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Pediatric Endocrinology (Expert Forum)
Weight loss
Answered by
Deanna L Aftab Guy, MD - Short Stature, thyroid, Pituitary abnormalit, Puberty concerns, Rapid Growth, Adrenal problems, Parathyroid abnormal, Rickets and bone dis
Vanderbilt Children’s Hospital
Nashville - TN
Questions in the Pediatric Endocrinology forum are answered by Dr. Deanna L Aftab Guy, affiliated with Vanderbilt Children's Hospital. Topics covered include adrenal problems, diabetes insipidus, menstrual irregularities, obesity, parathyroid abnormalities, pituitary abnormalities, puberty concerns, rapid growth, rickets and bone disease, short stature, and thyroid.
Weight loss
by lynn0713, Feb 08, 2008 11:00AM
My daughter is 19 years old and has been diabetic for the past 16 years. She did well up until about age 17. She has had a lot of weight loss due to uncontrolled diabetes. She has also not had regular periods for the past 2 years. She has just not started keeping her blood sugar undercontrol and is trying very hard. Her sugars are mostly below 200. She has been doing this for about the past 4 weeks. Anyway...she is having female problems so we sent her to the obgyn and they have put her on the pill but she is having severe cramping in stomach and legs also lower back pain and constipation. The obgyn put her on the pill but these symptons still have not subsided. May question is could this all be due to weight loss. Or will this pain subside when her peroid starts. Also could losing the weight cause any chemical imbalance in her brain and cause depression or mood swings. Thanks for any help.
Doctor's Answer
by Deanna L Aftab Guy, MD, Feb 13, 2008 08:15PM
, Feb 13, 2008 08:15PM
To: lynn0713
She needs to be seeing an adult endocrinologist now, discuss this with her pediatric endocrinologist about transition if not done already, her symptoms of weight loss and abdominal cramping and irregular periods may be related to thyroid disease, Addison's disease or even celiac disease which she is high risk for due to her autoimmune disease of diabetes. I would start with them and involve her as she is now an adult who really needs to be involved if not in control of the majority of her care.
Her menstrual cycles can be related or separate and an oral contraceptive is not out of the question in the case of diabetes, however if she is a smoker or if there is family history of clotting disorders she needs to share this with her doctor.
Her menstrual cycles can be related or separate and an oral contraceptive is not out of the question in the case of diabetes, however if she is a smoker or if there is family history of clotting disorders she needs to share this with her doctor.
