Basic Management for Kids with Type 1 Diabetes


Type 1 diabetes mellitus, one of the most common chronic diseases in childhood, is caused by insulin deficiency resulting from the destruction of insulin-producing pancreatic beta cells. 
There are special challenges of caring for children and adolescents with diabetes, to identify the care of adult children. This includes the obvious difference in the size of the patient, development issues, such as the unpredictability of an infant dietary intake and activity level, and health problems, such as enhanced 
hypoglycemia and diabetic ketoacidosis. Because of these considerations, the management of children with Type 1 must take into account the age and maturity of child development.

When your child is diagnosed with type 1 diabetes, it can be overwhelming and frightening. Suddenly seems to have so much to learn and so much to send, life will never be normal.
Life cannot go back the way it is, but go ahead with support and instruction, it becomes manageable. There basic management that parents should focus on when their child is diagnosed with type 1 diabetes.

Understanding Insulin dose
Since your child's body cannot produce insulin, so it must be replaced during the day, usually by injection. There are several methods of insulin:
A fixed dose of intermediate and rapid-acting insulins. A fixed dose of insulin your child should have food during the peak action of insulin. Food should be as close as possible at the same time each day in the same proportion of carbohydrates, fats and proteins.
Children taking long acting insulin such as Lantus still need a dose of fast-acting insulin at mealtimes. Count the number of fast-acting insulin, depending on the carbohydrate content of foods.
Children using insulin pumps also need a dose of rapid-acting insulin before meals based on carbohydrate content of complementary foods

Important of Blood Glucose Testing
Sugar in the blood of your child should be checked before meals and before bed time. Blood glucose level in children, they vary by age group and can be adjusted depending on individual experience hypoglycemia of your child. The recommended level may seem high compared to levels in adult diabetes. The reason beyond the higher number is because children, especially infants, are at higher risk of hypoglycemia. Keep a journal of food and blood sugar numbers, time, and physical activity to get the big picture, how to manage your child's diabetes. So you think your child's blood sugar changes, and it is no longer able to keep an even keel.

Recommended Blood Glucose Levels
Age
Before Meals
          Bedtime/Overnight
Kids under 6
100-180
          110-200
Age 6-12
 90-180
          100-180
Age 13-19
 90-130
           90-150

Learn how to manage low blood sugar
Also known as hypoglycemia, low blood sugar is a common problem for children with type 1 diabetes.
The symptoms include:
Irritability
Headache
Dizziness
Double vision
Tremor or weakness
Lack of coordination
Agitation
Drowsiness or confusion
Seizures or fainting
Blood glucose levels less than 70

Where the sugar in the blood of your child is too low, allow children to drink or eat a concentrated amount of sugar (about 10 to 15 grams) in order to increase the value of glucose in the blood is greater than 80 mg / dL. Some examples might be:
Two glucose tablets or glucose gel for 2 doses
One or two tablespoons of honey
Two to four pieces of candy
Half a can of regular soda
Half glass of orange juice or other sweet like grape juice. Boxes of fruit juices and this will be useful
Seven to 10 Jelly Beans
This is a good idea to keep a small bag packed with a storage compartment of the car 15 doses of one gram of sugar sources

If a child cannot eat or drink, use the glucagon kit. Glucagon is a hormone that helps the release liver blood sugar. It’s available in a kit and is an injectable drug. Usually raises blood sugar within half an hour. Glucagon requires a prescription from your doctor.
Keep 1 or 2 set ready and waiting for the first hypoglycemic emergency occurs. Practice Kit. The doctor, diabetes educator, or pharmacist can provide the kit of practice, for which you are comfortable using, prior to need.
If the child loses consciousness, and not have glucagon, the child must go to hospital immediately. This is a medical emergency.

Nutrition - the normative nutritional therapy that relies largely on the chosen lifestyle. Moderate, the meal planning to ensure a constant intake of carbohydrate. This is especially true for children in the conventional fixed-food recipes that require insulin treatment. Meal planning should be individualized to accommodate the children's food preferences and eating habits and the cultural agenda.
At the time of diagnosis, many patients lose weight, it is restored at the beginning of insulin therapy, hydration, and adequate intake of energy. At this time, increased consumption, children often require large amounts of insulin to control blood sugar levels.
The Nutrition management, including change of use of carbohydrate, carbohydrate counting, glycemic index and content and are discussed in more detail separately.

Exercise affects blood sugar level
Physical activity reduces blood sugar levels. diabetic children should get regular daily exercise. Parents should be aware that hypoglycemia can occur during exercise, so children should watch their blood sugar levels before they start using it. If your blood sugar is low, they should have a carbohydrate snack and rest until their blood sugar to normal levels (80 mg / dL).
Parents should be gym teachers, coaches and team managers are aware of their child's diabetes and the possibility of hypoglycemic reactions.
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