Complications Associated with Juvenile Diabetes

As with any disease there are possible complications and side effects and juvenile diabetes is no exception. The risks and complications associated with this disease are serious but can be mitigated with careful monitoring and control of your child’s blood sugars.

All people that have been diagnosed with diabetes need to have their eyes checked on a regular basis. It is common to have eye problems that are known as diabetic retinopathy.

This is when the blood vessels in the eyes are damaged because of raised continually raised blood sugars.

Another complication is diabetic nephropathy. This is a problem that develops in the kidneys taking the form of degeneration or a complete shut-down. This is a very serious disease and should be kept in mind as an important reason to keep blood glucose levels under control at all times. If diabetic nephropathy does develop, it will usually occur later in adulthood but will require either dialysis or a transplant.

Some more long-term effects children with diabetes are exposed to are heart disease, strokes, and hypoglycemia. But the severity of the complications and the likelihood of them occurring are dependant on how well the diabetes is controlled.

Research continues everyday on ways to better treat and manage diabetes in children. As soon as your children are old enough to understand the disease, involve them in the management of keeping it under control. They need to learn what is needed of them when they become independent to live with diabetes and lessening the chances of suffering from severe complications.

There have been big strides in the treatment of diabetes which has made it possible to delay our put off altogether some of the more troublesome problems. If you suspect that any of the above mentioned diseases are developing, consult with your doctor right away.

Early detection is beneficial.

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A Juvenile Diabetic's Emergency Kit

An emergency or first aid kit can be found in almost any home. But in a home where a child lives with juvenile diabetes there needs to be additional supplies for their needs. In addition to an at-home emergency kit, a child with diabetes should carry a portable kit with supplies with them at all times.

There are going to be times when your child is going to need help to manage their diabetes and it may be an emergency situation because their blood sugar has dropped dangerously low. Your child should be wearing identification that advises everyone that they are diabetic and are taking insulin and a kit with the supplies needed to help them.

The kit should include instructions on what to do in case of an emergency and numbers to call (parents and health care providers). In addition glucose tablets, fast-acting food stuff should be included to raise your child's blood sugar quickly. Good examples of these are juice boxes and hard candies.

You should include a snack that is considered long-acting too. Something that will keep for a long time such as a granola bar is a convenient item to have. This is for situations where your child should be eating their next meal but unavoidably does not have access to food (in the car during a traffic jam or out with friends).

For your home emergency kit, you should include a means to keep your child's insulin cold in the case of a prolonged power outage. A small cooler will work nicely for this. It is also a good idea to always have extra insulin on hand. Do not wait until you are out to pick up more, you never know when an emergency can happen that would prevent your from getting some - be prepared.

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Finding out Your Child has Juvenile Diabetes

It can be an emotional time when you find out that your child has been diagnosed with type 1 diabetes. You will wonder how this is going to affect your child emotionally and what it is going to mean for their future health. Your child is also going to be riding an emotional roller coaster. Depending on their age, they may or may not understand everything that is going on but they will understand that there are big changes being implemented.

When a child is diagnosed with diabetes it affects the entire family. The day to day life of everyone may be changed. It will be a stressful time for but the best thing to do is to utilize the support available to you from your family, friends and health care providers.

Educate yourself and your family and take it slow and easy. You are going to have a lot to learn and there is going to be a learning curve at the beginning. Not only do you need to learn how to give injections and monitor blood glucose levels but you will also have to plan very specific meals. But it can be done and after some time it will be second nature.

Your whole family can benefit from the lifestyle changes that are going to be made. It may be especially hard for siblings but they will adjust just as everyone else will too. Eating a healthy well-balanced diet with plenty of exercise and physical activity is good for the entire family.

Be there to support and listen to your child when they need it. They will be going through a range of emotions from anger to sadness and they are going to need their parents help during these times. If you keep a positive attitude and outlook they will too.

