The best laid plans....
As hookers are not in my budget right now, my plan was to spend my nights catching up on my blogging.
Well sorry folks, but that's not going to happen. And it's nothing to do with hookers....
It has to do with an 8-year-old boy. Because of HIPPA rules and regs I can't tell you his name. His Grandmother is one of my patients. And she decided to test her grandson with her meter. The boy clocked a 234. Fasting. Yeah. That would have been enough for a Dx if it had happened at the clinic.
The boy's mother came to me in a panic. I quickly scrambled the schedule and told her to bring the boy in. Right. Now.
Here's the story: he tells me that no matter how much he drinks, he is always thirsty. He's peeing all the time. The mother tells me he's even started wetting the bed. He's become moody. Grumpy. Doesn't like to play with other kids anymore.
I do a random BG on him and he clocks in at 144. This is one hour after eating a slice of pizza. I run an A1C in our lab and get a 4.9
Hmmmm.....Whatever is going on, it just started.
The kid is fat, but not HUGE. But he is not active at all. I set them up with a meter and instructions to test every AM and come back on Monday. I'll run C-peptide and islet cell anti-bodies, but he just doesn't feel like a Type-1. I'm thinking he might be our first case of juvenile Type-2. I knew this was a growing problem in our country. I knew we'd have one sooner or later. I just didn't expect one quite so young.
As all this was happening the good folks at Bayer brought me 48 glucometers for our patients (thank you good folks at Bayer). So I was making room for them in my office by throwing out old phone books, out dated PDRs, software on 5 inch discs, and other debris left on the book shelf by the previous occupant of my office. As I was quickly “editing” the contents of the book shelf, a thin little red book fell out and landed on the floor at my feet. Not a finger print on its glossy cover. Never been read. The title is: Type 2 Diabetes in Children & Adolescents. A guide to diagnosis, epidemiology, pathogenesis, prevention, and treatment. From the ADA. And only a few years old. Much newer than the phone books I just threw away.
So instead of filling you in on my new Guardian knowledge, I am instead filling my head with knowledge to help my youngest patient.
I know that you of you will all understand.