Guide me, please

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xajid

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Relationship to Diabetes
Type 1
Hi!
My son is 9 years old with a strong diabetes history. Every time I test him for fasting glucose, the reading comes around 120, 125. He has an HbA1c of 5.5.
can someone tell me, if this is the pre-diabetic stage or if he has irregular HbA1c and is diabetic?


Regards
 
Looking on the media tab, one of the charts (If I understood it correctly) shows that your readings are in the non-diabetic range.

If I have misinterpreted it someone will be along shortly to correct things.

Have a look at the media section and see what you think
 
That’s a normal non-diabetic HbA1C @xajid The fasting readings are 6.7 and 6.9 (this is a U.K. site and we use mmols). I wouldn’t see anything to worry about there. What’s the strong diabetes history you mentioned?
 
I see you are posting from Pakistan. When it comes to children, it is sensible always to look for professional advice locally if you have any concerns.
 
@Inka I being his father a diabetic. My Father, mother, 2 brothers, paternal and maternal grandparents are also diabetic. my uncles are also diabetic. My parents were second cousins as well.
 
xajid said:
Type - I
Click to expand...

With such a strong family history of Type 1, has MODY been ruled out (a genetic form of diabetes)?:
https://www.diabetes.org.uk/diabetes-the-basics/other-types-of-diabetes/mody

These are the signs of Type 1 diabetes in children:
https://www.diabetes.org.uk/guide-to-diabetes/your-child-and-diabetes/symptoms

As he’s had an HbA1C done, I presume he’s being monitored? If it’s Type 1 rather than MODY, then there are antibody tests available that can detect the early stages of an auto-immune attack on the insulin-producing cells. With such a strong family history, I think you’d be better off consulting a doctor for advice. I also think it’s important not to focus too strongly on the diabetes and worry your son. He might get it, but he might not, and even if he does get diabetes, it might not be for some years.
 
My understanding is that pre-diabetes is a precusor to type 2 diabetes.
I have not heard of such a thing for Type 1 which, I believe, comes on pretty quickly for children.
 
@Inka I appreciate your motivation but I am really worried about him as he can't spend a single day without eating chocolates and candies.
I have an appointment with an Endo consultant tomorrow but before that, I wanted to do some homework so that Doc may not miss something. He is developing some symptoms of MODY like thirst, frequent urniation, and fatigue but not weight loss as yet.
 
It’s a difficult balance @xajid If we make foods forbidden, then it can make children want them more. I try to keep them for after meals for my children when the ‘sugar rush’ is slowed down by the other foods - for general health reasons not diabetes.

Type 1 is an auto-immune condition. We don’t know what triggers it yet, but something starts off an attack on the insulin-producing cells in the pancreas. Over time, they become destroyed, and once the majority of them have gone, the body can no longer control its blood glucose level and Type 1 is diagnosed. MODY is to do with genes. There are different types of MODY and that would need diagnosis by a specialist.

It’s very natural for you to worry about your son but I hope you get reassurance from the endo. The HbA1C you posted is in the normal range, but the endo can tell you more and give advice.

I wish you and your son well
 
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