For acute medical staff in CDU and ED when assessing well children with intermittent/borderline hyperglycaemia where criteria is not met for Diabetes.
To guide how to manage children who have been referred for possible Diabetes but a repeat random capillary blood glucose (cap BG) in ED/CDU is in the borderline or normal range
In most cases the diagnosis of Diabetes is straightforward.
Child 0-16 years with symptoms of Diabetes and random venous blood glucose ≥ 11.1 mmol/l or fasting venous blood glucose ≥ 7 mmol/l (WHO criteria 2006/2011)
Treat as Diabetes - See “Walking Wounded” and “DKA” Guidelines
However, children may present with intermittent/borderline hyperglycaemia and glycosuria in the early stages of Type 1, as a presentation of Type 2 (increasing in incidence – especially in overweight adolescent population) or in monogenic diabetes. Hyperglycaemia may resolve after even a short period of fasting which often happens during referral to hospital.
In some cases, the child has simply not washed their hands (alcohol gel does not count).
Diabetes medical team - 0141 452 4961
Diabetes Hot nurse - 0141 452 4646
Out of Hours- General Paediatric team
These children are well, expected to have a normal appetite and are usually happy to be offered CHO rich options. Below are some suggestions for a CHO rich meal. The majority of these foods are available in CDU but patients may prefer alternatives that are brought by the parents.
Breakfast: Age appropriate portions of
Lunch/Tea: Age appropriate portions of
GGC Paediatric Guidelines