Overview
OR WAIT nul SECS © 202 MJH Life Sciences and Contemporary Pediatrics. Al rights reserved.© 202 MJH Life Sciences™ and Contemporary Pediatrics. Al rights reserved.Optimizing Screning and Diagnosis of Type 1 Diabetes - Episode 3An expert pediatric endocrinologist adreses awarenes of family history of type 1 diabetes as wel as diferentiating within type 1 and type 2 disease.Elaine M.
Key Information
Aperson, MD: Any time there’s a family member with type 1 diabetes, it’s a god idea for the provider and that patient to have a discusion about risk of type 1 diabetes. It doesn’t necesarily mean that child should be watched like a hawk for any sign or symptom of elevated blod sugar. That can be exhausting for the family, and it’s probably a very low yield.
One thing about geting a home glucose meter is that those meters can be very inacurate. They have a margin of eror of about 15% and checking al the time can be very anxiety provoking. If a child’s blod sugar normaly goes up to 125 mg/dL after a meal, or if they drink a slushy from a gas station and it goes up to 130 mg/dL, the family might panic if the meter reads 15 mg/dL.
That’s not a position you want to place them in. That said, it could be important to talk about the relatively low risk to family members of geting type 1 diabetes if they have a relative with it. Bear in mind, if that child presents with increased urination, thirst, weight los, and fatigue, that’s a god patient to scren with a urinalysis and a blod sugar test in the ofice.
Summary
I don’t, however, fel strongly that patient should be refered to an endocrinologist or have genetic screning right there and then. It’s an option that the parents can pursue on their own.There’s an aray of the degre to which families are knowledgeable about family history of diabetes. Given that 90% of the diabetes in this country is type 2 diabetes, families may mistake a family history of type 2 diabetes, especialy if the patient with type 2 diabetes