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The Question
Tue May 15 15:59:46 UTC 2012

My 4-year-old was just dx with Type 1, but never went into DKA. No antibody tests were done. She takes injections. Any chance it could be Type 2?
Asked By: carabou  

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My daughter is 4 and is in the 95th percentile for height and weight. My husband, his father, grandmother and my mother are all Type 1 diabetics. My daughter takes Novolog and Lantus injections and runs from 58-400mg/dL daily.
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Expert Answers (1)
2012-05-24 11:55:06.0

I have two boys with type 1 diabetes and one went into DKA upon diagnosis, one did not. Sometimes you can be lucky enough to catch it before that point. At that age it is most likely you are dealing with type 1 diabetes. You can ask for a c-peptide test to see how much insulin of her own is being made, but my guess is not much. You can also request auto antibody testing for your own sake if you want; at this point it may or may not help you. In any event, she can live a long and healthy life. My oldest son was diagnosed at 17 months old and is now about to graduate medical school!! Take care!
Answered By: susan sloane
Accreditations: B.S.,Rph.,C.D.E.,Nutritionist
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Community Answers (1)
2012-08-26 22:56:34.0

Dear Carabou, your precious one did not have to be so sick she was DKA to be diagnosed. Also, just because the current theory is that insulin-dependent diabetes is an autoimmune phenomenon, doesn't mean that it is for everyone! Your description of the family history is strongly suggestive of an inherited endocrine variation. Your daughter sounds a lot like ME, though when I was her age, the various tests we have available to us now were't developed yet. From your description of her blood sugar excursions, she is clearly insulin-dependent BUT kids are amazingly resilient and she may have several "honeymoon" episodes before puberty (which usually puts an end to that, because of the great hormonal changes). Why not check with your insurance provider about getting her on a pump, which will allow more precise titration of her insulin. Also, as soon as she can read a bit, start involving her in her own care, INCLUDING giving herself her own injections/managing the pump and doing her own blood glucose testing (which isn't fun, but I do wish it had been around when I was a kid.)I had been using insulin for 21 years before I was able to get a meter--from a university medical center! Yes, your daughter can grow up and have a life--and even become a menopausal grandma like me! But the reality is, it's not a "normal" life because diabetes is always there, and it won't go away, and it has a way of biting back very badly if you try to ignore it. So you and your daughter learn to LIVE WITH diabetes. The labels "Type 1" and "Type2" are really meaningless for you; if one needs insulin one is insulin-dependent and whatever label is applied is moot. Take heart from the expert answer: she mentions that her diabetic son is about to graduate medical school. That's great proof of how attitudes about diabetes have changed. Give your girl the tools she needs to live and thrive, and be her advocate, but not her keeper. XOXOXO
Answered By: sallyashus

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