Pediatric Diabetes – Caring for a Diabetic Child
By Min Zhu
Min Zhu, and author and mother, provides information on diabetic children. For more information, visit http://mominneed.com/health/diabetes/
Despite our best efforts as parents or caregivers, children will become sick. One such illness which is becoming increasingly prevalent is pediatric diabetes. However, keeping a diabetic child healthy is dependent on being informed about the disease, its symptoms, and treatments. Caring for the child with diabetes is the responsibility of all persons who, at some time or other, has to take care of that child. As such, parents need to ensure that all care givers are informed about their diabetic child’s dietary needs.
Most children tend to have type I diabetes, previously known as juvenile diabetes, although children are increasingly being diagnosed with type 2 diabetes as well. Type I diabetes occurs when the pancreas does not work and does not produce any insulin. Insulin is needed to help break down sugars (glucose) in our body to help it work efficiently. When this breakdown of sugars does not happen, as in the case of type I diabetes, the sugar stays in the blood stream.
Because insulin is important in breaking down sugars in the body to use for energy, insulin has to be taken to control the illness. Therefore type I diabetes is also called insulin-dependent diabetes. Exercise and diet are also important helping to control this type of diabetes. Caring for the child with diabetes means that you will need to recognize the signs of the illness, as well as any resulting reactions that can occur. The main signs of pediatric diabetes are:
Breath smelling like fruit
Constant hunger
Pulse beating faster than normal
Headaches
Being weak and dizzy
Difficulty concentrating
Vision becoming foggy
Skin tending to be cold and moist
Experiencing seizures
Next, you should be able to identify when the child is in crisis, suffering either a hypoglycemic or hyperglycemic episode, and you should know what to do help in either case. Hyperglycemia occurs when the sugar levels are too high. Rising sugar levels are generally a result of eating too much, not taking the correct amount of insulin, or not exercising enough. When a child is hyperglycemic, treatment by medical professionals is needed. A child suffering from high blood sugar will complain of the following:
Weakness
Extreme thirst
Needing to urinate frequently
Not seeing clearly
Not being hungry
With hypoglycemia (low blood sugar), the symptoms vary from child to child, but some of the typical signs include:
Clumsiness
Sudden mood changes
Sweating
Hunger
Seeming confused
Trembling
Headache
Tingling feeling around the mouth
The first course of action is to increase the child’s sugar intake by giving them something sweet to drink, such as regular soda, fruit juice or glucose tablets. Once the child is feeling better, you should give them something more solid to eat. If the child is too weak to swallow or is unconscious, administer the recommended dosage of glucagon and call for immediate medical assistance. Glucagon is a medication given by injection to rapidly increase the level of glucose in the blood. It is normally the first course of treatment in severe hypoglycemia.
Diet is a major part of keeping the diabetic child healthy. The caregiver has the responsibility to ensure that the child eats what is recommended. It is also important to talk with the child and let them know that they will get really sick if they eat too many sweets or other foods that can pose a risk. It is also important to let others, such as teachers, know that a diabetic child may need to snack to boost their sugar and energy levels. The child with diabetes must also have regular meals.
Exercise is important as well, and there is no reason why the diabetic child cannot participate in all regular physical activity. Exercise helps to control blood sugar levels. However, suffering from pediatric diabetes should not exert themselves before meal time. Also, they will need to have a snack, such as juice, crackers or a fruit, handy, as they will need to replace sugar lost during physical activity.
Most importantly, children should be taught how to test their blood sugar levels during the course of the day, once they are able to do soon their own. This is important so that they can take insulin or eat something as needed.
Caring for the diabetic child, while calling for more vigilance in terms of their eating habits can be stress free once you and others taking care of the child know what to do and follow the rules. Also, make sure that emergency numbers are close at hand and that the child learns how to recognize symptoms of potential trouble and take corrective actions.
Source: Min Zhu
Hypoglycemia and Diabetes
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HypoglycemiaPart of living with diabetes is learning to cope with some of the problems that go along with having the disease. Hypoglycemia or low blood glucose (sugar) is one of those problems. Hypoglycemia happens from time to time to everyone who has diabetes. Hypoglycemia, sometimes called an insulin reaction, can happen even during those times when you’re doing all you can to manage your diabetes. So, although many times you can’t prevent it from happening, hypoglycemia (low blood glucose) can be treated before it gets worse. For this reason, it’s important to know what hypoglycemia is, what symptoms of hypoglycemia are, and how to treat hypoglycemia. What are the symptoms of hypoglycemia?The symptoms of hypoglycemia include:
How do you know when your blood glucose is low?Part of managing diabetes is checking blood glucose often. Ask your doctor how often you should check and what your blood glucose levels should be. The results from checking your blood will tell you when your blood glucose is low and that you need to treat it. You should check your blood glucose level according to the schedule you work out with your doctor. More importantly though, you should check your blood whenever you feel low blood glucose coming on. After you check and see that your blood glucose level is low, you should treat hypoglycemia quickly. If you feel a reaction coming on but cannot check, it’s best to treat the reaction rather than wait. Remember this simple rule: When in doubt, treat. How do you treat hypoglycemia?The quickest way to raise your blood glucose and treat hypoglycemia is with some form of sugar, such as 3 glucose tablets (you can buy these at the drug store), 1/2 cup of fruit juice, or 5-6 pieces of hard candy. Ask your health care professional or dietitian to list foods that you can use to treat low blood glucose. And then, be sure you always have at least one type of sugar with you. Once you’ve checked your blood glucose and treated your hypoglycemia, wait 15 or 20 minutes and check your blood again. If your blood glucose is still low and your symptoms of hypoglycemia don’t go away, repeat the treatment. After you feel better, be sure to eat your regular meals and snacks as planned to keep your blood glucose level up. It’s important to treat hypoglycemia quickly because hypoglycemia can get worse and you could pass out. If you pass out, you will need IMMEDIATE treatment, such as an injection of glucagon or emergency treatment in a hospital. Glucagon raises blood glucose. It is injected like insulin. Ask your doctor to prescribe it for you and tell you how to use it. You need to tell people around you (such as family members and co-workers) how and when to inject glucagon should you ever need it. If glucagon is not available, you should be taken to the nearest emergency room for treatment for low blood glucose. If you need immediate medical assistance or an ambulance, someone should call the emergency number in your area (such as 911) for help. It’s a good idea to post emergency numbers by the telephone. If you pass out from hypoglycemia, people should:
How do you prevent low blood glucose?Good diabetes control is the best way we know to prevent hypoglycemia. The trick is to learn to recognize the symptoms of hypoglycemia. This way, you can treat hypoglycemia before it gets worse. Hypoglycemia Unawareness; Some people have no symptoms of hypoglycemia. They may lose consciousness without ever knowing their blood glucose levels were dropping. This problem is called hypoglycemia unawareness. Hypoglycemia unawareness tends to happen to people who have had diabetes for many years. Hypoglycemia unawareness does not happen to everyone. It is more likely in people who have neuropathy (nerve damage), people on tight glucose control, and people who take certain heart or high blood pressure medicines. As the years go by, many people continue to have symptoms of hypoglycemia, but the symptoms change. In this case, someone may not recognize a reaction because it feels different. These changes are good reason to check your blood glucose often, and to alert your friends and family to your symptoms of hypoglycemia. Treat low or dropping sugar levels even if you feel fine. And tell your team if your blood glucose ever drops below 50 mg/dl without any symptoms. ResourcesWatch the Association’s glucagon training video. Source: American Diabetes Association (ADA)
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