L]. Since then, she completed a fasting glucose test that was 82 mg/dl [4.5 mmol/L], followed by a two hour OGTT. After the first hour, she had a sugar level of 107 mg/dl [5.9 mmol/L], and after the second hour, it went to 146 mg/dl [8.1 mmol/L]. Her pediatrician suspects type 1 diabetes. What are your thoughts? She takes periactin for the cyclic vomiting and was on Augmentin when she took the fasting sugar and the OGTT.
None of the numbers on the glucose tolerance test are diabetes. See Classification and Diagnosis of Diabetes. Stress and the hospital is the most likely cause of the single elevated value. You could check glucoses at home or even urine for glucose. If positive then move forward to additional testing.