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If it's mono, then it will pass in a few months. There would be no need for urgent care.
However, 200 ounces of water a day! That is more than 3 times as much as the highest recommended amount. That is NOT typical of a mono infection. If this level of intake continues, I would suggest you ask her primary provider to test for SIADH (syndrome of inappropriate antidiuretic hormone secretion). Dizziness and weakness are symptoms because there is so much fluid consumption that the electrolytes in the body are diluted. It isn't all that common so it was probably not checked in the blood work she has already had.
Please let me know if you need more information.
Her fingerstick was normal for a child her age. Fasting it should be in the 100-120 range. After meals, it should be closer to 180 mg/dL. A hemoglobin A1C test shows average blood glucose over the past two months and is a better test for diagnosing diabetes. Was this test done when blood was drawn?
Unless she had the A1C test, diabetes isn't ruled out. It is far more common than SIADH, and is definitely a concern.
Please let me know if you have additional questions.
A 106 after a meal is excellent.
An A1C test is performed on blood drawn from the inner arm, just like all the other blood tests. You have to specifically ask the lab to run that test on the blood sent to them though. It isn't a routine test like a complete blood count or a metabolic panel.
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