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Doctor insights on: Type Diabetes Child

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Dr. Vered Lewy-Weiss Dr. Lewy-Weiss
Pediatrics - Endocrinology
24 years in practice
New York Medical College
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How does being obese cause type 2 diabetes in a child?

How does being obese cause type 2 diabetes in a child?

Insulin resistance: Obesity puts a strain on the pancreas so that it has to make more Insulin to compensate for the increased demand of obesity. Unfortunately, we're seeing type 2 dm in children even as young as 4 years-old. The pancreas simply poops out and can't keep up with the Insulin demands of the obese body. This is when type 2 dm develops.

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Dr. Quang Nguyen
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Diabetes (Definition)

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Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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Is it possible that an inhaled steroid (advair) could cause type one diabetes in a child? My brother and sister are both are type one.

Is it possible that an inhaled steroid (advair) could cause type one diabetes in a child? My brother and sister are both are type one.

No: Inhaled steroids have their effect directly in the lung tissue & reach negligible levels in the blood. There is no evidence that even oral steroid use that achieve much higher blood levels cause t1dm. The primary origin of t1dm is an inflammatory response to a preceding infection that triggers loss of Insulin production. Steroids have been studied in efforts to reverse t1dm.

Dr. Peter Kurzweil Dr. Kurzweil
Internal Medicine
46 years in practice
University of Sheffield Medical School, Faculty of Medicine and Dentistry
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How can I help my child live a normal life with type I diabetes?

How can I help my child live a normal life with type I diabetes?

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.

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Dr. Stanley Schwartz Dr. Schwartz
Internal Medicine - Endocrinology
48 years in practice
University of Chicago Pritzker School of Medicine
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Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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How do you teach a child about type 1 diabetes when he’s just been diagnosed?

How do you teach a child about type 1 diabetes when he’s just been diagnosed?

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.

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Dr. Maia Hightower Dr. Hightower
Internal Medicine
14 years in practice
University of Rochester School of Medicine and Dentistry
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How can I help my child cope with type 1 diabetes?

How can I help my child cope with type 1 diabetes?

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!

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Dr. David Chandler Dr. Chandler
Ophthalmology
29 years in practice
Virginia Commonwealth University School of Medicine
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My husband has type 2 diabetes can he bear a child?

My husband has type 2 diabetes can he bear a child?

Yes and no: Men don't normally give birth to children (ha ha), but seriously, having type 2 diabetes should not reduce fertility from a male standpoint. Sometimes men with vascular disease can have e.D., but that is treatable otherwise.

Dr. Charles A Bryant Dr. Bryant
Internal Medicine - Endocrinology
45 years in practice
University of Texas Southwestern Medical School at Dallas
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How will type 1 diabetes affect the health of my child?

How will type 1 diabetes affect the health of my child?

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.

Dr. Derrick Lonsdale Dr. Lonsdale
Preventive Medicine
69 years in practice
University of London, St Bartholomew's Hospital Medical College
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What health problems can my child's diabetes mellitus type 2 cause?

What health problems can my child's diabetes mellitus type 2 cause?

Many: This is "metabolic syndrome" and indicates Insulin resistance. That means that he has a high blood Insulin that does not do its job properly. The common cause is bad diet. Take all the "junk" away, particularly all the sugar, sweeteners, pop, ice cream, candies etc. The overall health of an individual with this is awful and you can expect complications.

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Dr. Troy Sedlmeyer Dr. Sedlmeyer
Family Medicine
years in practice
West Virginia University School of Medicine
10

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If I have type 1 diabetes does that mean my child will have diabetes?

If I have type 1 diabetes does that mean my child will have diabetes?

No: This does not automatically mean your child will have diabetes, but it is a risk factor for having/developing diabetes.

Dr. Linda DiMeglio Dr. DiMeglio
Pediatrics - Endocrinology
24 years in practice
University of Pennsylvania School of Medicine
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What are the odds of someone with type 1 diabetes passing it on to their child?

What are the odds of someone with type 1 diabetes passing it on to their child?

Depends: If you are a father with type 1 diabetes on average 7% of your children will develop type 1. For mothers the odds are ~3%. Overall about 4% of first degree relatives of someone with type1 will develop type 1 diabetes in their lifetimes.

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Dr. Moinuddin Mokhashi Dr. Mokhashi
Pediatrics - Endocrinology
24 years in practice
Karnatak University, Jawaharlal Nehru Medical College
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If I had diabetes type 1 as a child, what are the chances my kid will have it too?

