Can can we help you learn more about adolescent Diabetes


Sunday, March 1, 2015

Education

                                                                              (Goggle Clip Art, 2010)


What is diabetes?

Diabetes is a condition in which your blood glucose, also called blood sugar, is too high. What are the target ranges for blood sugar? Most physicians will tell you that the normal blood sugar range is between 70-110mg/dl. According to the American Diabetes Association (n.d. a) before meals children who are diabetic, their blood sugar range should be between 70-154mg/dl. One to two hours after a meal, your blood sugar should be less than 180mg/dl (American Diabetes Association, n.d. a).

Type 1 diabetes:

There are two types of diabetes, type 1 and type 2 diabetes. Type 1 diabetes can occur at any age, but most commonly it is diagnosed from infancy to the late 30s (Juvenile Diabetes Research Foundation, n.d.). With type 1 diabetes, the pancreas produces little to no insulin and the body’s immune system destroys the insulin-producing cells in the pancreas (Juvenile Diabetes Research Foundation, n.d). Children, who are diagnosed with type 1 diabetes, must inject themselves with insulin on a daily basis (Juvenile Diabetes Research Foundation, n.d.).

Type 2 diabetes:

Type 2 diabetes usually develops after the age of 40, however it has recently began to appear more frequently in children (Juvenile Diabetes Research Foundation, n.d.). With type 2 diabetes, the pancreas is still producing insulin but not enough to use it effectively. Children diagnosed with type 2 diabetes manage the disease through a combination of treatments including diet control, exercise, oral medications, and in some cases insulin (Juvenile Diabetes Research Foundation, n.d.).

Checking your blood sugar:

Checking your blood sugar is important when you have type 1 or type 2 diabetes. Check your blood sugar as frequently as your doctor asks you to. How many times you check your blood sugar will vary depending on if you are type 1 or type 2 diabetic, what medications you are taking for your diabetes, and how high or how low your blood sugar has been. Once you have a machine to check your blood sugar, each specific blood sugar machine has the manufacture requirements and instructions on how to use the machine. Please use your blood sugar machine based on the manufactures guidelines.

Sign and symptoms of a high blood sugar:

With type 2 diabetes you may not feel sick at first. However some of the signs of a high blood sugar are known as the 3 “P’s” which are Polyuria (frequent urination), Polydipsia (frequent thirst) and Polyphagia (excessive hunger) (Ramachandran, 2014).

Signs and symptoms of a low blood sugar:

A low blood sugar is often displayed by shakiness, sweating, chills, confusion, fast heart rate, lightheadedness or dizziness, blurred vision, headache, weakness, and unconsciousness (American Diabetes Association, n.d. b). If you are experiencing any of these symptoms please check your blood sugar and eat a snack (fruit juice or low fat milk).

Video:

Here is a brief You tube video on the difference between type1 and type 2 diabetes.





Links for children with Diabetes:

Here is a link from the American Diabetes Association for diabetes camps
http://www.diabetes.org/in-my-community/diabetes-camp/camps/utm_source=Offline&utm_medium=Print&utm_content=find-camp&utm_campaign=CAMP

Also the National Diabetes Education Program has a Facebook page. It has a lot of useful information regarding diabetes. You can follow the Facebook page @ https://www.facebook.com/ndepgov

Recommendations:

Please be sure to take your diabetic medications as prescribed by your doctor to help control your diabetes.

                                            References


American Diabetes Association (n.d. a). Checking your blood glucose.
Retrieved from http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/checking-your-blood-glucose.html

American Diabetes Association (n.d., b). Hypoglycemia. Retrieved from
http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html

American Diabetes Association [American Diabetes Association]. (2010, April, 10). Diabetes basics: Hypoglycemia and hyperglycemia. [video file]. Retrieved from https://www.youtube.com/watch?v=kcuUcHU21Ik

