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Posted 2/6/2006 12:59 AM (GMT 0)
  My daughter has been having spikes in her Blood sugar in the evenings.  Some readings have been 219, 224, 186, 146.  Her Dr. did an A1C and said that she is not diabetic.  What IS going on then?  It isn't always high in the evenings, but at least three/four times a week?

Thoughts?????

Posted 2/6/2006 1:21 AM (GMT 0)
Hi windygate,

When does this spike happen???  after eating?  The most important reading is 2 hours after a meal.  And Im curious, if she isn't diabetic how have you come to own a blood glucose meter and are testing her blood??

scool  Warren

Posted 2/6/2006 2:06 AM (GMT 0)

 I check her blood after dinner, anywhere from 1 1/2  to 2 hours later.  What sparked this was obsessive thirst and frequent urination.  Her pediatrician said after doing the A1C that she was not diabetic, but gave us a meter after saying that the one my diabetic father uses daily was faulty.  Her A1C was 5.3.  I have even gotten differing opinions as to what the actualy range is on that.

I have heard that non-diabetic people's B/S doesn't even get that high.  My question is, if that's the case then why is my daughter's doing this?

Posted 2/6/2006 3:58 AM (GMT 0)

Hi Windy,

Well the frequent urination and obessive thirst are huge warning signs.  Also those are pretty high spikes, since most normal people mitigate the sugar in their systems without ever getting that high.

What is good is that her A1c is low..normal.  This means that her body is averaging normal for Blood sugar.  What you have to do is take her readings 60 mins after eating, 2 hours after eating and 3 hours after eating and see where the readings go.  If she spikes but comes back to normal within 2 hours, there probably isn't anything to worry about. Just keep her on a healthy diet is all.  Let us know what the numbers are and we can steer you toward what you should be thinking about.

Also do a fasting reading in the morning after she gets up.  I know its a lot of finger sticks but just for a couple of days.

scool Warren
Posted 2/6/2006 4:50 PM (GMT 0)
How old is your daughter? If she is going through puberty that could cause a spike in a non diabetic's sugars. Adrenaline can also cause a spike. Other than that I too would just keep an eye on her and definitely check the morning fasting sugars.
Posted 2/6/2006 6:47 PM (GMT 0)
The glycohemoglobin test is an average... I'm a type 2 insulin dependent diabetic and mine usually runs 4.7 to 5.5. The average is for doctors to see an overall big picture for past blood sugars, not usually for diagnosing diabetes. It has only recently been utilized as a test for diagnosis but is usually used in conjunction with the other standard tests. You may need to see an endocrinologist or ask for a referral to a pediatric diebetologist. Not knocking your pediatrician here, but he/she may not be totally up to snuff on all the current pediatric diabetes info. I'm surprised that her doctor ordered an A1C and didn't order a fasting glucose or even a glucose tolerance... If she is running big highs and deep lows the A1C would be just hunkey dorey but she could still be diabetic. You need another medical opinion here.
Posted 2/6/2006 8:19 PM (GMT 0)
hi there, A1c tests can be very inaccurate. When I was young, I was a brittle diabetic, which means my blood sugars bounced between high and low daily. My A1c came back normal. My doctor sent me home and I nearly died because it wasn't diagnosed. An A1c measures an average of your blood sugars over a 3 month period but, when you have an equal amount of highs and lows the A1c will show up normal. I would do a fasting blood sugar test in the morning and if its elavated then you will know. For a non diabetic blood sugars should not rise above140 especially 2hrs after eating. How old is your child? For most children there is what they call a honeymoon period, or as I think the time before the pancreas stops putting out insulin. Thats why most type 1's are diagnosed in their teen years, because the doctors can tell earlier,because the pancreas is still functioning. You can see a specialist (an endocrinologist) for a second opinion. Good luck and let us know the update on your daughters condition.
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