facebook-linktwitter-linkyoutube-link

Diabetes Inpatient Care

Sometimes children and their families haven’t been diagnosed with diabetes yet, either Type 1 or Type 2, so a child may need hospitalization to get their diabetes diagnosed and their condition under control. Some children may have the condition, but have a severe complication or diabetic episode, that may require hospitalization.

Screening Tests

The general pediatrics physician will consult with a pediatric endocrinologist if they suspect diabetes and will recommend a screening test. Screening tests include:

A blood sample will be taken at a random time to determine the blood sugar level. If it’s 200 mg/dL or higher, diabetes may be present.

This blood test measuring the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells, to indicate an average blood sugar level for the past two to three months. An A1C level of 6.5 percent or higher on two separate tests indicates diabetes.

This blood test is taken after an overnight fast. If the results come back at 126 mg/dL or higher on two separate tests, your child will be diagnosed with diabetes.
Once diagnosed with diabetes another blood test will be run to check for autoantibodies, which are common in type 1 diabetes. The presence of ketones, byproducts from the breakdown of fat, in a child’s urine, suggests type 1 diabetes.

 

Treatment & Management

If left untreated, a child could lose consciousness. In this instance an emergency injection of glucagon, a hormone that stimulates the release of sugar into the blood, is used.

Monitor & Control Blood Glucose Levels

While hospitalized, blood glucose monitoring (SBGM), checks the patient’s blood glucose levels regularly, to help physicians, patients and their families make informed decisions regarding medications, insulin treatment, meal plans and exercise programs.

Insulin Replacement Therapy

Children with type 1 diabetes, will need insulin treatment. Some children with diabetes may even have to take a combination of two different types of insulin to control their blood sugar levels. Some oral medications can also be taken.

Inpatient Diabetes Education

Education is a critical component of diabetes treatment and is crucial to achieve positive condition management outcomes in a pediatric patient. The general pediatrics care team’s goal is to control a patient's blood sugar levels during hospitalization so patients heal quicker with fewer complications, and to educate them and their families, about their diabetes for a successful transition from the general pediatrics unit to the Endocrinology, Diabetes and Metabolic Outpatient Specialty Center. Children and their families will learn how to manage the condition through:

  • Meal planning from a registered dietitian
  • Instruction from a certified diabetes educator
  • Exercise planning
  • Individual consultations

 

 

Miller Children’s Hospital Long Beach
2801 Atlantic Ave., Long Beach, CA 90806
(562) 933-5437

Get directions

MemorialCare Health System is a not-for-profit integrated-delivery system which includes Long Beach Memorial Medical Center, Miller Children’s Hospital Long Beach, Orange Coast Memorial Medical Center and Saddleback Memorial Medical Center in Laguna Hills and San Clemente. Our community-based hospitals are located in Southern California in both Los Angeles County and Orange County. Copyright © 1999 - 2009, Memorial Health Services. All rights reserved.