Doctor insights on:
Child Diabetes In Children
Child diabetes: Usually is referring to type 1 diabetes mellitus which is most common in children and is a metabolic disorder where the pancrease fails to produce insulin which is required to metabolize glucose, so blood sugar rises, causing excess urination, excess thirst and ketosis from digestion of proteins. Children can get DM type 2 too, but is more often related to obesity and insulin resistance. ...Read more
Usually is referring to type 1 diabetes mellitus which is most common in children and is a metabolic disorder where the pancrease fails to produce insulin which is required to metabolize glucose, so blood sugar rises, causing excess urination, excess thirst and ketosis from digestion of proteins. Children can get DM type 2 too, but is more often related to ...Read more
DM team instruction: Every kid I pick up with dm1 is sent to a center with certified diabetes educators and physicians to begin the families orientation to this life changing event. My closest centers are fort worth, dallas, temple or austin but one has a local clinic for regular followup visits. Small hospital facilities & regular physicians often don't have the time or current info to do a well rounded orientation. ...Read more
Get a Pediatrician: This question, to answer, would require a whole textbook. This is way out of bounds of this simple health app. I am sure your pediatrician will have you go to a diabetes education program as well as setting you up to learn from educators how to manage this complex condition for your child. It may seem overwhelming but it will be something you and your family can all learn to manage well. ...Read more
Childhood diabetes: This depends on the type of diabetes. Children more commonly have type 1, or insulin-dependent, diabetes. This needs to be treated with insulin. As the number of children with type 2 diabetes is on the rise, more children may be treated with medications other than insulin. ...Read more
Age???: Diabetes comes in 2 basic forms. The children's form develops abruptly after a virus destroys Insulin production. They quickly loose sugar in the urine, eat & drink ravenously & loose 10lb in a week. The fluffy adults make Insulin but not enough and they gradually get into trouble over months or years. A glucose tolerance test or A1c can give you early indication on a teen, in pre teens a urine test. ...Read more
Type 1 or 2:
Children that develop type 2 diabetes are usually obese at the time of diagnosis.
Children with type 1 are usually lean, and present with a history of weight loss.
Warning since 20% of our children are overweight you sometimes have a hard time determening which type of diabetes at the begining. ...Read more
Wouldn't try: The management of diabetes, especially in children, requires a team effort. Part of the initial diagnosis & management includes referral to a diabetes center where certified diabetes educators work with the kid & family to understand the pattern of treatment & dietary modification needed to give the best outcome. Kids training is modified to match their stage of physical and emotional development ...Read more
5 year old diabetic.: Ask a diabetologist or pediatric endocrinologist. Do not go to others unless these are not available. ...Read more
Poor control: If a kid has diabetes, they have no automatic regulation of their blood sugar with insulin, it all comes with supplementary injected insulin. Depending on meal plan and Insulin types/dose/injection site/etc. You can give too much Insulin and become hypoglycemic and too little and get hyperglycemic. It is all part of diabetic control issues. ...Read more
Anything physical: That he/she will do reliably for about 30-45 minutes (or longer) just about every day. Also depends on age--older kids have better coordination and get less frustrated with more complex activities than younger ones. ...Read more
If you have good control of your type 2 diabetes you should have no issues with a second child.
To make sure this is the way it will be please do what you can to keep your blood sugar under control.
PS: My mom had diabetes after she had 3 children and her youngest son, now age 65, has never had diabetes, Neither have I. ...Read more
Follow MD advice: Double diabetes is a serious illness. Either type of diabetes alone is bad enough, having both requires careful attention to diet, exercise, weight loss and medication. You can be supportive of the child's efforts toward self-care and in complying with the doctor's instructions. ...Read more
Urine/blood: Most children with diabetes have type 1 and present with high blood sugar, very low Insulin and c-peptide and urine which is positive for glucose and ketones. A hba1c will be elevated, which is a marker of chronic blood sugar control extending over a few months back. If the child has diabetic ketoacidosis, labs will be followed hourly for glucose and electrolytes. Other blood tests are also done. ...Read more
Whenever needed: Good reasons for testing for diabetes vary depending upon circumstances. A child who seems to be eating a lot but losing weight, abnormally thirsty and urinating a lot, or with sudden blurred vision should be checked immediately. With risk factors for type 1 diabetes (family history, other autoimmune diseases) or type 2 diabetes (family history, obesity, dark skin patches) screening may be needed. ...Read more
Love: Treat them as normal kids with unique needs. Find them a caring competent pediatrician and endocrinologist. Listen, assess, let them know your limits, let them figure out answers on their own for the most part, but always with appropriate limitations. Don't spoil them or let them develop an attitude of feeling entitled. Sound like good advice for any parent? It is. ...Read more
No: No method available to reduce risk or prevent as yet. ...Read more
Bedwetting: Lot of times the bed wetting is normal phenomenon of childhood development. Try to control the bed wetting by various other means. If diabetic then other signs will be present. ...Read more
Children can bed wet until their teens. Unless this is a new thing, it's perfectly normal. Bedwetting alarms can be helpful. There are medications you can use as well for an older child that is starting to get embarrassed.
Of course if it's a new thing, he's losing weight & drinking more, having daytime accidents, fever, painful urination etc, that is a sign of something concerning ...Read more
Depends: Every child faced with the diagnosis of diabetes responds differently. Younger children often cope well, adjusting to a new routine with repitition. Older children, especially teens, sometimes rebel. Be supportive and encouraging. Work with your child's endocrinologist on how you can be supportive. They often have wonderful age-appropriate resources to support your child, your family, and you! ...Read more
Significant effect: A child with type 1 diabetes lacks the ability to make Insulin on their own. Presenting symptoms include poor weight gain, constant hunger, frequent urination and potential dehydration among others. Untreated type 1 diabetes can result in death - fortunately early diagnosis and the institution of Insulin replacement can control the disease and children can have a full and productive life. ...Read more
Thirst, lots of urine: Diabetes insipidus is a disorder that impairs the body's ability to make concentrated urine. Common symptoms in childhood might include constant thirst and large amounts of urine. There is also often a family history of the disease that can prompt an evaluation by the child's pediatrician. ...Read more
Autoimmune response: Whoever finds the cause to type 1 diabetes will likely get a nobel prize. One theory is that a virus sets of an autoimmune cascade. The body immune system then sends antibodies that attack the islet cell of the pancreas. Once, enough islets are killed, one develops diabetes. ...Read more
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