Should my son with T1D be tested for autoimmune diseases?

Question

Hello doctor,

My 14-year-old son was diagnosed with type 1 diabetes last year. He is also struggling with obesity and frequent mood swings. During a recent check-up, his blood glucose was 250 mg/dL. He is currently on insulin therapy, using Lantus once daily for basal coverage and NovoLog for meal-time coverage.

We are concerned about potential side effects and long-term management. Our family has a history of autoimmune disorders, so we are wondering if genetic testing could provide more insight.

Can you explain what diagnostic steps we should take?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

1. First, ensure regular monitoring of his blood glucose levels, including HbA1c tests every three months.

2. Work with his doctor to adjust insulin doses if glucose levels remain high.

3. Watch for complications like diabetic ketoacidosis, eye or nerve damage, and plan for annual check-ups.

4. Support lifestyle changes by:

Encouraging balanced meals.
Portion control.

5. Enjoyable physical activities to address obesity and mood swings.

6. Genetic testing can identify autoimmune markers, but will not change current management.

7. Offer emotional support and consider counselling to help him cope.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.