Hi,I am Dr. Santosh Kondekar (Pediatrician). I will be looking into your question and guiding you through the process. Please write your question below.
10 1/2 year old female. type 1 diabetic for 5 years. has ongoing stomach pain and headaches with moderate to large ketones continuously over this time. running low grade fevers now with sporadic sugars from extreme lows to extreme highs? any suggestion for pain
OK, this an emergency , because children who has type 1 DM and having fever , their body build up ketones and metabolic acidosis , and this causes abdominal pain. so it's very urgent to do a blood gas in order to know the Child's PH and bicarbonate. if ph is less than 7.3 and bicarbonate is less than 16 then your child is having DKA ( diabetic ketoacididosis ) and this situation can't be treated at home , and she needs to be admitted . if the blood gas is normal and the fever and abdominal pain suggest other cause like food posing or urinary tract infection , then you need to increase the total daily insulin by 10% . you look this up more by searching ( diabetic child sick day managment ) I hope this helps
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What Causes Stomach Pain, Headache And Fever?
OK, this an emergency , because children who has type 1 DM and having fever , their body build up ketones and metabolic acidosis , and this causes abdominal pain. so it s very urgent to do a blood gas in order to know the Child s PH and bicarbonate. if ph is less than 7.3 and bicarbonate is less than 16 then your child is having DKA ( diabetic ketoacididosis ) and this situation can t be treated at home , and she needs to be admitted . if the blood gas is normal and the fever and abdominal pain suggest other cause like food posing or urinary tract infection , then you need to increase the total daily insulin by 10% . you look this up more by searching ( diabetic child sick day managment ) I hope this helps