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Your child has been newly diagnosed with type 1 diabetes and we are aware that you may be feeling emotional, confused and shocked about the diagnosis and may have many questions about what is happening and where to go from here. Everything that you will need to know about diabetes and managing it will come in time but for now we will be teaching you the basics to manage your child’s diabetes in the next few days.
The rest of the information regarding the diagnosis will be done in follow up appointments in the next few days and weeks and you will be in daily telephonic contact with the doctor or your educator.
There is a lot to learn about managing your child’s diabetes in the beginning and you cannot possibly learn it all in one day. YOUR CHILD IS FIRST AND FOREMOST STILL A CHILD BEFORE THEY HAVE DIABETES AND DIABETES NEEDS TO FIT INTO THEIR LIFESTYLE NOT THE OTHER WAY ROUND. You and your child are not alone in managing this condition, of course you have to do all the daily working in managing good blood glucose control, but our diabetes team will help you every step of the way. This manual is designed to help you with all the basic survival tools to look after your child, but each day will be a learning experience. Simply defined it is lack of insulin secreted from the pancreas, resulting in high levels of sugar (glucose) in the blood. When your child has diabetes it means that they have too much glucose (sugar) in their blood. Diabetes is not currently curable; however with proper management such as insulin injections and blood glucose testing, proper meal plans and regular exercise your child can have a normal long happy life, both physically and emotionally. Your child should be eating meals that are balanced with carbohydrates (sugars and starches), fats and protein (mostly meat). Carbohydrates are broken down in your child’s stomach, converted to glucose and absorbed into the blood stream as one of the major sources of energy for the body. The pancreas senses the rise in blood glucose levels and secretes the right amount of insulin to move the glucose out of the blood stream into their cells.
Quite simply insulin is secreted every time we eat and a slow release in the background between meals.
As your child does not produce insulin anymore they rely on their insulin injections to provide meal time coverage and the background insulin needs. This is a snap shot of your body during the night when your liver is releasing stored glucose back into your blood stream to supply a constant amount of glucose to the brain while you sleep. When food enters your stomach, the carbohydrates get broken down into glucose and the glucose gets absorbed into your blood stream and your blood glucose level starts rising. If your pancreas is working, it samples the amount of glucose in the blood stream and produces the right amount of insulin and releases the insulin into the blood stream The insulin opens the cells and allows the sugar in and blood sugar will come down.
If you do not have insulin you have no problem getting the carbohydrate into the blood stream but have no way of opening up the cells to let the sugar in and your blood sugar levels stay high.
High blood sugar gets filtered by the kidneys and glucose ends up in the urine, therefore it causes increased urine flow and your child will urinate a lot and therefore drink a lot to catch up.
When your body cannot use glucose for energy it will find another source of energy and you will get these other sources of energy from your body breaking down your muscle and you will loose weight and feel weak and tired and you will also break down fat and produce ketones which makes you sick. There are 5 main food groups that make up a balanced healthy diet in order for your child’s body to get all the vitamins, minerals and nutrients they require to function at its optimum.
The main food groups can be divided into 3 nutrient groups which have individual effects on the body. Proteins – These nutrients are our bodies’ growth foods and have little effect on the blood glucose levels. Fats – These foods are also energy foods in the body; however they have twice the amount of calories than carbohydrates and therefore are to be kept to a minimum, in order to protect the heart and other vital organs. The rate of absorption of glucose in and out of the blood stream is called the glycaemia index (GI). High GI (HGI) foods are absorbed quickly into the blood stream and tend to raise blood glucose levels quickly.
