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Diabetes Positive Approach, Issue #1301-- Cope with Diabetes; Live Healthy
January 01, 2013

In This Issue:

Diabetes in Children - Part 1 Diabetes Upswing No Longer a Mystery

Diabetes in children is now getting more common. The trouble is some do not know how to diagnose it and some say that is because there is no drug treatment for it that works well. It is unfortunate that this happens more often than we care to admit. In fact, nearly all the millions of pre-diabetic Americans are undiagnosed.

For example there was a boy with mildly high blood sugar who when asked what the doctor said when he has seen one, replied that they were going to wait until the sugar level is higher for he will then be treated with diabetes medication. This watching and waiting until something worse happens could be deadly.

In fact, diabetes in children has shown us that it starts early. There is now an epidemic of this occurring as early as eight years old. Specialists in pediatric diabetes who used to care for children with type 1 diabetes only now have to deal also with cases of children with type 2 diabetes.

Experts say that diabesity and insulin resistance often come with the following signs:

  • Tiredness after meals
  • Belly fat
  • Cravings for sugar
  • Low HDL
  • High triglycerides
  • High Blood pressure
  • Blood clotting problems
  • Increased inflammation

What are the Reasons Behind the Increase?

Lancet conducted a study on the reasons behind the increase and found disturbing statistics showing that the number of type 1 diabetes kids could double in the next ten years. They found five possible explanations to the rising statistics. Here they are:

  • The kids are exposed to too little sun. They came up with this trigger because they found that the closer the kids live to the equator, the type 1 diabetes cases are less.
  • The children are growing too big too fast. The ones who grow more quickly are likely to get type 1 diabetes.
  • Exposing infants to infant formula during their first six months damages the immune systems that can then lead to autoimmune diseases like type 1 diabetes.
  • The children are reared in too clean an environment which makes them less exposed to some parasites and germs. Exposure to these could help them be less susceptible to diseases like diabetes.
  • There is too much pollution that increases the risk to develop diabetes.

Let us delve deeper into one of the aforementioned triggers which is that the children are growing too big too fast. The New England Journal of Medicine had a new research where they reported what people have long suspected. The report is that children who are obese are more likely to die young.

Obesity, one can easily understand, is the result of eating super sized meals, drinking sweetened drinks and being less physically active. This goes to show that prevention should begin with these young children. It is clear that targeting this age group will prove beneficial.

The main problem in targeting this age group is the lack of reward for the effort since there is less diabetes risk among this age group than that of the adult group. The recommendation therefore is to do the intervention with the adults especially since the structured lifestyle intervention works better with this group.

While it is true that the risk to develop diabetes is higher among the grown-ups and that the lifestyle intervention works well and therefore the cost is justified, I still feel that targeting the youth will also justify the cost. Think of the long term ramifications when we wait too long before we do something for our youth.

Thank goodness there are on-going studies that support my stand on the advantage of childhood intervention. A study will follow 6000 children to find out if an intervention will work. Probably what they want to know is if it is going to be cost-effective in solving the problem caused by diabetes in children.

2.Must-Reads from Around the Web


10 Diabetes Advances in 2012

Living on the Street with Diabetes How We Can Help

Type 2 in Kids

Applying for Benefits: Challenges for People with Diabetes

3. Diabetes in Children - Part 2 When At First the Child is Diagnosed

Diabetes in children occurs when the pancreas are no longer producing the insulin needed for survival. In order to survive, there is a need to replace this with the use of an insulin pump or shots. Just to be clear so we are on the same page, this condition used to be known as insulin-dependent diabetes or juvenile diabetes.

Parents of the children diagnosed with type 1 diabetes find this overwhelming and devastating at first and rightly so. There are so many things to learn for one thing and the emotions involved could be overpowering to some. Some will be playing the blame game as in where did I go wrong, that sort of thing. There is no reason for this though.

It is wiser to put aside the emotional part of the equation for a clear mind is necessary not only to serve as a role model for the diabetic child but also to learn all the things needed to meet the challenges this condition poses for the family. There are things to learn like counting carbohydrates, giving injections and monitoring the blood sugar.

The good news is that you are not alone. There are a lot of places where you can find help. There are excellent websites that give information and send you in the right direction. Your child's doctor will also give you tips on what to do. The pharmacist at your local drugstore will show you the mechanics of giving injection and blood sugar monitoring.

Then there will be the diabetes care team who will help you come to terms with what is happening. The team will include the diabetes doctor, a dietician, a social worker and a diabetes educator. Meantime you can educate yourself and others involved with the child about the daily care along with the goals and long term needs.

