Paediatric Screening-Dr. M Lashley’s View

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Early Detection Through Regular Screening Best

Paediatrician Dr. Paula Michele Lashley shared a similar sentient to Dr. Brathwaite as she wished to see more screening in patients who have been diagnosed or have risk factors for Type II diabetes. In her practice, she spoke about the “signs” which may be present in patients and may lead to diagnosis of diabetes such as “darkening of the skin at the back of the neck, being overweight, a family history with diabetes and elevated blood pressure”.  Dr. Lashley advised her colleagues with “obesity in children (being) doubled in Barbados”, it is important to make “blood pressure testing more routine as well as utilizing Random Blood Sugar along with Oral Glucose Tolerance Test and Fasting Plasma Glucose in children and teenagers”.  

Dark neck

Darkening around the neck in young children and adolescents a possible sign of diabetes. (Photo Credit: Youtube)

What is Oral Glucose Tolerance Test?

According to WebMD, “the oral glucose tolerance test (OGTT) measures the body’s ability to use a type of sugar, called glucose, that is the body’s main source of energy. An OGTT can be used to diagnose pre-diabetes and diabetes”.  Dr. Lashley recommended that testing should be due as early as age 10 (at the onset of puberty).

What is Fasting Plasma Glucose?

This test checks your fasting blood glucose levels. Fasting means after not having anything to eat or drink (except water) for at least 8 hours before the test. This test is usually done first thing in the morning, before breakfast.

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Other Testing for Children/Adolescents with Diabetes II

Diabetes Type 1 does not have the conspicuous signs like Type 2.  For those with Type 2, other test should be done specially Fasting Lipids at diagnoses.  Also, screening for Polycystic Ovarian Syndrome (PCOS) should also checked as well.







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