is there any treatment for (insulin antybodies human) for a girl of 4 years old?
patient name :Maryam Hany . gender :female. age: 4years weight :13kg. Her father is a diabetic patient type 2. She has got a fever (about 3 weeks)at April 2006. Since May 2006 she has polyurea specially after meals. She has never comas and the maximum result of glucose test is 350 mg\dl. We discovered the hyperglycemia at 3 Nov.2006. She has never the symptoms of the hypoglycemia even when the result of blood glucose test is 34. C-peptide (fasting) 1.7ng/ml {reference range: 0.9-----4} at 05/11/2006. Glycosylated Haemoglobin 7.3 %{ref. range: 4.2----6.2} at 05/11/2006. Insulin Abs.(Human) (BS) 4 u/ml {ref range:<1.0} at 12/11/2006. Anti Islet Cells Antibodies negative at 12/11/2006. Glycosylated Haemoglobin 6.6%{ref. range:4.2-----6.2}at 14/04/2007. Average last 3 months glucose 120-150 . We give her the insulin since 3Nov. with very little doses (1unit insulatard every 12hrs and 1---2 units of Novorapide every day)
Public Comments
- There is not any reason to test antibody levels unless part of research study since they do not provide any help at all in treatment questions for your child. Similarly, testing antibodies for siblings or parents is useful if involved with a controlled scientific study but not much help for the individual. It can be done but usually insurance companies do not pay for such research. If you wanted to pay the cost of antibody testing for any first degree relatives, some diabetologists suggest islet cell antibodies, insulin and GAD 65 antibodies be tested. Nobody knows how often such tests should be done, when they should be repeated or really what their predictive value is outside of a large study. However, if they are highly positive or more than one are positive, the risks for future diabetes development are high. If they are negative, this does not guarantee that they will stay negative forever. It would be reasonable for you to have such discussions with your diabetes team and follow their advice from a common-sense perspective since there is no known prevention or intervention at the moment that is safe. Lots of research labs working around the world on such problems but not there yet.
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