juvenil diabetes: 9 Diagnosis

Diagnosis

Children who have diagnosed diabetes mellitus, for the purpose of simple can be divided into three general categories: (1) people who have a history of diabetes impressive, especially poliuria with polidipsia and failure to increase body weight despite a high appetite, (2) those who are suffering while glukosuria or settle, and (3) those who have clinical manifestations acidosis metabolic with or without stupor or coma. In all cases the diagnosis diabetes mellitus depending on the hiperglikemia associated with glukosuria with or without ketonuria. When symptoms of classic poliuria and polidipsia accompanied with hyperglycemia and glukosuria, glucose tolerance test is not required to support the diagnosis.
The findings glukosuria with or without hyperglycemia level of light entering the hospital during the trauma or infection, or even increased during the emotional connection is usually not indicate the existence of diabetes, in most circumstances this glukosuria less during healing. Because this condition may indicate a limited capacity to sekresi insulin, which appear by increasing stress hormone plasma level, patients should be re-checked for possible tommorrow hyperglycemia or clinical signs of diabetes mellitus. On this condition, glucose tolerance test should be conducted several weeks after recovery from acute illness by using a glucose loading dose adjusted to body weight. Evidence shows that this test may be abnormal in most of HLA-DR3 and HLA-DR4, and they have the antibody cell islands or autoantibodi insulin detected.
Screening procedures such as determination of blood glucose after eating (postpandrial) or oral glucose tolerance test has detected a low number on the child, even on those who are considered at risk even though, such as sibling children diabetic. Because screening procedure is not recommended in children.