TY - CHAP M1 - Book, Section TI - Diabetes Overview 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 Y1 - 2015 N1 - T2 - The Color Atlas of Pediatrics 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). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114879083 ER -