The symptoms of diabetes is more easily recognized in children than in adults, so it's surprising that the diagnosis can be missed/delayed sometimes, diabetes is a great imitator: influenza, gastroenteritis and appendicitis are most frequently diagnosed conditions, only to find that the disease was diabetes. Families with a strong family history of diabetes should suspect diabetes, especially if there is a child in the family with diabetes. Major events are:
• • • Temporary Polyuria Polydipsia Cachexia • Polyphagia • Progressive • Glucosuria Hyperglycemia • increased urine specific gravity
The sequence of chemical events described above results in hyperglycemia and acidosis, which in turn produce three "polys" Diabetes polifagia, polydipsia and polyuria-Cardinal symptoms of the disease. In non-insulin-dependent diabetes (which was also found in older children), insulin values are found to be overweight, and often there is fatigue and frequent infections (such as monilial infections in females).
The insulin-dependent diabetic is significantly decreased insulin levels and, as diabetes becomes complete, there is no demonstrable, insulin. Your baby may begin to wet the bed, became surly and "non-self" or act too tired. Abdominal discomfort is common. Weight loss, although quite observable in the rankings, perhaps less frequently presents complaint due to the fact that the family may not have noticed the change. Another feature of diabetes is thirsty. A couple reported that their son, during a voyage from California to Kensas, drank the contents of a gallon jug of water between each gas station. At one point the child's illness may actually refuse liquids and food, adding to the growing state of dehydration and malnutrition. Other symptoms include dry skin, blurred vision and sores that are slow to heal. More commonly in children, fatigue, bed-wetting and are the main complaints that encourage parents to take their child to the doctor. The child may be Hyperglycemic, with very high blood levels of glucose and glucose in the Urine; can be in diabetic ketosis, ketones and urine glucose but not severely dehydrated; can be in diabetic Keto-acidosis, dehydration, electrolyte imbalance and acidosis.
EvaluationObservation Diagnostics and testing are important in the diagnosis of diabetes in children. If children show glycosuria, are overweight or have symptoms of hypoglycemia, are candidates for the glucose tolerance test. The Urine test will show positive glucose only when the disease is actually occur. The urine test does not necessarily negative our early diabetes, nor a positive test necessarily indicate diabetes. Renal glycosuria, do not related to diabetes, may cause glucose in urine.
The fasting blood glucose test may miss the early diagnosis of diabetes and has been known to lose as 85% of children who have an abnormal glucose tolerance test with asymptomatic disease. The glucose tolerance test 4 hours was found to be the most successful tests for the early diagnosis of diabetes, whereas the glucose tolerance test-6--now is more beneficial for hypoglycemia diagnosis os. According to the rules established for normal children, diabetic or not of various ages, the criteria for early diagnosis of diabetes is two or more abnormal range. However, the standardization of food intake before testing can be critical, and those preparing for the test should emphasize the importance of following directions to the diet provided by your doctor or the laboratory. It's hard to do glucose tolerance test in children younger than 3 years of age, since standards have not been established for children in this age group.
Problem diagnosisSigns tests, and chemical symptoms can lead to the conclusion that your child has diabetes, when in fact another condition can appear, this is true in salicylate intoxication, which can be excluded our easily by boiling urine. Acetone, if present, boil out the urine, leaving a negative test if related to diabetes, and a positive test if related to salicylate intoxication. Temporary hyperalimentation, pancreatitis and encephalitis. Blood glucose testing usually return to normal after the stress is reversed; However, insulin may be needed for a short time stress diseases, especially when the child is at the stage of hyperalimentation. Other abnormal conditions that may cause glucose to appear in the Urine are some kidney disease, some other endocrine disorders as hypercortisolism and lead encephalopathy.
• • • Temporary Polyuria Polydipsia Cachexia • Polyphagia • Progressive • Glucosuria Hyperglycemia • increased urine specific gravity
The sequence of chemical events described above results in hyperglycemia and acidosis, which in turn produce three "polys" Diabetes polifagia, polydipsia and polyuria-Cardinal symptoms of the disease. In non-insulin-dependent diabetes (which was also found in older children), insulin values are found to be overweight, and often there is fatigue and frequent infections (such as monilial infections in females).
The insulin-dependent diabetic is significantly decreased insulin levels and, as diabetes becomes complete, there is no demonstrable, insulin. Your baby may begin to wet the bed, became surly and "non-self" or act too tired. Abdominal discomfort is common. Weight loss, although quite observable in the rankings, perhaps less frequently presents complaint due to the fact that the family may not have noticed the change. Another feature of diabetes is thirsty. A couple reported that their son, during a voyage from California to Kensas, drank the contents of a gallon jug of water between each gas station. At one point the child's illness may actually refuse liquids and food, adding to the growing state of dehydration and malnutrition. Other symptoms include dry skin, blurred vision and sores that are slow to heal. More commonly in children, fatigue, bed-wetting and are the main complaints that encourage parents to take their child to the doctor. The child may be Hyperglycemic, with very high blood levels of glucose and glucose in the Urine; can be in diabetic ketosis, ketones and urine glucose but not severely dehydrated; can be in diabetic Keto-acidosis, dehydration, electrolyte imbalance and acidosis.
EvaluationObservation Diagnostics and testing are important in the diagnosis of diabetes in children. If children show glycosuria, are overweight or have symptoms of hypoglycemia, are candidates for the glucose tolerance test. The Urine test will show positive glucose only when the disease is actually occur. The urine test does not necessarily negative our early diabetes, nor a positive test necessarily indicate diabetes. Renal glycosuria, do not related to diabetes, may cause glucose in urine.
The fasting blood glucose test may miss the early diagnosis of diabetes and has been known to lose as 85% of children who have an abnormal glucose tolerance test with asymptomatic disease. The glucose tolerance test 4 hours was found to be the most successful tests for the early diagnosis of diabetes, whereas the glucose tolerance test-6--now is more beneficial for hypoglycemia diagnosis os. According to the rules established for normal children, diabetic or not of various ages, the criteria for early diagnosis of diabetes is two or more abnormal range. However, the standardization of food intake before testing can be critical, and those preparing for the test should emphasize the importance of following directions to the diet provided by your doctor or the laboratory. It's hard to do glucose tolerance test in children younger than 3 years of age, since standards have not been established for children in this age group.
Problem diagnosisSigns tests, and chemical symptoms can lead to the conclusion that your child has diabetes, when in fact another condition can appear, this is true in salicylate intoxication, which can be excluded our easily by boiling urine. Acetone, if present, boil out the urine, leaving a negative test if related to diabetes, and a positive test if related to salicylate intoxication. Temporary hyperalimentation, pancreatitis and encephalitis. Blood glucose testing usually return to normal after the stress is reversed; However, insulin may be needed for a short time stress diseases, especially when the child is at the stage of hyperalimentation. Other abnormal conditions that may cause glucose to appear in the Urine are some kidney disease, some other endocrine disorders as hypercortisolism and lead encephalopathy.
0 comments:
Post a Comment