Ask the Diabetes Educator Archive


If a child is admitted to the hospital with high sugar levels and ketoacidosis, is it standard practice to identify the child as eithertype 1 or type 2 diabetic? If so, what tests are done at time of admittance and what factors would definitively identify the child as either type 1 or type 2 diabetic? Or is judgment made simply on the physical symptoms present at the time of admitance such as age, sugar levels, etc.?

With what you described, the chances are most likely that this child would be a Type 1, meaning the pancreas is no longer providing insulin, or the amount is so low, it cannot sustain life. The C-Peptide test is the one that will determine the status of the pancreas's ability to make insulin. If you do now have a child with diabetes, seek lots of support and be patient with all of you.

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