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330806 tn?1194882349

carbs doing it

Ok my son is 10 weight 53 lbs and has weird blood sugars. His A1c was 5.6.. doctor is lost.

He has Gerds and dumping had a gtube for 4 years but last 5 yr he has been off it has a nyson so he can not throwup or burp.

Well school called said he was clamy lethargic very pale and has happened 3x in last 5 weeks always after lunch about 1 to 2 hrs after. Well the nurse at school said is he diabetic I said no but I took him home his sugar was 150 2 hr after eat. Here is his reading last few days

Waking 115
Before lunch 111
Before dinner 132
Before bed 144

Waking 127
Before lunch 130
Before dinner 126
Bed 155

Waking 99
Before lunch 102
Before dinner 91
Before bed 101

Well the doctor is lost on him says when he has carbs it is high. Yes kept food diary for him also he had a waffle on first day for lunch second day he had a 3musketer bar at 1pm.  But am sure by 9pm sugar would be lower :-(

So what can the issue be if it isn't juvenile diabetes. His doctor said it might be the begining... what do u all think
3 Responses
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267079 tn?1195142970
MEDICAL PROFESSIONAL
When we normally eat carbs our blood sugar raises, however, insulin is released and it lowers bloods sugars back down to normal levels. Hope the endocrinologist helps you.
Helpful - 0
330806 tn?1194882349
My son had the OGTT and his was 100g he took it at 9:33 am and by 10:05 his sugar was 390 30 min later I had to take him back in he was breathing bad and was trying to vomit his sugar was 400 then at 1.5 it went to 381 then at almost 2hrs it hit 436 and at 3hrs was down to 220. This test scared the skin off me. My son didn't even look coherent. The doctor said he gave him 100g not the 75 g he wanted to but that either way his numbers are super high and he thinks yes he is Type 1.. THEN he comes back and said wait he sending us to a gastro doctor because it can actually be something like delay in the tummy emptying which my son had the poops 5x in 2 hrs because of this test.. I really doubt this. Then he said maybe it is because he has a nison fundalication or his sugar is high because he has dumping syndrome. Either way I was not happy I said I want to talk to a endocrinologist he said ok and he talk to one and they said to run these blood test on my son Islet Cell Antibody a GAD65 Antibody and a C-Peptide which we have already done so waiting on the results. My mind is so lost on this doctor am not sure if i should get second opinion or what. I made a mistake his A1c was a 5.5 but his sugars at home are still on high side. Friday we had pizza and it went up to 185 hr after he ate and then was 141 at 2 hrs. Not sure what to think and I have to wait for a referall to see the Endo or the gastro that can be weeks :(
Helpful - 0
267079 tn?1195142970
MEDICAL PROFESSIONAL
His weight is just below the 5th percentile and his height is just above the 75th percentile for his age. He is slightly underweight for his age. Suggest he has a blood glucose tolerance test which indicates if a person has diabetes or not. In the meantime, suggest increasing his protein intake and he has a protein source (meat and/or dairy) with meals and snacks so he is not eating carbs alone. For his age he need 2000 calories a day. Hoped this helped you.
Helpful - 0

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