RT Book, Section
A1 Nebesio, Todd D.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114879083
T1 Diabetes Overview
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114879083
RD 2024/04/19
AB A  7-year-old  girl  presents  with  increased  thirst  and  urination  over  the  last  2  weeks.  Despite  previously  being  dry  at  night,  she  has  wet  the  bed  a  few  times  over  the  past  week.  She  has  not  been  ill  and  has  had  a  good  appetite.  She  has  had  no  abdominal  pain  or  vomiting.  Physical  examination  is  remarkable  for  dry,  tacky  oral  mucous  membranes.  Her  weight  is  down  3  kg  since  her  last  well-child  visit.  A  blood  sugar  is  checked  (Figure  189-1)  on  a  meter  and  is  “high”  or  too  elevated  to  be  read  by  the  meter.  A  urinalysis  shows  positive  glucose  and  ketones  in  his  urine.  A  basic  metabolic  profile  reveals  sodium  of  131  mEq/L,  bicarbonate  of  20  mEq/L,  and  plasma  glucose  of  652  mg/dL.  Hemoglobin  A1c  is  10.8  percent.  She  is  admitted  to  the  hospital  with  the  diagnosis  of  new  onset  diabetes.  She  is  treated  with  intravenous  fluids  and  insulin.  While  in  the  hospital,  she  is  started  on  SQ  insulin  injections  and  she  and  her  family  receive  diabetes  education.  With  her  age,  the  patient  most  likely  has  type  1  diabetes  mellitus  (T1DM).