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Diabetes

Question
Posted by: Just me | 2006/10/26

Q.

How to protect my son from kda

please tell me how protect my son from kda, even the slightest cold can send his sugar sky high, cause ketones and land him in high care. he is there right now. he had the summer flu and the next thing not even a day later his sugar shot up and he lost 7kgs in two days.

He is 12yrs old and weighs a wopping 31kg, my daughter of 7 (who is not diabetic) weighs just under that. He did weigh 38 before this (what do you call it "attack") His Paed is very good, but I don't feel comfortable talking to him.... I feel like he expects me to know what's going on. All I know is the little he has told me and what I read up about it on the internet.... which by the way is terrifying!

Your advise is gratly appreciated.

Expert's Reply

A.

Diabetes expert

Your son has type 1 diabetes which means that he has lost function of his pancreas which is responsible for insulin production. He is therefor dependent on Insulin to survive. Whenever the demand for insulin increases i.e. with a severe infection, his bloodsugars will go up.

Diabetic keto-acidosis develops when there is an absolute deficiency of insulin in the body. This means that insulin dependent organs such as the liver, muscle and fat cells cannot use glucose as a fuel substrate. The liver then produces fuel from other sources and the breakdown products (ketone bodies) of this process can acidify the blood. You are then left with a combination of blood sugar build up in the bloodstream along with increased acid and decreased fuel avaliable to the body for effective functioning. The high blood sugar level increase urinary output of glucose taking along with it excess water which leads to dehydration.

This is a serious condition and one must try and prevent or diagnose it as soon as possible. Good diabetic control is dependent on a balance between food intake and the insulin regime along with careful home monitoring. If you are worried about his nutrition, it might be worthwhile to see a dietitician with an interest in diabetes. Also anticipate problems with any infection and discuss adjustment of his insulin dose during these times with his attending peadiatrician- it may be necessary for you to monitor his sugar levels very carefully and often when an infection starts and to have a specific plan regarding insulin adjustments ready

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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