My 3 yo pricked herself with a needle yesterday - drawing blood. I decided to test her bs seeing it as an opportunity. So her bs was 109. She had eaten before that.

Is 109 REALLY ok for a child? I know it's not terrible (and is within the accepted test range for 'normal'), but I thought from Bernstein that truely normal people don't usually go over 100 and their bs is usually very tightly controlled.

Am kind of having a minor freak that I'm going to need to be watching her closely and her diet.

She has celiac and asthma, so far. I do have request for blood tests for her (for CBC, iron, b levels, etc to check if there is any ongoing obvious malabsorption) and am thinking of adding in an A1C.

I do hope I am worrying for nothing. I am going to feel oh so bad if she also got this from me. :( Her father has a family history of type 2. I have no family history of anything diabetes-wise, but am probably LADA or Adult onset type 1 (my opinion from reading, not proven)....

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My understanding is that a normal person after a meal could go as high as the high 120's but would get back down to the low 80's fairly quickly. So a 109 could well be absolutely normal, depending on carbs in the meal and time from eating.

Also, important to remember that home BG meters have an "acceptable" error margin of +/- 20%. So a 109 doesn't necessarily mean her BG is 190—it could actually range anywhere from 89 to 129.

I think studies have shown that "normal" people go as high as 140-160 after meals, it's just that they only stay there for, at most, 30 minutes or so before coming down, and their BG is normal again after an hour or two.

Thank you both! Nice to have some voices of reason!

I am still going to test her A1C when an opportunity arises. I am also going to try to avoid sweets as much as possible without undue deprivation....

I guess as a mum one can't stop watching and worrying.... and that little seed of fear about her getting diabetes is so firmly planted. I just hope and pray with all my heart that it never gets to grow.

Regardless, I guess we'll manage.

One fingerstick really isnt enough data to draw any good conclusions. Its possible yu got lucky and happened to hit a moment when the bg was down. Not likely, but possible.

I would do an A1C, if only to find out she is a beautiful, HEALTHY little critter. :) The $20 spent will likely more than pay for itself in peace of mind. And if you do have a problem lurking, you will know early and avoid a dangerous and expensive trip to the ER.

YMMV :)

Yes, you're right! And she had pricked herself and drawn blood so I took it as a good opportunity. But I'm not going to go pricking her regularly to check this further unless I have good reason. Will get the a1c done in the next few weeks (after baby no. 2 arrives)... when things have settled and before her next pedia appointment..

That's perfectly fine after eating. Kids have somewhat lower BG than adults, but 109 is nothing at all to cause concern.

I've tested friends & my husband when he's allowed it. Almost everyone was over 100 after meals (highest was 123 after some serious carbs), but they came down to 80's very quickly.

Two years later and I forgot all about testing her. she is now 5. She has been asking me to test her blood sugar when I test mine - just the past few days.

A few random tests have all come back around 103 - 110. Yesterday afternoon tested and got 158! Sent her to wash her hands and retested at 115. Phew! Last night after bath and before sleeping got 138 (as far as I know she hadn't eaten for about 4 hours before that one). I am sure my meter is accurate.

So time to look at this a bit more closely and test her actual fasting numbers a few times and then 1 1/2 - 2 hours after a carby meal. I also have a home a1c test that I can do for her. I really hope I am concerned about nothing - but may be time to get the whole family onto a lower carb diet - not just mummy.

If my testing yields higher than normal numbers may also need to discuss with her pedia / touch base with a pediatric endo. I am an admirer of Bernstein and convinced of his rationale to keeping bs normal, particularly for children. Hopefully can intervene early enough that this won't progress.

I would definitely do more testing and then have her evaluated if it looks off. A lower carb diet is a good idea since if she does end up having D, hope not, then it will be less of a hardship for her later in life to lower her carb intake if she needs to.

Again, there is still a lot of missing data, but that 130+ sorta has my attention. If its a rogue number, its just interesting. If it is part of a pattern, it needs additional investigation. Only one way to find out! More data!

Recalibrate the meter and verify it on a non-D that hasnt eaten for a few hiurs. Now feed your daughter a normal early dinner. Test her around bedtime, then test her around 2 am (to get away from any possible dawn effect or cortisol awakening response). Test again immediately on wakening. If any two of those numbers is over 120-ish, I would promptly put this thing into the lap of a qualified doctor for further investigation. (Remember: lots of us "expert-sounding") people are just wanna-be D-hacks. On our best day we make for exceedingly poor doctors! Hehehe. Dont trust your childs health to the internet. Get professional advice).

Here is to hoping you just wasted some test strips, a little sleep, and some grey hairs. :)) My bet is she is fine, but it never hurts to double-check!

Does your five year old daughter have any other indicators of diabetes? I would not subject my 5 year old to finger prick tests unless they were necessary - meaning she was diagnosed with diabetes. A child is curious of course but this is a rather invasive curiosity and I would not accommodate it. I am with Roark on the suggestion to Get professional advice.

Her blood sugar last night before bed was 128.

Fasting this morning was 106.

Neither terrible, but also not normal - particularly for a slim, active child.
Still need to do the home hba1c, which I will do sometime in the next week or so.

Will bring this up with her pedia when we see her next - will schedule in the next week or so, and ask for referral to a pediatric endocrinologist. I think this would bear careful watching and will get her eating the same lower carb diet I do (this won't be devoid of treats as I bake and make low carb stuff - also she is used to diet already as she is celiac and has food sensitivities).

I would be very concerned to do everything possible to reduce the chance for this to progress.

I won't be testing her every day, but I will test a few times a week. Maybe 1 fasting, 1 2 hr after eating, 1 bedtime to get some more data to show her dr.

I agree and I think it is always better to know what is going on if you're worried, fingers sticks can help you figure this out and aren't that bad to endure here and there. If you can do anything to prevent her having D, or to avoid a disaster you need to do that. I think the main thing with D is that non D people always go back to normal(80-90) two hours after a meal unless some other health issue is going on.

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