Type 1 Diabetes is common in the paediatric age group and is considered a medical emergency given the significant risk of progressing to diabetes ketoacidosis (DKA). DKA is associated with significant morbidity and mortality with potential acute and long term complications.
Type 1 Diabetes can present insidiously, and referring for formal blood tests may delay diagnosis and lead to decompensation and presentation in DKA.
As such, patients with symptoms suggestive of diabetes (polyuria, polydipsia, weight loss, lethargy) should have point of care (POC) finger prick for blood glucose/ketones +/- urine glucose/ketone. Elevated glucose warrants immediate referral to the local emergency department for urgent assessment and management.
If there is uncertainty regarding a presentation, please call the paediatric registrar or if urgent call Sunshine paediatric emergency on 8345 1596.
Disclaimer: This article was provided by Western Health. While every effort has been made to ensure the information is accurate, North Western Melbourne Primary Health Network does not warrant or represent the accuracy, currency and completeness of any information or material included within.
