How to Help Your Child Cope with
Diabetes
Diabetes is a complex disorder
wherein the blood sugar levels in the body are abnormally high. The
condition could be due to a number of reasons from an inability of
the pancreas to produce enough insulin, which is responsible for
moving the glucose (sugar) from the blood into the cells for use in
energy production, or to the inability of the cells themselves to
respond to insulin so that glucose remains accumulated in the
bloodstream.
Diabetes can affect anyone,
regardless of age. In fact, one particular type of diabetes, Type 1
Diabetes or Insulin Dependent Diabetes Mellitus (IDDM) was formerly
known as Juvenile Diabetes because individuals who are usually
affected are children and young adults.
In Type 1 Diabetes, the body is
unable to produce insulin, or able to produce insulin but in
gradually decreasing amounts so that the hormone cannot perform its
function of facilitating glucose into cells. Because of this
malfunction in insulin-production, children who are affected almost
always require insulin as treatment.
Knowing that one has Type 1 Diabetes
can be scary, both for the parent and for the child. After all, Type
1 Diabetes is a serious illness with fatal consequences if the right
steps are not taken. But if you, as a parent, do something to help
your child, then there is no reason to be afraid. People with
diabetes can live long, healthy, and happy lives.
Step 1: Arm Yourself with Diabetes
Information
The first step to any problem is
really to arm yourself with as much information as you can get your
hands on. You don’t go to war with an unknown enemy and with nothing
to defend yourself with.
Your child’s diabetes is likewise a
battle and the only weapon you have at your disposal is information
you garnered from your doctor and your own research, plus a few
shots of insulin. That is all, and you have to make the most out of
it.
Therefore, as early as now, research
the nature of diabetes. Below are some diabetes primers to help you:
Conditions
As previously mentioned, diabetes is
a complex disorder that includes a number of conditions, all of
which relate to the body’s inability to produce insulin. Here are a
few conditions that you want to prepare for with your child’s
diabetes:
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Hypoglycemia
– A condition of low blood glucose and sometimes called an
insulin reaction. This happens from time to time to every person
with diabetes and it is characterized by: shakiness, dizziness,
hunger, sweating, headache, pale skin color, clumsy or jerky
movements, tingling sensations around the mouth, seizure,
difficulty paying attention, confusion, sudden moodiness or
behavior changes, etc. |
Constant monitoring of blood glucose
is required in order to reduce its occurrence to a bare minimum.
However, if you observe any of the above symptoms in your child, the
quickest method of treatment is to make him/her take glucose
tablets, five to six pieces of candy, or a half cup of fruit juice.
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Hyperglycemia
– This is the opposite of hypoglycemia and is considered as one
of the major causes of complications that happen to people with
diabetes. The word means high blood glucose, occurring when the
body has too little or not enough insulin. It could also occur
when the body is not able to use insulin properly.
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Watch out for the following symptoms
of hyperglycemia: high blood glucose, high levels of sugar in the
urine, frequent urination, and increased thirst. Again, constant
blood glucose monitoring is required to detect the symptoms early
and treat it before the condition worsens.
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Ketoacidosis
– This is a serious condition that may
lead to diabetic coma or even death. The cause is dangerously
high levels of ketones, acids that build up in the blood because
of high glucose levels. When there are too much ketones in the
blood, this could lead to poisoning, resulting in your body’s
breakdown. |
Ketoacidosis is too serious a
condition to treat at home, so treatment often happens in the
hospital. However, if you learn to recognize the signs early, then
you may be able to prevent the condition all together.
Note these early symptoms: thirst or
a very dry mouth, frequent urination (ketones appear in urine if
there isn’t enough insulin), high blood glucose levels, dry or
flushed skin, nausea, vomiting, abdominal pain, fruity odor on
breath, confusion, and a hard time breathing.
Treatments
The goal of every diabetes treatment
is to keep your blood glucose levels as close to normal as possible.
That is why one of the most important steps in treating your child’s
diabetes is to monitor his/her blood sugar levels constantly. This
is one way to help your child feel better as well as reduce the risk
of long term complications of the disease.
Checking for blood glucose is simple.
You only require a blood glucose check or test which contains a
special needle, called a lancet. Just stick your child’s finger with
the lancet to get a drop of blood. There are some lancets that have
a spring-load feature, making sticking with a needle a less painful
process.