Ramachandran, A. (2014). Know the signs and symptoms of diabetes. Indian Journal of Medical Research, 140(50), 579-581. Retrieved from http://eds.a.ebscohost.com.p.atsu.edu/eds/pdfviewer/pdfviewer?vid=4&sid=f4fba8cb-211e-4fdc-b918-c9345fe070f0%40sessionmgr4001&hid=4105
 



Risk Factors


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Diabetes mellitus is a leading cause of death and disability worldwide (Akter, Rahman, Krull Abe, & Sultana, 2014). Knowing how diabetes can affect your health can help you look after your body and prevent complications. Risk factors for diabetes are having a family history, lack of exercise, not eating a healthy well balanced diet, being overweight (low physical activity). Of the common risk factors of diabetes, the only one that you cannot control is family history (Diabetes.co.uk, n.d. a).

Video:
Here is a short video on diabetes risk factors.



Complications:

There are many complications of diabetes for children and adolescents some of them are kidney failure, loss of vision and complete blindness, diabetic coma, cardiovascular problems, cancer, skin problems, and high blood pressure (Diabetes.co.uk, n.d.b).

An important complication noted above, in diabetes, is kidney failure. It is referred to as diabetic kidney disease. Studies have shown that diabetes is responsible for children and adolescents having kidney failure which can require dialysis (Hill & Fogarty, 2012).  The kidneys act as a filter for our body, it removes waste products from the blood (National Kidney Foundation, n.d.). Controlling your diabetes can prevent diabetic kidney disease. 

In regards to high blood pressure, checking your blood pressure is one of the most important things you can do if you have diabetes (Joslin Diabetes Center, n.d.). Please note that when you have high blood pressure, you have too much force of blood on your arterial walls, when this happens you do not get the right amount of oxygen to your vital organs like your brain, your heart, kidneys, and lungs (Mayo Clinic, n.d.). Controlling your diabetes can prevent kidney disease, high blood pressure, and other complications noted above

Recommendations:

It is common for most children and adolescents with diabetes to develop complications if it is not controlled. It is recommended by all health care providers that you control your diabetes. Children and adolescents with good diabetes control, who have a healthy and active lifestyle, can prevent complications of diabetes such as kidney failure and high blood pressure.

                                       

References



Akter, S., Rahman, M. M., Krull Abe, S., & Sultana, P. (2014). Prevalence of diabetes and   prediabetes and their risk factors among Bangladeshi adults: A nationwide survey. Bulletin of the World Health Organization, 92(3), 204-213A. http://dx.doi.org/10.2471/BLT.13.128371

Diabetes.co.uk (n.d. a). Diabetes complications.
Retrieved March 1, 2015 from http://www.diabetes.co.uk/diabetes-complications/diabetes-complications.html

Diabetes.co.uk (n.d. b). Diabetes risk Factors. Retrieved 
         from http://www.diabetes.co.uk/Diabetes-Risk-factors.html

Google Clip Art (2015). [jpeg]. Diabetes Risk Factors. Retrieved from
           http://www.idf.org/sites/default/files/pictures/infographic-
           risk-factors-600px.jpg

Healthy ojas. [Ojas]. (2013, November, 25). Diabetes Risk Factors 
         [Video file]. Retrieved from https://www.youtube.com
         /watch?v=dLD9GSmg14

Hill, C. J., & Fogarty, D. G. (2012). Changing trends in end-stage renal disease due to diabetes in the United Kingdom. Journal of Renal Care, 3812-22. http://dx.doi:10.1111/j.1755-6686.2012.00273.x

Joslin Diabetes Center (n.d.) Stay healthy with diabetes. Retrieved March 4, 2015 from
            http://www.joslin.org/info/blood_pressure.html?gclid=CM-WuMGsj8QCFViUfgodepEAIg

Mayo Clinic (n.d.). Diabetes and conditions: High blood pressure. Retrieved March 4, 2015
            from http://www.mayoclinic.org/diseases-conditions/high-blood-pressure/basics/definition/con-20019580

National Kidney Foundation (n.d.). Diabetes a major risk factor for kidney disease. Retrieved March 4, 2015 from https://www.kidney.org/atoz/content/diabetes