I would like to respond to “The other dual diagnosis: Developmental disability and mental health disorders” (BCMJ 2008;50:312-324).
I am a social worker and a parent of a son with Down syndrome, autism, and now type 1 diabetes.
I would just like to add that when my son (who is pretty much nonverbal) was beginning to act differently and behaviors were escalating, his local GP (whom I hold in high regard) was looking for depression, thyroid issues, behaviors, and so on (which I did not think was the issue), but not until I began doing some research did I figure out that his symptoms were classic for diabetes (which is not in my family history). I had him tested, and he is type 1.
He is now on insulin, and life is much better!
—Kathleen Makuch, BSW
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Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
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