Type 1 Diabetes

What are the signs and symptoms of type 1 diabetes?

In addition to the signs listed above, children with type 1 diabetes may also have specific symptoms, including:

• Frequent urination
• Excessive thirst
• Feeling very tired
• Weakness
• Extreme hunger
• Blurred or decreased vision
• Unintentional weight loss
• Mood changes
• Irritability
• Bedwetting during the night (when they previously didn't)

The symptoms of type 1 diabetes typically develop quickly. If children are not diagnosed early, type 1 diabetes symptoms can quickly progress to nausea, vomiting, dehydration and severe illness. If a child has these symptoms, it's important they come to the hospital immediately, as they often will need to be admitted to a pediatric intensive care unit.

What tests are used to diagnose diabetes in children?

Your child should be tested for diabetes if they have symptoms of diabetes, or if you think they may be at risk for developing diabetes. Your doctor can diagnose diabetes using the following tests:

• A glucometer: A hand-held device that tests your blood sugar levels using a small drop of blood from the tip of the finger.
• A urine sample: A simple urine collection that your doctor will use to test for the presence of sugar in the urine.
  • For type 1 diabetes, it's important to evaluate the acid levels in blood and urine.
• An oral glucose tolerance test (OGTT): A test that's similar to what doctors do to test for diabetes during pregnancy that tests for type 2 diabetes.
• Hemoglobin A1c: This blood test looks for chronic elevations in blood sugar in kids with type 1 or type 2 diabetes.

If your child does not yet have signs or symptoms, but you have concerns for increased risk for type 1 diabetes due to a family history or the presence of other autoimmune conditions like celiac or Addison disease, diabetes antibody testing and genetic risk testing can be done.

How do doctors at Children's Hospital Colorado diagnose and treat diabetes?

Our doctors will evaluate your child for type 1 diabetes if they are admitted to the emergency department and show signs and symptoms of diabetes. They will perform blood tests to evaluate the levels of sugar and acid in your child's blood.

If your child's blood sugar levels are only mildly elevated, your child may receive fluids through an IV, followed by one to two injections of insulin. The next day, we recommend families receive education and training on how to manage newly diagnosed diabetes at either the Barbara Davis Center for Childhood Diabetes at the Anschutz Campus or our Colorado Springs Diabetes Center.

However, if your child's blood sugar and acid levels are very high, our doctors will provide fluids and insulin through an IV and admit them to our hospital for one or two days. The day after discharge, we recommend your family come to one of the diabetes centers for diabetes education.

How is type 1 diabetes treated?

Children with type 1 diabetes need frequent blood sugar testing and insulin replacement using insulin injections (shots). Children with type 1 diabetes generally need multiple (at least four) insulin injections each day. Many children use a pump that delivers insulin to their body without giving injections. Children will need to test their blood sugar four to eight times each day using a glucometer. Some children use a device that is attached to their skin with a small sensor under the skin that measures their blood sugar frequently throughout the day.

At the Barbara Davis Center and the Colorado Springs Diabetes Center, clinicians teach families how to safely give their children the insulin injections they need to control the condition.

Why choose Children's Colorado for your child's diabetes treatment?

At Children's Colorado, your child has access to the experts they need, all in one place.

Children and teens with type 1 diabetes receive care by a dedicated diabetes team.  Pediatric diabetes experts provide holistic, family-centered care for children with diabetes.

The care teams at the diabetes centers include board-certified pediatric endocrinologists, physician assistants, nurse practitioners and certified diabetes educators in nutrition, nursing and family counseling. This multidisciplinary team can devise plans to manage your child's diabetes, which may include dietary changes, exercise and medicine.

The following resources are available to help parents learn more about their child's diabetes diagnosis:

• Juvenile Diabetes Research Foundation
• The Barbara Davis Center
• The American Diabetes Association
• Family Health Library located on Anschutz Medical Campus in Aurora
• Pediatric nutrition and weight management resources
• Preventing heart disease in childhood: Listen to our Pediatrician-in-Chief, Dr. Stephen Daniels, discuss childhood obesity and prevention.