[livi]

Mark,

I have been following your thread without speaking up, as I know there are several docs here that are better informed with adult medicin. With symptoms like these and potential diabetes the clinical picture can be more subtle, insidious with adults. The insulin sensitivity of the body cells can vary over time and so it does not have to be an complete 'on or off' situation. I agree with Tobra in that 'borderline' in this sentence is an inadequate name and the actual glucose level taken once or twice randomily can be very misleading. Also, the threshold for leaking glucose in the urine is higher with adults.

Now, in a way it is much easier with children. They basically always have type I diabetes. Then onset is almost never insidious, but rather abrupt. Symptoms tend to lead them to a doctor within a week or two. They have a much lower threshold for leaking glucose into the urine, so that is pretty much diagnostic. Coincidentally, I diagnosed a boy of 18 months with diabetes last week.