Doctor insights on:
Medicine For Juvenile Diabetes
DKA: Because children with type 1 dm are so prone to diabetic ketoacidosis, symptoms such as excessive thirst and urination (including overnight/bed wetting), abdominal pain, vomiting, weight loss - merit immediate medical evaluation, particularly if vomiting. A urine dip stick positive for glucose and ketones is enough to make the presumptive diagnosis of type 1 dm in a child. ...Read more
An outdated term, more commonly referred to as Type 1 Diabetes using modern terminology, juvenile diabetes occurs when one loses their ability to make insulin in the beta cells of the pancreas due to an autoimmune process. Because insulin lowers blood glucose (sugar) levels, without the ability to make enough insulin, blood glucose levels rise, which is the classic finding in diabetes. Treatment involves administering insulin via subcutaneous ...Read more
Normal life span: In many, as long as well controlled. ...Read more
Compliance: It's not unusual for well controlled kids to become poorly controlled teens.It can be cuz growing bodies (puberty!) have different Insulin needs, having diabetes makes them feel different from peers so they avoid diabetes care when not at home, or teenagers' feeling of invincibility makes them think missing some testing & Insulin is ok.Support group for your teen&you can help&don't miss appointments. ...Read more
Insulin: Juvenile diabetes is now called type 1 diabetes, an important distinction as more and more teens and tweens are being diagnosed with type 2 diabetes now. Type 1 diabetes is due to the immune system making antibodies that attack and destroy the cells in the pancreas that make insulin, so a person has no or very little insulin. Insulin is the core treatment for type 1 diabetes. ...Read more
Eat less/exercise: The more one eats, the more Insulin is needed to control blood sugar. Exercise helps increase sensitivity to Insulin so that less is needed to maintain good control also. Combining healthy eating and exercise is the safest and best way to obtain and maintain a healthy weight. ...Read more
Multifactorial: Type 1 diabetes is an autoimmune disease where the body produces antibodies which attack the pancreatic insulin-producing cells. There are genetic factors which contribute to this; however, there is/are environmental trigger(s) which have not yet been identified. So, even if someone has the genetic potential for type 1 diabetes, it's not enough to get it. ...Read more
Frequent testing: Blood glucose monitoring is so important in this age group as blood sugars can really fluctuate due to the toddler's diet and activity levels. For my young patients i prefer either basal Insulin with multiple daily injections or Insulin pumping. Very difficult to convince a 4 yo to eat when and what is expected. It may be difficult to determine lows b/w checks as they can't express verbally yet. ...Read more
Absolutely: Obesity is a problem. Diabetes is a problem. The combination of the two exacerbates the situation significantly. Obesity may not directly cause juvenile diabetes although new studies link infant/toddler obesity with increased rates of type 1 diabetes. However, having type 1 or 2 diabetes and obesity is an indication that food choices are not wise and will likely shorten lifespan. ...Read more
Bartter Syndrome is: A group of genetic disorders caused by 5 mutations inherited in an autosomal recessive pattern . When both parents carry the same mutation, each of their children has a 25% chance of having bartter syndrome. Type 4 is associated with "nerve deafness." altered re-absorption of electrolytes by the kidneys impacts health, growth & development. See: http://barttersite.Org/what-is-bartters-syndrome/. ...Read more
Kids get both: Other than being a juvenile, no relation. ...Read more
Can you tell me if there are any associated risk factors between juvenile asthma and juvenile diabetes?
I'm worried because my boyfriend was born with juvenile diabetes, will our kids be diabetic, what do you suggest?
How do I know if my 22 m/o urinates to much? He drinks a lot!!! He's still in diapers so it's hard to tell. Worried about juvenile diabetes. FH type 2
Doubt it: I have seen type 1 in a kid that young, but type 2 is not seen at this age. Most of these kids are habit drinkers, with very dilute urine because you fill up the biggest cup possible because they ask so much. If diabetic, a dab of their urine on your tongue should taste sweet.(the way they found it in the 19th century).Babies doc can do a simple urine test for sugar. ...Read more
Is it necessary to test a child's blood sugar during the night if he has juvenile diabetes and is on insulin?
At least at bedtime: Mostly, we just ask parents to test blood sugars before bedtime. However, nocturnal hypoglycemia is both common and potentially dangerous. If there are any concerns for overnight lows, middle of the night blood sugar checks are helpful. Likewise, if your child is sick or goes to bed high, checking a blood sugar overnight is also helpful. ...Read more
"in some women who have type 1 diabetes, the hormonal changes that come with menstruation can cause changes in blood glucose levels. Monitoring levels and adjusting Insulin accordingly is key to managing this monthly shift. "
http://www.Everydayhealth.Com/type-1-diabetes/type-1-diabetes-menstruation.Aspx. ...Read more
Are there any doctors that will transplant a new pancreas into a 22 yo who has had juvenile diabetes since the age of 5 and is in good health. ?
Yes : You should look for a center with experience in pancreas islet cell transplantation. ...Read more