Friday, March 21, 2008

Pediatric Diabetes and Caring for Children Diabetes

Despite our best efforts as parents or caregivers, children will become sick. One such illness which is becoming increasingly prevalent is pediatric diabetes. However, keeping a diabetic child healthy is dependent on being informed about the disease, its symptoms, and treatments. Caring for the child with diabetes is the responsibility of all persons who, at some time or other, has to take care of that child. As such, parents need to ensure that all care givers are informed about their diabetic child's dietary needs.

Most children tend to have type I diabetes, previously known as juvenile diabetes, although children are increasingly being diagnosed with type 2 diabetes as well. Type I diabetes occurs when the pancreas does not work and does not produce any insulin. Insulin is needed to help break down sugars (glucose) in our body to help it work efficiently. When this breakdown of sugars does not happen, as in the case of type I diabetes, the sugar stays in the blood stream.

Because insulin is important in breaking down sugars in the body to use for energy, insulin has to be taken to control the illness. Therefore type I diabetes is also called insulin-dependent diabetes. Exercise and diet are also important helping to control this type of diabetes. Caring for the child with diabetes means that you will need to recognize the signs of the illness, as well as any resulting reactions that can occur. The main signs of pediatric diabetes are:

Breath smelling like fruit
Constant hunger
Pulse beating faster than normal
Headaches
Being weak and dizzy
Difficulty concentrating
Vision becoming foggy
Skin tending to be cold and moist
Experiencing seizures

Next, you should be able to identify when the child is in crisis, suffering either a hypoglycemic or hyperglycemic episode, and you should know what to do help in either case. Hyperglycemia occurs when the sugar levels are too high. Rising sugar levels are generally a result of eating too much, not taking the correct amount of insulin, or not exercising enough. When a child is hyperglycemic, treatment by medical professionals is needed. A child suffering from high blood sugar will complain of the following:

Weakness
Extreme thirst
Needing to urinate frequently
Not seeing clearly
Not being hungry

With hypoglycemia (low blood sugar), the symptoms vary from child to child, but some of the typical signs include:

Clumsiness
Sudden mood changes
Sweating
Hunger
Seeming confused
Trembling
Headache
Tingling feeling around the mouth

The first course of action is to increase the child's sugar intake by giving them something sweet to drink, such as regular soda, fruit juice or glucose tablets. Once the child is feeling better, you should give them something more solid to eat. If the child is too weak to swallow or is unconscious, administer the recommended dosage of glucagon and call for immediate medical assistance. Glucagon is a medication given by injection to rapidly increase the level of glucose in the blood. It is normally the first course of treatment in severe hypoglycemia.

Diet is a major part of keeping the diabetic child healthy. The caregiver has the responsibility to ensure that the child eats what is recommended. It is also important to talk with the child and let them know that they will get really sick if they eat too many sweets or other foods that can pose a risk. It is also important to let others, such as teachers, know that a diabetic child may need to snack to boost their sugar and energy levels. The child with diabetes must also have regular meals.

Exercise is important as well, and there is no reason why the diabetic child cannot participate in all regular physical activity. Exercise helps to control blood sugar levels. However, suffering from pediatric diabetes should not exert themselves before meal time. Also, they will need to have a snack, such as juice, crackers or a fruit, handy, as they will need to replace sugar lost during physical activity.

Most importantly, children should be taught how to test their blood sugar levels during the course of the day, once they are able to do soon their own. This is important so that they can take insulin or eat something as needed.

Caring for the children diabetes while calling for more vigilance in terms of their eating habits can be stress free once you and others taking care of the child know what to do and follow the rules. Also, make sure that emergency numbers are close at hand and that the child learns how to recognize symptoms of potential trouble and take corrective actions.

Sunday, March 16, 2008

Diabetic and Neuropathy

Neuropathy is a functional change or pathological disturbance in the peripheral nerves. Know anymore than you did? Probably not. Let's see if we can get a better understanding of what all that mumbo-jumbo means!

The human body's nervous system has two main parts with the Central Nervous System being the one we hear the most about. This is the part of the nervous system that includes the brain and spinal cord. The one we hear less about is also a very important one. The Peripheral Nervous System is made up of the nerves that connect the Central Nervous System to the other organs and muscles in the body. As you can imagine, the peripheral nerves affect a lot of areas of the body. Now back to our original definition of neuropathy, a functional change or pathological disturbance in the peripheral nerves, one can see how neuropathy can become a big problem.

The peripheral nervous system is made up of three different types of nerves. They are motor nerves, which are responsible for voluntary movements such as waving goodbye, walking, etc. Another is sensory nerves which allow us to feel pain, hot and cold, etc. The third type is the autonomic nerves. As the name implies, these nerves control our involuntary movements such as breathing, heart beats, etc. Obviously, the nervous system is very complex and one of more nerves may be involved in neuropathy.

Symptoms of neuropathy can come on suddenly or gradually over time, depending on the types of nerves involved. Unfortunately, diabetes is the most common cause of neurophathy so we diabetics need to be aware of the symptoms because early intervention is important in treatment and recovery. In most cases, the early symptoms are weakness, pain, or numbness. Symptoms such as difficulty walking, stumbling or tiring easily, muscle cramps, trouble holding onto objects, an unsteady gait, dizziness when standing up may be symptoms. Some people complain of their hands and feet feeling as though they are wearing gloves or slippers when they are not. Because the peripheral nerves involve so many areas, there are many different types of symptoms. This can lead to problems getting a diagnosis since so many of these symptoms also relate to other illnesses. If you notice one or more of these symptoms for an extended time, check with your doctor. He or she may refer you to a neurologist, a doctor whose specialty is the brain and nerve disorders. A complete history of the symptoms should be presented and such tests as an EMG (electromyography), blood tests and urine tests will probably be done.

The key to recovery is to seek help as soon as you suspect problems. Recovery time depends on how much damage has been done and if nerve damage is left untreated for a long period of time, the symptoms could become irreversible. Don't ignore the symptoms! This is your life, your future and your comfort we are talking about here. Most of us human beings have a tendency to think it's our imagination, it will get better on its own, the doctor will think I'm just a complainer, I'll mention it when I see the doctor in six months, etc. Wrong! At the risk of repeating myself, I feel that I must stress early diagnosis and treatment is important for this one. Don't let yourself have permanent nerve damage because you waited too long to admit you had a problem.

Source:
New Day Counseling
New Day Counseling is a professional counseling center with a number of licensed therapists who do couples and marriage counseling as well as counseling for anger and depression.