抄録
We report a boy with infant-onset (2 months) IDDM who has been in a good glycemic state until the present 3 years of age and describe how we have managed diabetes on the basis of his diabetes diary, which contains results of home-monitoring blood glucose (HMBG), calories and kinds of foods, symptoms of hypoglycemia, and his attitude toward blood sampling and insulin injection. He has well tolerated painful procedures, such as HMBG and insulin injection, and started to help his mother to prepare the HMBG kit at the age of 2 years and 4 months. Symptoms of hypoglycemia varied with age, and the pallor of his face and sudden unusual crying during sleep were common signs of hypoglycemia throughout the course. Since he sometimes has remained asymptomatic even with hypoglycemia under 50 mg/dl, frequent HMBG and carbohydrate-rich meals were necessary to maintain a good glycemic state. Blood glucose levels were largely influenced by physical activity, which depended on his neurological development. The diabetes diary was very useful not only to detect minor signs of hypoglycemia and control the blood glucose level, but also to establish a good parent-physician relationship.