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Healthy Eating Guidelines for Juvenile Diabetes

A daily insulin injection is required to manage type 1 diabetes in children but it is not the only management strategy. The diet plan that goes along with the daily insulin requirements is just as important and needs to be planned accordingly. Consistency in meal times, portion sizes, and food groups are the keys to successful meal planning for children with diabetes.

Even though consistency is of the utmost importance, it does not mean that your child cannot have variety too. This may seem impossible but there are ways it can be achieved. The important rules to remember are feeding your child at the same time each day and giving them their insulin injection(s) at the same time too. This helps their bodies regulate the use of the insulin.

The other piece of the consistency equation is the servings given from the food groups. If your child gets one protein and one carbohydrate every day for the morning snack don't deviate from that. But what you can do is provide many choices for the protein and carbohydrate and try different combinations.

If your child has a favorite meal or snack that works well with their blood sugar make it for them as often as they like. But they are going to get bored if they have to eat the same thing day in and day out. You are going to find that the food choices available are not as limited as you might have originally thought. You can also get creative and revamp old recipes making them friendly for diabetics by using sugar substitutes in place of sugar or using whole wheat in place of white (for instance in a pizza crust).

Browse diabetic cookbooks with your child and involve them in the meal planning. You are sure to have more success in preparing meals if they have a say in what they are eating.

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The Symptoms of Juvenile Diabetes

If diabetes runs in your family, you may already be aware of the symptoms to look for to see if your child might have juvenile diabetes. If the disease is prevalent in your family, your doctor may run routine screening tests as a precautionary measure in the form of blood work. But this isn't always the case. If your child exhibits any of the symptoms listed below you should schedule and appointment with your health care provider to have them looked into.

If your child is exhibiting these symptoms, they could be a sign that he or she has juvenile diabetes:

* Extreme thirst - this can be defined as a need to drink constantly without be satiated.
* Going to the bathroom to urinate more than usual. In some cases your child may wet the bed because of the increased need to urinate.
* Vision difficulties. Your child is complaining that they cannot see things properly or that they are blurry.
* Losing weight, you may notice a sudden drop in your child's weight that is not linked to any other causes such as a recent bout of the flu.

* Mood changes, the highs and lows of your child's blood sugar can cause them to be grumpy or bad-tempered with little provocation.
* A constant desire to eat, this is considered a symptom when the amount of food your child wants to eat is more than normal.
* Suffering from stomach aches or pangs with our without vomiting.

All of the above symptoms could mean that your child has diabetes but only blood work ordered by your doctor will prove that. Another point to note is that the above symptoms do not develop over time; it may be quite obvious to you that something is amiss as these changes can happen quite abruptly.

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The Risk Factors for Juvenile Diabetes

Although there is no known cause for juvenile diabetes there are risk factors that can contribute to the likeliness a child will be diagnosed with the disease. As some forms of type 1 diabetes are an autoimmune disease you can be at a higher risk if you have already been diagnosed with a different autoimmune disease. There are also some conditions surrounding a mother’s pregnancy and labor than could contribute to the diagnosis of juvenile diabetes.

If your child has been diagnosed with one of these autoimmune disease he or she is considered at a higher risk for diabetes in childhood:

* If your child has had one of these viruses: hepatitis, mumps, or CMV disease
* Thyroid problems known as hypothyroidism or hyperthyroidism (or Graves disease)
* Celiac disease

There has been some evidence that has shown that a child born to a mother over the age of 35 could be at higher risk for developing type 1 diabetes. This is not conclusive and it is not to say that a child born to a younger mother is not at risk as well. Some studies indicate that a mother who had pre-eclampsia during pregnancy will give birth to a baby with a higher risk of being diagnosed – but this is not a proven fact.