Intermediate GI (IGI) foods are absorbed at a gradual rate and have less of a rise on the blood glucose values.
Low GI foods (LGI) are absorbed very slowly into the blood stream and tend to keep blood glucose values more stable for longer periods than HGI and IGI foods. There are different ways to measure carbohydrates and relate them to the effect they will have on your blood glucose level, this concept is called carbohydrate counting and is a very useful tool to use. Carbohydrates are divided in two main groups and the sugar group is further divided in 3 groups. Most foods have nutritional information on the packaging, so these are easy to read and determine.
Diabetic products are not usually encouraged as they are poorly marketed, costly and they only remove sucrose form the product but still have other glucose products in them, therefore they are not completely free ( Unless the total carbs on the nutritional label says 0 grams) and will still raise the blood glucose levels. Your child’s Diet needs to be individualised and you should see a dietician who understands children with diabetes to structure something for your child individually. Sugar is allowed in small to moderate amounts and will make up part of your carb value at meals.
Proteins get broken down into glucose very slowly in the blood stream and only 50-60% of protein gets converted to Glucose, making it an ideal food for your child to eat as a snack or as the main portion of a meal. Testing your child’s blood glucose levels regularly, will help you to achieve daily blood glucose targets and it is your only tool to help you administer the correct dose of insulin or see what changes need to made to food or exercise etc. Before each meal and at bedtime, and at any other time you think you may be low or very high.
If you are having problems with higher or lower blood sugars email or fax through the last 3-4 days results and insulin doses being used and we can help you make adjustments. The risk of long term diabetes complications is related to overall blood glucose control that is above ranges for many years. Push the plunger all the way down –if using pens, hold for 10 sec and if using syringes hold for 2 sec.
Let go of your pinch before pulling out the needle, this will prevent the insulin from leaking out.
If they are having lots of issues with injections or have a severe needle phobia we can use insulin ports to deliver insulin through. Most often when you have a low blood glucose value your body will give you warning signs – here are some symptoms, it’s also best that you recognise your individual symptoms and treat a low blood glucose values as soon as possible. Don’t get into the habit of over treating low blood sugars and getting a high blood sugar thereafter by feeding them too much.
Give the above treatment and recheck blood glucose values again after 15-20 min if they still complain of feeling low. NB Insulin must be given before a meal if your child was low, you will fix the low blood glucose and then give the normal dose of insulin before that meal, you will need insulin to store that food eaten in the cells of the body otherwise the next blood sugar will be high – they will not go low again!
If your child is confused and unable to swallow – rub condensed milk, syrup, honey or glucose syrup onto the gums if that does not raise the blood glucose levels Glucagon needs to be used.
Blood glucose values need to be checked every 3 hour for next 6 hours after a severe episode. High blood glucose values above target along with high HbA1c’s over many years can lead to complications associated with diabetes. When a diabetic child is ill, it is a very unstable time as blood glucose values may fluctuate erratically. Diabetic children need there insulin when they are sick, sometimes even larger doses, even if they do not want to eat, insulin must NEVER be skipped and the types of foods or liquids may need to be adjusted along with the amount of insulin. Encourage your child to eat their usual meal or something from the list below if there stomach is upset or they are having difficulty eating. If your child is vomiting and there are no Ketones they need to have small sips of fluid every 15 minutes to avoid dehydration.
Medicines for fever, pain, decongestants, runny tummy or nausea, coughs and colds may contain small amounts of sugar. In the absence of insulin your body cannot use your glucose for energy provided by the food you eat. When Ketones are detected you should contact your Dr, Educator or the 24 hour emergency hot line, so they can advise you on clearing the Ketones.


