Paeds diabetes & nocturnal enuresis

Question 1

Nocutnal enuresis

When do most kids get control of their piss

How do you treat if <7yo & >7yo

Answer 1

3-4yo

<7yo -> enuresis alarm

>7yo -> desmopressin

Question 2

signs of diabtetes in kids

Answer 2

Heavy napies

Recurring skin infections

Thirsty

Thin

Tiered

Question 3

what is a red flag for diabetes in kids

Answer 3

Secondary nocturnal enuresis -> return to bed wetting

Question 4

what are the 3 Ts of childhood diabetes

Answer 4

think

Thin, Thirsty, Tierd, Toilet often

test

finger prick BG -> >11

telephone

Same day review

Question 5

for diagnosing diaabetes, what are the results for…

Fasting BG

Random BG

OGTT

Answer 5

Fasting -> >7

Random & OGTT -> >11

Question 6

how is childhood diabetes diagnosed

Answer 6

High BG on test

Symptoms being present

Question 7

hat is used for long-term monitoring of BG control & why

Answer 7

HbA1c

Shows BG contorl over the past 2-3months, as RBCs last 120days

Question 8

how do you treay hypoglyemic if the child is…

1. awake & aware
2. awake but no clue whats going on
3. unconcious/fitting

Answer 8

1. oral carbs (like orange juice)
2. glucogel
3. IM glucagon/10% glucose