Follow-up to monitor for medical safety and progression to T1D

Normal RBG <140 mg/dL

and HbA1c ≤ 5.6%

RBG 140-199 mg/dL

OR HbA1c 5.7-6.4%

RBG ≥ 200 mg/dL

OR HbA1c ≥ 6.5

• Educate for symptoms of
hyperglycemia

• Repeat Ab at reference lab
in 1 year

Higher Intensity follow-up

• Assess/Educate for
symptoms of hyperglycemia

• Instruct on Self-Monitored
Blood Glucose testing:
– Test 2 hours after largest
meal of day for 5 days and
send in numbers.
– After initial assessment, test
2 hours after largest meal of
day once weekly

• Referral to pediatric/adult
diabetologist

• Evaluate for symptoms of
hyperglycemia and ketosis

• Verbal consult with and urgent
referral to pediatric/adult
diabetologist

a

Ask the Experts can provide confirmation testing. Please contact us for additional information.

a Ketosis symptoms: vomiting, nausea, abdominal pain, Kussmaul breathing, altered mental
status. If concern for ketosis, check urine or blood ketones if able, if positive or unable to test
refer for urgent evaluation at ED.

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