Endocronologist (Pediatric) | Pediatric Endocrinology Questions

asking about Type 1 diabetes

Hello Dear,

I am a mother of a 6 years (and 8 months) girl (height 135 cm and weight 27 kg), 1 month ago she was diagnosed with T1DM, I am interested in knowing more about the results of the tests, 1 day after the diagnosis and the start of treatment in the hospital the results of her analyzes for c peptide and insulin were: (c peptide)= 0.150 ng/ml and insulin 0.200 uU/ml, while exactly 2 weeks after diagnosis after fasting the results were: c peptide= 0.7 ng/ml and insulin 3.28 uIU /ml and now almost 5 weeks after the diagnosis, the non-fasting results are: c peptide = 2.04 ng/ml and insulin 12.43uIU/ml. I want to emphasize that after we were released from the hospital, we did a visit and urine analysis for the girl and the results were that she had enough leukocytes 2+75Leu/uL and the glucose in the urine was negative (this result was almost the same even before the girl was hospitalized, but she was not treated with anything for infection), after we came home, after consultation with the pediatrician, she was treated with the antibiotic cephalexin, and I want to emphasize that exactly 2 days after the antibiotic treatment started she was better, we removed the use of insulin for her, and she has now not used a single unit of insulin for 1 week and her blood glucose values are between 5.6-6.6mmol/dL 2 hours after a meal, sometimes 1 hour after a meal it happened that she approaches the value of 10mmol/dL. I want to know if this improvement in the values of c peptide and insulin belongs to that period which, as far as I have read, is known as the honeymoon or if this could be an improvement due to the use of antibiotics because she may have had an infection, because for a period of several months, she sometimes complained of abdominal pain and was not treated by the doctors because they did not find anything during the check-up that I can say was not detailed at all?

I hope for your answer, thank you in advance for your time

Female | 6 years old
Complaint duration: 37
Medications: insulin
Conditions: diabetes

1 Answer

Hello Maam, Your doctor can order islet cell antibodies, four widely available blood tests to confirm or exclude type 1 diabetes mellitus. Alternatively, you can find a pediatric endocrinologist close to you via this search tool who could order and interpret such antibody results: https://apps.pedsendo.org/find_a_doctor/index.cfm Respectfully, Dr. Ferry CONFIDENTIALITY NOTICE: This message and its attachments contain confidential and privileged materials protected by law, the Privacy Act, the attorney work product privilege, and/or the attorney-client privilege. This message is intended only for the personal and confidential use of the recipient(s) named in the communication. If you are not the intended recipient, you are notified that any use, dissemination, distribution, copying, or storage of this message or any attachment is strictly prohibited. If you have received this correspondence in error, please notify Dr. Ferry, the sender at once, by calling 210-361-3738, and destroy this email, any attachments, and any copies you have made or stored on any media.