Back to Ask the Diabetes Team Ask the Diabetes Team

From Mobile, Alabama, USA:

My 13 year old son, who was diagnosed with type 1 diabetes four months ago, weighed 74 pounds at diagnosis and gained 17 pounds in five weeks. His blood sugars have been in the normal range, and his A1c is 6.7%, but he has experienced light to heavy swelling in both legs and feet. Kidney, liver, and heart tests are normal. The only change in diet is a larger consumption of peanut butter and jelly and a stark reduction in sugar. Is juvenile rheumatoid arthritis a possibility? His endocrinologist says it can't be that because of the swelling. Where can we go for additional tests?


While JRA perhaps is a consideration, given the autoimmune nature of that disorder and the autoimmune nature of type 1 diabetes, based on the history, I think that disorder is unlikely. JRA is less common in boys and is usually clearly a joint issue, rather than an extremity issue. It also often is associated with redness and pain of the joint, and fever.

It sounds as if there has been incredible "catch-up" weight for your son. Not uncommonly, recently diagnosed patients will experience a bit of fluid retention (edema), often in the face, but also in gravity-dependent areas (ankles, legs, lower back after sleeping) that is usually temporary. The mechanism is uncertain and perhaps relates to insulin directly. As long as the liver and kidney functions were normal, I would try to ride this one out.


Original posting 4 Oct 2001
Posted to Other Illnesses


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:26
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.