Detection and Treatment
Norton Healthcare offers a variety of programs designed to diagnose, treat and control diabetes and other endocrine problems in adults and children. Although there is no cure for diabetes, treatment involves medication, diet and exercise to manage diabetes and prevent symptoms and complications.
Exams and Tests for Diabetes
- Urine analysis- may be used to look for glucose and ketones from the breakdown of fat. However, a urine test alone does not diagnose diabetes.
- Treatment for diabetes in pregnancy
The following blood glucose tests are used to diagnose diabetes:
- Fasting blood glucose level - diabetes is diagnosed if higher than 126 mg/dL on two occasions. Levels between 100 and 126 mg/dl are referred to as impaired fasting glucose or pre-diabetes. These levels are considered to be risk factors for type 2 diabetes and its complications.
- Random (non-fasting) blood glucose level - diabetes is suspected if higher than 200 mg/dL and accompanied by the classic symptoms of increased thirst, urination, and fatigue. (This test must be confirmed with a fasting blood glucose test.)
- Oral glucose tolerance test - diabetes is diagnosed if glucose level is higher than 200 mg/dL after 2 hours (This test is used more for type 2 diabetes.)
- Hemoglobin A1c - ask your doctor how often you need your hemoglobin A1c (HbA1c) level checked. The HbA1c is a measure of average blood glucose during the previous 2 to 3 months. It is a very helpful way to determine how well treatment is working.
- Ketone testing - another test that is used in type 1 diabetes. Ketones are produced by the breakdown of fat and muscle, and they are harmful at high levels. The ketone test is done using a urine sample. High levels of blood ketones may result in a serious condition called ketoacidosis.
Ketone testing is usually done at the following times:
- When the blood sugar is higher than 240 mg/dL
- During acute illness (for example, pneumonia, heart attack, or stroke)
- When nausea or vomiting occur
- During pregnancy
Norton Diabetes Center
The Norton Diabetes Center helps to coordinate diabetes education and management efforts at all area Norton Hospitals including:
- Conducting Type 2 diabetes classes
- Offering education on and management of gestational diabetes
- Offering nutritional counseling which may include individual appointments with dieticians
Endocrine Services for Children
The Pediatric Endocrinology Service at Kosair Children's Hospital provides diagnostic and therapeutic programs for children with a number of endocrine disorders including:
- Metabolic disease
- Disorders of physical growth
- Sexual maturation
- Thyroid function
- Adrenal function
- Pituitary function
- Calcium and Phosphorous metabolism
For more information, to schedule an appointment for a diabetes class or to see a dietitian, call (502) 629-2604.