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Type 1 diabetes: your child's risk

In general, if you are a man with type 1 diabetes, the odds of your child getting diabetes are 1 in 17.  If you are a woman with type 1 diabetes and your child was born before you were 25, your child's risk is 1 in 25; if your child was born after you turned 25, your child's risk is 1 in 100. Your child's risk is doubled if you developed diabetes before age 11.  If both you and your partner have type 1 diabetes, the risk is between 1 in 10 and 1 in 4. There is an exception to these numbers.  About 1 in every 7 people with type 1 diabetes has a condition called type 2 polyglandular autoimmune syndrome. In addition to having diabetes, these people also have thyroid disease and a poorly working adrenal gland.  Some also have other immune system disorders. If you have this syndrome, your child's risk of getting the syndrome including type 1 diabetes is 1 in 2. Researchers are learning how to predict a person's odds of getting diabetes.  For example, most whites with type 1 diabetes have genes called HLA-DR3 or HLA-DR4. If you and your child are white and share these genes, your child's risk is higher.  (Suspect genes in other ethnic groups are less well studied. The HLA-DR7 gene may put African Americans at risk, and the HLA-DR9 gene may put Japanese at risk.) Other tests can also make your child's risk clearer.  A special test that tells how the body responds to glucose can tell which school-aged children are most at risk. Another more expensive test can be done for children who have siblings with type 1 diabetes.  This test measures antibodies to insulin, to islet cells in the pancreas, or to an enzyme called glutamic acid decarboxylase.  High levels can indicate that a child has a higher risk of developing type 1 diabetes.


Additional insulin sliding scale Resources:
ENDOCRINE
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Fine-Tuning Control: Pattern Management Versus Supplementation: View 1: Pattern Management: an Essential Component ...
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Supplemental Insulin Sliding Scale
... Supplemental Insulin Sliding Scale. Supplemental Insulin Sliding Scale. SUPPLEMENTAL INSULIN CHART ...


Sliding Scale Insulin -- Lorber 24 (11): 2011 -- Diabetes Care
This Article. Services. PubMed. Letters: Comments and Responses. Letter. Sliding Scale Insulin. Daniel L. Lorber, MD, FACP, CDE ... Katz CM: How efficient is sliding-scale insulin therapy? Problems with a cookbook' approach in hospitalized patients ... SM: The automatic (regular insulin) sliding scale or 2, 4, 6, 8 ...


Subcutaneous Sliding Scale Insulin-pmc
Laboratory/Diagnostic Testing: [ ] Fingerstick Blood Sugar ac and hs (includes use of HS scale) [ ] Fingerstick Blood Sugar ac only. [ ] Fingerstick every 6 hours (if NPO or not eating) [ ] Hgb A1C


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Sliding Scale
Sliding Scale. sliding scale: a set of instructions for adjusting insulin on the basis of blood glucose test results, meals, or activity levels.


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Insulin Sliding Scale References
Insulin Sliding Scale References. The order sets are constructed to be practical and reflect proven standards care based on best. available evidence and or preference/ opinion of physicians in the OSF System. Level of Evidence = LOE


New 1997 Stanford Diabetes Management Guidelines
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