Diabetes Mellitus (Pediatric) Signs and Symptoms

Definition

  • Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both
  • Can occur at any age and the earlier the onset, the more serious the long-term damage, dysfunction, and failure of various organs due to the chronic hyperglycemia

Signs and Symptoms

Type 1 Diabetes Mellitus 

  • Hyperglycemia, glycosuria, ketonemia and ketonuria with the following for several weeks:
    • Polyuria
    • Polydipsia
    • Polyphagia
    • Weight loss
  • May also present as severe dehydration, shock and diabetic ketoacidosis (DKA)

Type 2 Diabetes Mellitus 

  • Overweight or obese
  • Glycosuria without ketonuria
    • Some may present with ketonuria
  • Absent or mild polyuria
  • May present with ketoacidosis associated with stress, infection or other illness
  • Acanthosis nigricans
  • Polycystic ovary syndrome (PCOS)