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Symptoms

By Mayo Clinic staff

The signs and symptoms of type 1 diabetes in children usually develop quickly, over a period of weeks. Look for:

  • Increased thirst and frequent urination. As excess sugar builds up in your child's bloodstream, fluid is pulled from the tissues. This may leave your child thirsty. As a result, your child may drink — and urinate — more than usual.
  • Extreme hunger. Without enough insulin to move sugar into your child's cells, your child's muscles and organs become energy depleted. This triggers intense hunger.
  • Weight loss. Despite eating more than usual to relieve hunger, your child may lose weight — sometimes rapidly. Without the energy sugar supplies, muscle tissues and fat stores simply shrink. Unexplained weight loss is often the first sign to be noticed.
  • Fatigue. If your child's cells are deprived of sugar, he or she may become tired and lethargic.
  • Irritability or unusual behavior. Children with undiagnosed type 1 diabetes may suddenly seem moody or irritable.
  • Blurred vision. If your child's blood sugar is too high, fluid may be pulled from the lenses of your child's eyes. This may affect your child's ability to focus clearly.
  • Yeast infection. Girls with type 1 diabetes may have a genital yeast infection, and babies can develop diaper rash caused by yeast.

When to see a doctor
Talk to your child's doctor if you notice any of the signs or symptoms of type 1 diabetes — increased thirst and frequent urination, extreme hunger, weight loss, blurred vision, or fatigue.

References
  1. Standards of medical care in diabetes — 2011. Diabetes Care. 2011;34(suppl):1.
  2. Your guide to diabetes: Type 1 and type 2. National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/type1and2/. Accessed Jan. 10, 2011.
  3. Diabetes mellitus. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/sec12/ch158/ch158b.html#sec12-ch158-ch158b-1105. Accessed Jan. 13, 2011.
  4. Shulman RM, et al. Type 1 diabetes mellitus in childhood. Medicine. 2010;38:679.
  5. Knip M, et al. Dietary intervention in infancy and later signs of beta-cell autoimmunity. New England Journal of Medicine. 2010;363:1900.
  6. de Paula FJA, et al. Novel insights into the relationship between diabetes and osteoporosis. Diabetes and Metabolism Research and Reviews. 2010;26:622.
  7. Sims-Robinson C, et al. How does diabetes accelerate Alzheimer disease pathology? Nature Reviews: Neurology. 2010;6:551.
  8. Levitsky LL, et al. Management of type 1 diabetes mellitus in children and adolescents. http://www.uptodate.com/home.index.html. Accessed Jan. 10, 2011.
  9. Levitsky LL, et al. Complications and screening in children and adolescents with type 1 diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Jan. 10, 2011.
  10. Ketoacidosis (DKA). American Diabetes Association. http://www.diabetes.org/type-1-diabetes/ketoacidosis.jsp. Accessed Jan. 14, 2011.
  11. Shapiro S, et al. The role of complementary and alternative therapies in pediatric diabetes. Endocrinology and Metabolism Clinics of North America. 2009;38:791.
  12. Collazzo-Clavell M (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 19, 2011.
  13. Types of insulin. National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/medicines_ez/insert_C.htm. Accessed Feb. 24, 2011.
DS00931 March 3, 2011

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