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My 9yo son, 200+ mg/dL for fasting, 400+ random, zero symptoms, perfect health,

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Posted 8/14/2021 11:15 AM (GMT -8)
Hi everyone

My son is 9 years old. He got his regular pediatric exam about 3 weeks back and doctor, whom we have been seeing for a decade (incl for my daughter), rated his health as excellent. He has no weight loss or disproportionate gain, has no urine issues, no excessive fluid consumption, has no signs of fatigue (plays everyday for a couple of hours), is active/alert/happy through the day, and excelling at his school plus other learning/fun activities. I understand that sweets consumption does not cause diabetes but he is totally not into sweets beyond an occasional ice cream or chocolate, something I will classify as low-moderate quantity for a child.

Only issue he is having is bad allergic reaction to some insect/mosquito bites that have caused hives over his body. He gets is a couple of times every year and is on standard antihistamine Montair LC, which contains Levocetirizine and Montelukast, for about 8-10 days now.

I got a full body blood panel done for him as an annual healthcare thing. It was not asked for by an health practitioner. His results were:
1. Fasting - 222
2. HB A1C - 6.9, estimated blood sugar level (eAG) is at 151
3. Tested using Accu Chek kit at home - 430. This was around 1.5 hours after having some cereal + milk and light playing session
4. Every single parameter of CBC, KFT, LFT, Lipid Profile is spot on other than mildly elevated LDL plus marginally low Sodium and Chloride

Right now, he is completely comfortable and has no clinical issues at all. Doctors have recommended some more tests tomorrow. TTG (my daughter has celiac), repeat of sugar and HBA1C, urine routine, TSH.

What's going on with him? What could be the reasons? I have been searching the top reliable platforms for information but it has not yielded any results.

Thanks so much in advance. I have benefitted immensely from this forum in the past and hope to get some knowledge in this precarious situation I am in.

Post Edited (nailthebb) : 8/14/2021 1:44:47 PM (GMT-6)

Posted 8/14/2021 5:14 PM (GMT -8)
Welcome to HealingWell, rrag. I really can't answer your question about what's going on with your son since I'm not a doctor (no one here is). I'm just someone who's had diabetes for some years. Type 2 runs in my family.

First, those readings you posted of his blood sugar (fasting at 222, 430 after cereal and milk and playing) are very out of range high. Please have his doctor see him and run his own lab tests.

Do you have family members with diabetes? Check with the doctor who prescribed the allergy medication - could that cause high blood sugar readings? There are medications that do raise blood sugar at least while the person takes them. But he does need a repeat of some of the blood sugar tests and it would help if those could be done while he's not on other medication in case they're affecting the blood sugar results. (I really hope that's the case.)

Good luck! Keep us updated. I'm glad he's doing fine otherwise and my fingers are crossed.
Posted 8/14/2021 7:42 PM (GMT -8)
Hi yes, +20 yrs diabetic. If the cereal and milk is low carb and low sugar, and after playing, his sugars will drop more. The exercise component always drops bsl. 9yrs of age, could be a genetic factor, or just childhood diabetes that has come from nowhere. A food diary is good, possible carb overload or other sugars hidden in foods. HT
Posted 8/16/2021 9:38 PM (GMT -8)
Thanks Lanie and HT for the responses. His sugar levels and subsequent blood examinations are nearly-conclusively indicative of Type 1 Diabetes. Some additional antibody tests are being done as well to assess the issues and get to the right treatment regimen.

Lanie, there is zero family histrory of diabetes for me, my wife, and my parents. Lab tests have been run a couple of times and readings are consistently on the higher side. Allergy medications are currently ruled out as a cause for this condition. We had him tested for Cortisol levels which came back within range. Amylase, Lipase, and abdominal ultrasound - all point towards a healthy pancreas. C-peptide at 0.2 (normal 0.48) is the clear sign of Type 1 diabetes right now. Will know more after the antibody tests are done today/tomorrow.

There are some ayurvedic treatment experts who have delivered results in Type 1. Will share with the forum in case I go that route and find it beneficial.
Posted 8/17/2021 5:58 AM (GMT -8)
rrag, the C-peptide test is what labs use to determine if the person is type 1 or 2. A type 1 person produces little or no insulin which is needed by the body. There is no substitute for insulin. Having the very high blood sugar you cited in your first post can be very damaging to your son's organs over time and if insulin is not part of his therapy (which will need to be life-long) then his life could be in danger. I hope his insulin therapy is being started at this point. I hope you keep up updated!
Posted 8/17/2021 10:50 PM (GMT -8)
Yes, Lanie. Insulin has been started for last 3 days - both rapid acting before meals (Humalog) and once a day long-term acting one. Showing signs of recovery from the levels 3 days back. Expected to bring it down to normal targeted range in a couple of more days. Still working to understand what are the patterns in his glucose levels and how he responds to Insulin jabs. I believe this is a very recent phenomenon for him as we had him tested 6 months back for random sample as well. So, hopefully high sugar did not have much of a chance to damage organs.

Thanks for responding, again.
Posted 8/18/2021 5:39 AM (GMT -8)
Insulin, whether it's rapid or longer-acting, works within an hour. Even the longer acting one lowers blood sugar within two hours. I don't understand why it would take days for the insulin to bring down his blood sugar.

The other factor is what he's eating. My suggestion is to follow an eating plan that is not full of carbs because the more carbs he eats the more insulin he needs. Please read the link at the bottom of my signature.

Is he seeing an endo?
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