Hi all. I'm a school nurse in rural NW WA. I have an 8 year old male student who is on multiple heavy hitter meds, including Depakote. Here's my concern: Depakote and other antipsychotics can manipulate BG to high levels and even lead to diabetes. In addition, it can give false postitives for ketone testing. So my kiddo has had high BG and recently went to a children's hospital for eval. They are diagnosing him as early Type I and want me to monitor his BG and treat the highs (anything over 200 with 0.5 units per 50 mg/dl over 150). But no counting carbs, no bolusing for carb coverage, and they aren't watching for lows. My thought, from my psych background would be to try stopping the Depakote first and see if his BG levels out. This plan they have lined out just seems absolutely bazzaar to me. Do you guys have any experiance/input with this?
I agree with Elkpark. Even the new atypical antipsychoitcs do cause some elevation in blood sugar and can lead to diabetes. I would think they should closely monitor blood sugar but deffinately not just stop the medication, possibly make a dosage adjustment if able to a lower dosage.
Depakote is not an antipsychotic it is an anti seizure med that can be used for mood stabilization.
Last edit by nrsang97 on Feb 6, '13
: Reason: added