Diabetes In Children
Diabetes children is a disease which will affect the whole family, especially when a child is being diagnosed. No matter what, it is important that family member is able to support each other and able to understand their conditions. You might not know how to manage diabetes in children. Therefore, in this article, I will provide some guideline that you are able to follow.
Studies have shown that patient and family education, intensive diabetes management, close telephone contact with the diabetes team is associated with reduced hospitalization and overall medical cost. Parents should keep in mind the patient’s siblings as they might feel neglected because of the increased attention paid to the patient who is diagnosed with diabetes.
First, when you involved with this diabetes in children situation, you have to communicate with your children and tell them about this diseases and the importance of self management. Proper diabetic education for a child and a family is crucial and complex at the same time. Education is best provided with the sensitivity to the age and developmental stage of the child, with regard to both approach and the content of the material delivered. It is important that both parents should be there as well as caregiver.
Diabetes education is not a one time thing only at the time when the kid is being diagnosed. It is important that family and the kid need ongoing education as the child grows and able to take one more element for self-care.
Studies shown that with continuous education and frequent phone call follow up, it has demonstrated that it can improve HbA1c and reduce hospitalization due to acute complication.
Therefore, keep in contact with personal health professionals including pediatrician, nurse and dietitians.
Diabetes Children Main Goal
One of the main goal is to maintain glucose control as near to normal as safely possible which is the same as adults. However, special consideration such as risk of hypoglycemia must be given more attention to young children. In the Diabetes Control and Complication Trial (DCCT), with improved control of blood glucose, it has shown that there is a reduction risk of micro vascular complications.
Age-Specific Glycemic Goal
Children <6 years old
In very young children, the relationship between hypoglycemia and possible neuropsychologic impairment is a greater concern compared to older children and adolescents. There are a few reports shown that there is a intellectual impairments with significant hypoglycemia in young children and this could be due to young children is unable to communicate the symptoms of hypoglycemia effectively. Other factors are unpredictable food intake as well as physical activity in this age group.
Children 6–12 years old
Diabetes management in this age group is quite challenging as they require insulin with lunch or other time where they might be away from home. Insulin administration at school requires close communications between the parents, healthcare team and school personnel. The lack of abstract thinking in this age group will limit the management choices. Therefore, the parents would be the one that make the choices for them. On the other hand, the children may be able to recognize and self-treat hypoglycemia better; however, adult supervision is still required.
Adolescents (13–19 years)
DCCT has reported that teenagers were able to achieve a meal A1c level of 8.06% in an era before insulin lispro, insulin aspart, and insulin glargine were available. Therefore, it is suggested that good control is possible in this age group.
|Age Group||HbA1c Goal|
|Children <6 years old||7.5% – 8.5%|
|Children 6 – 12 years old||≤8%|
|Children 13 – 19 years old||<7.5%|
Nutrition for Diabetes Children
Choosing the right foods, eating a balanced and healthy diet is a vital part for your child’s diabetes management. Children and teenagers should adopt healthful eating habits in order to ensure adequate intake of vitamin and mineral to promote growth.
It is the same as adult where a balanced diet consists of carbohydrate, protein, fats as well as fiber. One of the challenges you might met if your kid is a picky eater.
There is evidence showing that total carbohydrate of the meals and snacks is the most important in determining postprandial glucose readings. Besides that, the consistency of food intake (especially carbohydrate food) is important for diabetes children and teenagers who are on insulin. Do not adjust insulin dosage yourself.
Adequacy of energy is important for children’s growth and development and it can be evaluated by weight gain and growth patterns on a regular basis.
Therefore, please consult a dietitian for an individualized diet plan based on your children growth pattern.
If you are not sure whether your diabetes children are able to make the correct choice, you could always pack lunch for your children. A healthy lunchbox with colors and creative idea will attract and trigger the children’s appetite.
Sample Lunch Box
|Monday||Cheese and tomatoes wholemeal bread sandwiches|
One glass of orange juice (no sugar)
One small apple
|Tuesday||Grilled chicken with salad|
One plain bun with butter spread
|Wednesday||Chicken minced with tomatoes pasta|
Carrot and cucumber stick
One cup of plain yogurt (no sugar)
|Thursday||Egg fried rice|
One slice of honey dew
One cup of water
|Friday||Chicken tortilla wrap (whole meal)|
One cup of low fat milk
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