Higher chances: If an immediate relative (parent, sibling, child) has type 1 diabetes (t1d), one's risk of developing t1d is 10 to 20 times the risk of the general population. The risk for a child of a parent with t1d is lower if it is the mother, rather than the father, who has diabetes. If one of the parents developed t1d before age 11, their child's risk of developing t1d is somewhat higher than these figures.

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Dr. Steven Saunders Dr. Saunders
Internal Medicine
29 years in practice
University of Pennsylvania School of Medicine
13
Dr. Vered Lewy-Weiss Dr. Lewy-Weiss
Pediatrics - Endocrinology
24 years in practice
New York Medical College
14

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What causes a child to develop juvenile diabetes type 1?

What causes a child to develop juvenile diabetes type 1?

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.

Dr. Moinuddin Mokhashi Dr. Mokhashi
Pediatrics - Endocrinology
24 years in practice
Karnatak University, Jawaharlal Nehru Medical College
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Are there any toxic exposures linked to child onset type 2 diabetes?

Are there any toxic exposures linked to child onset type 2 diabetes?

MEGACARBS!: Well, am not sure of any 'environmental toxins' causing type 2 diabetes except drugs or chemicals known to be toxic to pancreas including the beta cells. I guess anything in excess is toxic to our body, so carbs in excess can stress the endocrine pancreas! And that is the most common cause for prediabetes/type 2 diabetes in young ones.

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Dr. Cornelia Franz Dr. Franz
Pediatrics
years in practice
Wake Forest University School of Medicine
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What are the chances of diabetes type 1 being passed down to a child?

What are the chances of diabetes type 1 being passed down to a child?

Not big: Having type 1 dm in the family certainly increases risk for your children. Studies done years ago show that a child has a higher risk of developing diabetes if a sibling has it rather than if a parent has it. Environment and diet have a profound affect on us and are more important than genes...So take care of yourself and as a filly eat a healthful diet.

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Dr. Vered Lewy-Weiss Dr. Lewy-Weiss
Pediatrics - Endocrinology
24 years in practice
New York Medical College
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If a child is diagnosed with type 2 diabetes at a young age, will this decrease his lifespan?

Possibly: Patients with type 2 diabetes are at high risk for cardiovascular disease, kidney disease, nerve damage, and vision loss, among other things. It's essential that all patients with diabetes take their medication as directed, eat a healthy diet, and get exercise. Taking good care of diabetes will help the body stay healthier longer.

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Dr. Cayce Jehaimi Dr. Jehaimi
Pediatrics - Endocrinology
17 years in practice
University of Alberta Faculty of Medicine and Dentistry
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If you reduce a child's obesity, will their type 2 diabetes get better?

If you reduce a child's obesity, will their type 2 diabetes get better?

Absolutely: Worked for adults for decades and will do the same for teens. On some instances, if diabetes was discovered late in the child, weight loss may not be sufficient so time is of the essence if impaired glucose is captured.

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Chethan Sarabu Dr. Sarabu
Pediatrics
6 years in practice
State University of New York Upstate Medical University
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What can I do if my fiancee has type 1 diabetes since 5 years, its not genetic, so will it be transferred to our child?

What can I do if my fiancee has type 1 diabetes since 5 years, its not genetic, so will it be transferred to our child?

3-6% Increased Risk: You are right in that type 1 diabetes (t1dm) is not genetically transferred, however genes can increase your propensity for getting it. Siblings and children of people with t1dm have a 3-6% risk for t1dm. Certain environmental factors are proposed to be triggers, such as some viruses and having cow's milk under 2 years of age. These factors trigger t1dm more often in those with certain genes.

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Dr. Philip Ewing Dr. Ewing
Pediatrics
15 years in practice
Virginia Commonwealth University School of Medicine
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I am pregnant. My husband has had Type 1 diabetes since he was 6. He says usually it skips a generation. What are the chances our child will develop?

I am pregnant. My husband has had Type 1 diabetes since he was 6. He says usually it skips a generation. What are the chances our child will develop?

5-6%: The risk of your baby having diabetes given the information provided starts at about 5-6%, but may be somewhat higher given the onset of his T1DM at 6 years of age. This risk does not skip generations, despite what some think. You could consider speaking with a genetic counselor if you have any further questions. Good luck!

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