how long can a child have diabetes without knowing

A child can indeed have diabetes for a period before being diagnosed, especially if the symptoms are subtle or attributed to other factors. In the case of type 1 diabetes, symptoms can escalate quite rapidly over weeks to months, and it often presents in a more acute manner with increased thirst, frequent urination, weight loss, and fatigue, which you have observed in your son. It’s crucial to address these symptoms promptly, as untreated type 1 diabetes can progress to a serious condition called diabetic ketoacidosis. On the other hand, type 2 diabetes may have a more insidious onset, developing over a longer period, even years. Though less common in children, its incidence is rising due to factors like obesity and sedentary lifestyles. Symptoms in type 2 diabetes might be milder and could overlap with other health issues, often going unnoticed until more pronounced health challenges crop up. Given the symptoms your son is experiencing, it’s important to get a comprehensive evaluation. I would recommend discussing your concerns again with your child’s pediatrician, emphasizing the changes you’ve noticed. A blood test, such as a fasting blood glucose or HbA1c, can provide valuable insights into your son’s glucose levels and help determine whether diabetes is an underlying factor. Also, keep an eye on his overall diet, activity levels, and any other possible symptoms, as these can be important factors to discuss with a healthcare professional. Remember, it’s essential to catch any condition early to manage it effectively, so pushing for further testing in this context seems like a prudent step rather than overreacting.