EASILY MISSED? Type 1 diabetes in children

EASILY MISSED? Type 1 diabetes in children

KEY POINTS Secondary noctumal enuresis is the commonest symptom of new diabetes in children Ask about polyuria and polydipsia in toddlers with constipation, thrush, vomiting, weight loss, or any acute illness Investigate children with polyuria, polydipsia, and weight loss for diabetes Investigation...

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Bibliographic Details
Published in:BMJ (Online) Vol. 342; no. 7794; pp. 436 - 437
Main Authors: Ali, Keya, Harnden, Anthony, Edge, Julie A
Format: Journal Article
Language:English
Published: BMJ Publishing Group 19-02-2011
Subjects:
Blood glucose
Children
Diabetic ketoacidosis
General practice
Insulin
Polydipsia
Polyuria
PRACTICE
School age children
Symptoms
Type 1 diabetes mellitus
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Summary:KEY POINTS Secondary noctumal enuresis is the commonest symptom of new diabetes in children Ask about polyuria and polydipsia in toddlers with constipation, thrush, vomiting, weight loss, or any acute illness Investigate children with polyuria, polydipsia, and weight loss for diabetes Investigation for diabetes requires only a single immediate capillary blood glucose test; values above 11.1 mmol/L indicate diabetes Refer children with a raised blood glucose concentration to secondary care the same day Do not wait for a fasting blood glucose test or urine sample as this may allow diabetic ketoacidosis to intervene
ISSN:0959-8138
1756-1833
DOI:10.1136/bmj.d294