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Type 2 Diabetes in Children - When To Call a Doctor

Call 911 or other emergency services right away if your child:

  • Has symptoms of hyperosmolar state, such as:
    • Blurred vision.
    • Trouble staying awake or trouble being woken up.
    • Fast, deep breathing.
    • Breath that smells fruity.
    • Belly pain, not feeling hungry, and vomiting.
    • Feeling confused.
Less common in type 2 diabetes is diabetic ketoacidosis (DKA), which has symptoms similar to those of hyperosmolar state. But DKA is still possible and very dangerous.
  • Has passed out (lost consciousness) or has suddenly become very sleepy or confused. (Your child may have very low blood sugar, called hypoglycemia.)
Low Blood Sugar: Emergency Care

Call a doctor if your child:

  • Is sick and has blood sugar that cannot be controlled.
  • Has been vomiting or has had diarrhea for more than 6 hours.
Sick-Day Guidelines for People With Diabetes
  • Has blood sugar that stays higher than the level the doctor has set for your child, for example, 240 mg/dL for two or more readings.
  • Has blood sugar that stays lower than the level the doctor has set for your child, for example, 70 mg/dL for two or more readings.
  • Has symptoms of low blood sugar, such as:
    • Sweating.
    • Feeling nervous, shaky, and weak.
    • Extreme hunger and slight nausea.
    • Dizziness and headache.
    • Blurred vision.
    • Confusion.

Check with your doctor if your child:

  • Often has problems with high or low blood sugar levels.
  • Has trouble knowing when his or her blood sugar is low (hypoglycemia unawareness).
  • Or you have questions or want to know more about diabetes.

Watchful waiting

Watchful waiting is a period of time during which you and your doctor observe your child's symptoms or condition without using medical treatment. Watchful waiting is not appropriate if:

  • You think your child may have symptoms of type 2 diabetes. A simple blood test is all that is needed to determine whether your child has the disease.
  • Your child is overweight and gets little or no exercise. He or she is at risk for diabetes. Early detection and treatment for type 2 diabetes can prevent or delay complications from the disease.
  • You have been told that your child has prediabetes. This condition can lead to type 2 diabetes. If your child eats a healthy diet and exercises regularly, he or she may not develop diabetes.

Who to see

Most doctors can diagnose diabetes. After your child has been diagnosed, your doctor will work with you to build a treatment plan that fits your child's needs. Health professionals who may be involved in the treatment of children with type 2 diabetes include:

To prepare for your appointment, see the topic Making the Most of Your Appointment.

1

WebMD Medical Reference from Healthwise

Last Updated: August 16, 2013
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.

People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.

Congratulations on taking steps to manage your health.

However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.

Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.

Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

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