Step 2: Teach Your Child to Manage
Diabetes
Your child is helpless against the
seriousness of diabetes. He/she looks up to you for support and
guidance. He/she may not know or understand his/her condition
entirely and wouldn’t know the first thing about what to do in order
to keep it from worsening.
While you, as a parent, are expected
to do all that you can to help your child, there will come a time
when you may not be able to. That is why it is important that you
impart self-reliance in your child and teach him/her how to deal
with diabetes as early as now.
Some of the basics of diabetes
management that you want your child to learn include:
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Learning to eat regularly |
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Exercising regularly |
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Taking insulin regularly |
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Monitoring their blood sugar |
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Visiting the doctor regularly |
As your child grows older, he/she
will become more self-sufficient and will be making decisions about
his/her treatment and diabetes management on his/her own. He/she may
also tend to go to the doctor alone rather than go with you.
At first, it might feel unsettling
but this is something that you need to be prepared for. Let things
take their normal course, but remain in communication with the
doctor, especially if the child is uncommunicative after a visit
from the clinic. Staying in the know without stepping over any
boundaries is one good way of helping your child cope with diabetes
while at the same time boosting his/her self-esteem and confidence
in handling the condition.
Step 3: Understand Your Child’s
Metabolism
Controlling blood glucose levels is a
difficult thing to do and even more so during adolescence. Certain
bodily changes causes hormone levels in an adolescent child’s body
to fluctuate, affecting his/her metabolism.
Several studies have shown that the
growth hormones, which are activated during adolescent years to
promote the growth of bone and muscle mass, can affect the action of
insulin in the body. This could complicate your child’s diabetes
without proper management.
Another hormone that is affected is
adrenaline, which is also released by the pancreas, the same as
insulin. The function of adrenaline is to stimulate the release of
stored glucose in the body whenever blood sugar levels in the body
start to fall.
All these changes could cause the
blood glucose levels to rise and fall erratically. They could become
too low or too high at a given time and your child may have a
difficult time coping with these fluctuations. It is important that
you let your child know it is not his/her fault that his/her blood
glucose levels are too high or too low, but that is no reason to
give up trying to deal with it.
Step 4: Understand Your Child’s
Lifestyle
While it is true that the situation
may be different with diabetes, having this disease does not
necessarily mean that your child ought to cease to enjoy life all
together. Teach your child this important lesson and help him/her
find strategies to manage diabetes without affecting their lifestyle
too much.
For instance, your child may want to
eat take-out foods, go to parties, and do other things on the spur
of the moment, but because of his/her illness, he/she might think
he/she can’t. This is not true, of course. Let them know that
contrary to what they believe, they can still do all these things
but in moderation.
You have taught them how to be
responsible for their diabetes management. Now, it is time for them
to apply what they have learned and enjoy their lives despite
diabetes. Research shows that children with diabetes enjoy a better
quality of life in terms of feeling satisfied with life, feeling
good about their health and about how their condition impacts their
lives if they keep their blood sugar levels under good control.
Good control does not have to mean
eschewing yourself from all the thrills and joys of life. It only
means doing what is right for you and your condition and never
forgetting that you are the one in control, not the disease.
Step 5: Be Aware of Peer Pressure
Diabetes is a fairly common problem.
However, your child may still be in the minority among his/her peer
group. Physical, emotional, and social issues will arise and your
child will have to go through each of them as he/she grows older.
Being “part of the crowd” may be a
big deal for your child. With diabetes, that is going to be a bit
difficult to accomplish. He/she may feel embarrassed having to check
his blood glucose levels every so often or getting insulin shots
while in school. The medication is necessary so you cannot forego
it. But one way for you to lessen your child’s embarrassment over
these things is to encourage him/her to tell his/her close friends
about her condition.
Don’t make diabetes a secret.
Instead, you can even encourage your child’s friends to learn a few
steps in overcoming conditions like hypoglycemia which your child
may suffer while in school. They can learn how to recognize the
signs and what they can do to help. Take note that this is also
another way to help your child build lasting friendships.
Diabetes is a serious problem that
affects not only the health of your child but also his emotional,
physical, and social well-being. Children with diabetes need all the
support they can get, even if there will come a time when they
become uncooperative or refuse to monitor their blood sugar. If you
feel that your child is having trouble keeping control of his
condition, then perhaps it is time that you seek other avenues of
help, such as healthcare professionals and diabetes groups.
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