Diabetes camps are one of the best experiences that a child with diabetes can have and it is advisable that you allow your child to be involved in this experience, especially when they are newly diagnosed. Camp is a place for your child to learn self-confidence, independence from mom and dad, to be with other kids with diabetes, and simply to have a great time as well as have the opportunity to make lifelong friends. We interact with each other, learn teamwork, make friends, survival skills and time to play, be creative and do some rhythm workshop and have lots of FUN, FUN, FUN!!
The purpose of this note is to let you know the implications of diabetes and how it may affect me at school.
If there are any questions please write them down and I will get my parents or my doctor to answer them for you. The main dangers that arise from diabetes at school are low blood glucose values or hypoglycemia.
If I experience a low blood glucose value during class I will need to test my blood glucose values and I will need to eat foods that have glucose in them to raise my blood glucose values again. If I am unconscious or have a seizure from a low blood glucose value I will need to be injected with the following injection called glucagon that will increase my blood glucose values. When I wake up please give me sips of juice or coke and check my blood glucose every 5-10min. There may be some side effects 30 min after the injection such as: Nausea,vomiting, bloating and headache.
Our free blood pressure chart and blood pressure log allow you to track your blood pressure, aiding you in being aware of and gaining control over your blood pressure and health.
These blood pressure charts will give you a quick reference of blood pressure levels for adults 18 and older.
Print this blood pressure log and attach it to your fridge or bathroom mirror or close to wherever you typically test your blood pressure. This blood pressure chart spreadsheet lets you track your systolic (SBP) & diastolic (DBP) blood pressures over time.
Remember to enter notes next to your entries regarding diet, exercise, and stress level, so you can see the affects they may have your blood pressure. The Blood Pressure Chart can be a great aid in gaining control over your blood pressure, and ultimately your health. Enter your target blood pressure (this should be given to you by your doctor or caregiver). Next, each time you take your blood pressure, use the printable blood pressure log to simply fill in the date, time, pressure readings and any notes.
Finally, create a visual representation of your blood pressure readings over time using the spreadsheet to enter the dates, times, SBP, and DBP. Medicine, herbal remedies, caffeine, exercise, diet and many other things can affect your blood pressure. Wait at least half an hour after having consumed caffeine, alcohol, medicine, or herbal remedies. Follow the correct process of taking your blood pressure, based on the type of device you're using (digital blood pressure monitor or manual blood pressure methods). Blood Pressure Levels at americanheart.org - Information about blood pressure, how to control it, and many other articles about your health in relation to blood pressure. For Option 1, I choose to dial down my basal rate for an hour mostly because this has worked in the past (trial-and-error). In the near future, I will present to you more of the specifics on my blood sugar levels before, during and after runs this year using these three methods. A Gallup poll released on Tuesday reveals that for the first time in history, Americans are more in favor of legalizing marijuana than criminalizing it. With the majority of Americans agreeing that marijuana should be legalized, we've gathered up eight reasons why those who are still on the fence about the natural plant should possibly reconsider their feelings.
You may think having a large amount of THC in your system will kill you, but you are wrong.
Most polls regarding Americans and their pot use hover around the 40% mark for having tried marijuana at least once.
If you are completely fine with alcohol and cigarettes, then there shouldn't be a reason you aren't accepting of marijuana as well. These meal plans combine the advantage of a low-carb approach with a low calorie meal plan.
A 2011 study showed that eating a low-carb diet can help reduce hunger, which is essential if you are following a very low calorie plan of 1200 calories per day.
To follow this plan, divide your allotted 1200 calories into three meals of 300 calories each and three snacks of 100 calories each. The diet relies on lean protein, berries, and vegetables as well as the use of cooking spray. If you decide to make other substitutes, bear in mind you will need to reduce the portion size of some items because of differences in calorie counts.
Many obese teens are confronted with bullying problems due to their weight, most often in middle schools.
While speaking on the psychological effects of obesity, Petals Rainey, Leesville’s psychologist, discussed several issues. Often, a student’s grades and social interactions will suffer once obesity becomes a problem. The major issue with obesity (besides obvious health concerns) is the low self esteem that can develop. There are many factors to consider when an individual is confronted with obesity, with obesity often leading to extreme issues such as anxiety, depression, and other psychological states.
To navigate through and address all of the effects of obesity, there needs to be a thorough understanding of how it impacts all aspects of a person’s life. To learn more about the physical effects of obesity and why it is such an issue in this modern world, Suzanne Tadlock, Leesville health instructor, provided a website on obesity and a few tips on how to fight it.
Tadlock reasons that one of the more prevalent causes of obesity in today’s society is the availability of fast food in every city, with a McDonald’s on practically every street corner.
With obesity being a major issue, Tadlock takes her job as physical education specialist very seriously. Another major contributor to childhood (and therefore teen) obesity is the lack of physical exercise in the elementary and middle schools.
These health issues can lead to even more health problems, all adding up to become a plethora of disease and pain. With all of this information, one can make the easy conclusion that obesity is a prominent issue in today’s society.
One important way to help people suffering from obesity is to encourage them to improve, and to be nice about it; obese people typically suffer from low self esteem and low sense of self.
Some of the signs that someone is suffering psychologically from obesity are, “not thinking that they’re attractive, and again, that ability to navigate in the social realm. By boosting their pride and helping them to accept their bodies and how they are, people and students who suffer from obesity will not be so concerned with their appearances. Your child is unique and you will learn in time how diet, exercise and different life situations affect your child’s blood sugar levels. There is a “genetic predisposition” (inherited factor) that needs to be present for the process to start and a viral infection can be the external trigger required to start the immune attack.
The food your child eats’, especially carbohydrates are broken down into glucose and stored in their cells for energy now or later so that your child can perform their daily activities like, learning, running, swimming and playing and more importantly having fun. This is usually achieved by using 2 or 3 kinds of insulin, usually a long acting (background insulin) and a rapid acting insulin (meal time insulin). Half of the protein we eat gets converted to glucose over a long period of time so it has a gradual rise on the blood glucose levels. Fats are needed for cell growth and protection for organs and are a very important part in children’s growth and development. The following pictures are a few examples of the main carbohydrates consumed and they are all measured in 1 carbohydrate value.


