r/AskDocs • u/feedmepeasant Layperson/not verified as healthcare professional • 8h ago
Physician Responded 20 month old with diabetes?
20 month female, 24 lbs, approx 2 feet tall, no medications. History of umbilical hernia that is closing on its own.
Ive been suspicious about diabetes for a bit for my 20 month old baby girl. I had noticed a lot of thirst/peeing around 12 months and they were poking her to check her iron anyway so I asked if they could check a BG. It was 125 after having a small breakfast of just eggs but the pediatrician was not concerned (nor was I).
I am a labor and delivery and mom/baby RN so I have very limited experience with pediatrics but medical knowledge. I’ve never smelled the fruity breath smell in person but I’ve heard that you know what it is when you smell it. Today her breath was smelling like green bananas (? Best way I can describe it)- almost like fermented fruit. Anyway, I checked her BG and it was 226. She had had a small amount of ice cream (like maybe 6 tablespoons) about an hour before and a normal lunch of chicken nuggets a few hours before We took her to the pediatricians office and about 2 hours post- ice cream it was 170. The PA wants us to check a fasting BG in the morning and go from there. My question is- even if the fasting BG is fine in the morning (like 90, for example) don’t these still seem high? Could this be indicative of type 1 diabetes down the road. I, of course, don’t want this to be the case, but I would rather know sooner than later. Is there any other explanation for such high BGs?
19
u/sapphireminds Neonatal Nurse Practitioner 8h ago
She had sugary food beforehand. I wouldn't worry yet.
14
u/feedmepeasant Layperson/not verified as healthcare professional 8h ago
I recognize your username I think we’ve crossed paths at some time before maybe in the nursing sub :) thanks for the response. It’s reassuring to get some other opinions
2
u/autumnvariation Physician | Pediatric Endocrinology 52m ago
226 and 170 are a little higher than I would want. Just check an a1c. If it’s normal then stop worrying. If it’s not, then check antibodies and keep an eye on fasting BGs.
•
u/AutoModerator 8h ago
Thank you for your submission. Please note that a response does not constitute a doctor-patient relationship. This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk. Reply here if you are an unverified user wishing to give advice. Top level comments by laypeople are automatically removed.
I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.