Happy Healthy Story 3

            A Kid Was Eating More Than The Parents#

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            A  mother brought her 10 year old who was having an increased food intake, The amount of intake was more than the amount consumed by the parents, Every two hours he was feeling hungry, These changes have been noticed for two weeks, 

Earlier he was not shown any interest in taking the food, The mother used to request him repeatedly for intake of food on time, Once  he started asking about food voluntarily mother felt very happy. Within 5-7 days, the frequency and quantity of food were increased. The mother started worrying once he was taking food more than his parents. After taking a good amount of food also he had not gained any wight. This was also another worrying thing for the mother. 

Mother was a science teacher. She heard about the features of diabetes. She brought him basically to rule out diabetes. Boy was having lean built and  otherwise had no obvious abnomality.

We have ordered blood sugar, HbA1C, and urine for sugar and ketones investigations. These investigations suggested diabetes with ketosis. We made a probable diagnosis of type 1 diabetes and later confirmed it with an autoantibodies profile test. 

Apart from having increased hunger, he did not have other features of diabetes such as increased thirst, frequency of  urination, or weight loss. Increased food intake might have compensated against wight loss. As we are in an adequate early course of the disease he might have not developed all features of diabetes and also features of diabetes ketoacidosis such as abdominal pain, nausea, vomiting and shortness of breath. 

He was started up on insulin as per standard protocol with basal and bolus regimens. on follow up  his sugars became stabilized and increased hunger also came down.

Absolute deficiency of insulin in type 1 diabetes person body cell won't utilize glucose. insulin acts like a key that helps in the entry of glucose into body cells and allows it to be utilized in a better way. When there is no insulin, even  though the amount of good glucose is in the blood, body cells are deprived of glucose and thereby energy. This sends signals to have more appetite. once we start using insulin, glucose will be utilized  by the body cell and that provides the energy. There by cutting down the increased hungry.

                               !INCREASE FOOD INTAKE IS A  FEATURE OF DIABETES!