Below are a few typical foods that have been measured in 1 carbohydrate value they may not necessarily have nutritional information on them and they may need to be learned with time.
Complications are obviously one of your concerns as a parent, but if you and your child work hard at getting the blood glucose values as close to target as often as possible so complications can be prevented. Injecting in the same area too often will cause scar tissue and lumps in the area and the insulin absorption is then unpredictable and poor. Areas that can be damaged from high blood glucose levels are the: eyes, kidneys, heart and feet. Anti-nausea suppositories can be given every 6 hours, if your child needs a second suppository call your Dr. I know this may make you feel scared or worried to have me in your class as there are a lot of misconceptions about my condition. I would like to explain my diabetes and I am sure you will see that I can lead a normal life jut like any other child in your class. Since normal blood pressure levels can change with age, weight, height and many other factors, you should consult your doctor or caregiver to determine your appropriate target blood pressure, which can be entered into the blood pressure log. This printable blood pressure log allows you to write down your results no matter where you are.
I don’t want to deal with getting a temporary basal rate going while I am sleeping, which seems complicated. 2013 has markedly been a successful year for marijuana legalization, with Colorado and Washington both passing laws to decriminalize the drug. Ever since marijuana has been known to mankind, not one single account of death from overdose has been recorded.
This is compared to the 16% of Americans who have tried cocaine, which is obviously a significantly lower percentage. As you can see from a 2010 study published in the Lancet and reported on by the Economist, a team of drug experts in the U.K. Set at 1,200 calories and under 25 grams of carbs per meal, this plan is considered very low-calorie and moderately low-carbohydrate. These two strategies together can accelerate weight loss, helping you achieve quick results.
If you can see results for your efforts while experiencing minimal hunger, you are more likely to stick to the plan and less likely to stray down paths with foods higher in calories. In many cases, the meals listed below have lower effective carbohydrate counts because fiber is counted as a carbohydrate as far as nutritional information goes, but it does not affect blood sugar the way other carbohydrates do. Feel free to mix and match for a meal plan that will maintain you at around 1,200 calories per day with low carbohydrate counts.
A tablespoon of oil or butter contains up to 120 calories, calories you cannot afford to add, if you are sticking to the 1200 calorie plan. An online calorie counter and reading food labels can help you make good choices while staying within the calorie limit using low carb foods. Combining low calorie options with foods low in carbs can help you achieve your weight goals that much quicker. Although it is often played down as unimportant, self worth is an important factor to succeeding both in high school and in the world. According to the Stanford University Website, there are a plethora of health issues associated with obesity, including high blood pressure, diabetes, heart disease, joint problems (such as osteoarthritis), cancer, and metabolic syndrome, just to name a few. They might be excluded from activities where they are expected to be thin, such as cheerleading, etc,” Rainey said. Rainey indicated that this, in itself, will improve their grades, as well as their way of life. Name Email WebsiteSubmit Comment Recent Posts One Size May Not Fit All on GI Foods Low GI Foods May Help You Sleep What Exactly Is the Glycemic Index Diet? Sometimes a viral infection can trigger diabetes in some children, but you could not have stopped diabetes from happening.
Insulin directs the uptake of glucose into the cells either to meet immediate energy needs or to store it for later use. These foods make excellent snacks between meals and will not require extra insulin, further more it can be eaten when blood glucose values are high in order to prevent them from raising further.