Other risk factors include race - people from Northern Europe or areas of the Mediterranean – are considered at higher risk than other races. Environmental and dietary factors can play a role too. If a child is under a lot of stress it is considered a reason why he or she may go onto develop type 1 diabetes. Dietary risks factors include high levels of dairy and nitrosamines (used as a preservative in some meats and cheeses). Exposure to toxins is considered a risk factor too.

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Having Juvenile Diabetes and Going to School

The vital step after your child is diagnosed with juvenile diabetes is to develop a support network in the community. Your child's school should be at the top of this as a resource to tap into. Not only is it essential that the teachers at your child's school know about his special dietary needs and what to do in an emergency they can provide help in other ways too.

In addition to good control of blood glucose levels to ensure the current and future well-being of your child's health, good control of diabetes is critical to learning. When a child is experiencing highs or lows in the blood sugar reading this can create disruptions and make it hard for them to concentrate and learn.

The teachers or other support personnel are going to need instruction for handling your child's diabetes and what to do in case of an emergency. For a child with a low blood sugar it is important that their blood glucose level is checked and that they have something to eat. For a child with a high blood sugar, their blood glucose will need to be checked too and a decision has to be made whether or not to give insulin. This is a big responsibility to hand over to another adult and can be nerve-racking for parents.

An emergency kit should be with your child at all the time with instructions on what to do to help if something is wrong. Included should be a snack, a food item or glucose tablet that is fast acting (gets sugar into the system quickly), a list of emergency numbers to call, and a glucose monitor. A teacher or school nurse should be designated as the person responsible for your child while at school and they should have a back-up in case they are not present for a day or more.

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How Juvenile Diabetes is Diagnosed

It can be scary when you realize that something may be wrong with your child. You will want to find out right away what it is and how you can help. The testing that is done to determine if your child has juvenile diabetes is not very evasive and can be determined in a very short period of time.

Once you have taken your child to your health care provider, blood work will be ordered to check your child's blood glucose levels. The first test that is performed is normally a with a blood glucose monitor in your doctor's office. If the level is high a fasting blood glucose test will be ordered.

Your child will not be able to eat for 8-10 hours prior to the blood being drawn. It is best to do this first thing in the morning as soon as your child wakes up. Bring a snack along for your child to eat after the blood work as they are sure to be hungry.

Depending on the results from the fasting blood test your doctor will probably order another round of tests to verify the results. This test is also done on an empty stomach and you should make an appointment as you will have to be in the office from 1-3 hours. When you arrive at the lab your child will have some blood drawn and then be asked to drink a beverage that is high in sugar.

After one hour another blood test will be conducted to see how your child's body has processed the sugar. If the three hour test was ordered two more blood tests will be done at the two hour and three hour marks.

The results from this test will give your doctor the information needed to make a diagnosis of juvenile diabetes in your child.

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Juvenile Diabetes and Teenagers

Teenagers are young adults and are ready to take on new responsibilities. If your teenager has had juvenile diabetes for some time, this is the time to pass the reins of management over to them. It may seem a bit intimidating to you to let your child take control of their diabetes but it is the best thing you can do for them. They are approaching a time in their life when they are going to be going out on their own. For both your sake and theirs, a comfort level needs to be reached in reading blood sugars, giving injections and planning appropriate meals.

If your child was a teenager when he or she was first diagnosed, involve them in the process from the beginning. Their input and the ability to make some decisions will help them feel in control of a situation they would rather not be in.

The biggest point to stress and make sure your teenager understands is how important it is to keep proper control of their diabetes. Juvenile diabetes is a serious disease and it has serious complications if blood sugar levels are not kept under control.

Discuss with your child different scenarios that are sure to arise and try and come up with solutions or ways to manage them. Drinking can have a negative affect on blood glucose levels and it is important that a young adult realize the dangers.

When they reach legal age, they need to know how drinking can affect them and ways to incorporate that into their life if they so choose.

As a parenting, letting go is a hard thing to do but it is necessary to create independent adults.

Trust your child to make the right decisions for their diabetes and be there to guide them when necessary.

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