They raise the blood glucose values and are the foods groups that need to be kept under control in order to manage diabetes. Unless you are sick, then it necessary for you to test more often, especially when you have ketones, then you will need to test hourly. The HbA1c is a way to measure this; it looks at the amount of glucose attached to your red blood cells. The high blood glucose levels damage all the small nerves and arteries to the organs mentioned above, however if you and your child manage your diabetes effectively you will not develop diabetes complications.
Cortisone and or steroid containing medications cannot be taken, they increase Blood glucose levels aggressively the list is below. HOWEVER once your child has the above symptoms but starts to vomit and have difficulty breathing it can no longer be managed at home - the Dr needs to be contacted and your child will need to be admitted. The blood pressure charts below are a quick reference for low, normal and high blood pressures.
When trying to decide how much insulin to take with a meal, it is helpful to determine the carb total for the food.
If the insulin takes about an hour to kick in but has been reduced an hour before exercise, it is not pushing blood sugars down at a time when the exercise is.
Marijuana is becoming more and more ubiquitous every year despite being less addictive than coffee. It's important you eat at least 1,200 calories per day in order to support your body's basic metabolic needs. The best way to ensure you are adhering to calorie and carb counts is by weighing your food on a kitchen scale or measuring it carefully.
Variety helps ensure you do not become bored with your diet, and eating a variety of foods across the spectrum of color will ensure you get all of the vitamins and minerals you need.
Because vegetables, particularly leafy greens, are low in both carbohydrates and calories, they figure strongly into these meal plans.
A lot of times when you find a lot of individuals who have weight issues, they have emotional difficulties, coping skill, some difficulties with social skills. If undetected or untreated your child could develop DIABETIC KETOACIDOSIS (DKA), this is a medical emergency and they will need to be hospitalised. Working off my past experiences, I thought about how to strike the right balance of insulin, food and exercise in relation to my blood sugar. But when I am about to do this type of run, I take about 1 unit less and start my run about 45 minutes after eating. Because if you’re having difficulties at school, socially, then you’re not going to come to school, wanna come to school, and do everything you can to stay out of school, so you know, that could start as a short term problem that could morph into a long term problem. In between meals and during fasting low levels of insulin regulate the amount of glucose produced from the liver (your body’s main glucose store). Children, especially very young children have different targets to adults as they don’t always detect there low blood glucose values and very low HbA1c‘s are not suitable for them and they are individualized to the child.
It would be great to have a system for managing this situation that removes the guesswork for patients. Many patients figure out their insulin-to-carb ratio, then can determine the appropriate bolus dosage.
In order to maximize nutritional intake, the 1200 calorie low carb meal plan leaves no room for empty calories. Every year we are closer to a cure and the tools and knowledge we have to manage diabetes improve.



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Comments

  1. JEALOUS_GIRL

    All meats, poultry and seafood.

    13.01.2014

  2. kursant007

    Carbohydrate plan could be helpful for.

    13.01.2014

  3. Delete1

    Protein takes calcium from the.

    13.01.2014

  4. K_I_L_L_E_R_0

    Prediabetes and Gestational Diabetes will.

    13.01.2014

  5. APT

    Things, including how healthy you are, how much you exercise arteries.

    13.01.2014