Constant care is needed, we know, but advances have been short of amazing that help is just a telephone away. Managing diabetes every day has been made easy by these advances particularly in monitoring the blood sugar and the delivery of insulin. The goal in all of these is to assist the child and the families to live a happy, healthy and well adjusted life and for the child to grow up normally in all aspects of living.

Support needed for coping with the situation can appear to be impossible at the start. There will be support groups in the local community where you can pose your questions and get answers from people who have been through the same path you are going through now.

Where before the diagnosis of diabetes is akin to a death sentence, now diabetes in children need not be a scary thing, thanks to the discovery of insulin by Dr. Banting. There are countless examples of people who are living a full happy life, doing what they want to do.

There is nothing to stop the diabetics from pursuing their dreams. Now they can become a judge of the supreme court or go on triathlon running. With proper treatment and blood glucose control, a long, full, happy and healthy life is more than possible. The diabetics are in for a joyful life so parents need not worry about diabetes in children.

4. A Success Quotation of the Month

“You must live in the present, launch yourself on every wave, find your eternity in each moment. Fools stand on their island of opportunities and look toward another land. There is no other land; there is no other life but this.” ~Henry David Thoreau

5. And here’s the dessert recipe we promised you.

Red, White and Blue Parfait

6. Some Humour - Let's laugh together at this joke even if it's not funny. We just want you to forget, just for a moment what you are going through. Laughing will help get us healthy. You know what an Oxford University's study found? Laughter makes the body release the same endorphins that exercise gives out.

This leads to the feeling of euphoria mixed with serenity. This is what we want you to have. Mind you, the laughter is not just the type they call polite titters. To maximize the benefit, the laughter should be the full-fledged belly laugh. It is the kind that gives the diaphragm a workout.

A Singing Patient

Patient kept singing in a low voice while lying on his hospital bed. After he finished singing, he turned face down and started to sing again.

Nurse: Why did you turn around?

Patient: It is already Side B.

7. Do you have a question or comment for the team?

Drop us a line at our contact form and write your questions or comment there.

You may see your question answered in an upcoming issue of Diabetes Positive Approach like this one below.

7. Question: "Diabetes in Children - Part 3 What Is Type 1, the Symptoms To Look For and When Do I Go to the Doctor?"


Diabetes in children, they say is on the rise so we are featuring this topic in a series of articles. The first of the series is on Diabetes on the Upswing while the second one deals with “if the child is first diagnosed.” This is now third of the series where we will explore the definition and the symptoms to look for.

What is Type 1 Diabetes?

Diabetes in children is used to be called juvenile diabetes. It is also known as insulin-dependent diabetes or type 1 diabetes. This is a condition where the pancreas of the child is no longer producing the insulin needed to survive. There is therefore a need to replace this insulin through an insulin pump or shots. How did this lack of insulin happen?

Some of the food eaten after a meal breaks down into sugar which goes to the bloodstream and into the cells of the body through insulin. When the pancreas fails to produce the necessary insulin for the sugar to go to the body cells, it stays instead in the blood. The sugar then builds up in the blood.

Symptoms To Look For

The symptoms and signs of type 1 diabetes in children may occur suddenly or develop quickly and include:

  • Extreme hunger - With the inadequate amount of insulin unable to move the sugar to the body's cells, the organs and muscles do not have the necessary energy to function. This triggers excessive hunger.
  • Increased thirst is the result when excess sugar builds up in the bloodstream because fluid is drawn from the tissues leaving the child thirsty. The child then may often need to drink.
  • Frequent urination more than usual will be the order of the day for a diabetic child who, because of increased thirst, may drink more than usual.
  • Unexplained fatigue and weakness
  • Weight loss despite eating more than usual. This could rapidly happen for the fat stores and the muscle tissues just shrink without the energy from the sugar.
  • Numbness in feet and hands may also appear.
  • Vision could become blurry. This could occur when the child's sugar is too high. The fluid is then pulled from the lenses which may make the child unable to focus well.
  • Yeast infection could be the first sign of type 1 diabetes in a girl. This could also be the first sign of diabetes in babies which leads to severe diaper rash. This is even worse than the red, tender and puffy skin rash.
  • Abdominal pain may also be a sign of type 1 diabetes.
  • Breath may have fruity odor.
  • Breathing could also become labored or heavy.
  • The child may be drowsy and lethargic due to being deprived of sugar in the cells.
  • Unusual behavior and irritability may occur and may make the child appear moody.

When to Consult with a Doctor

If you observe any of the symptoms or signs of type 1 diabetes mentioned above, it is time to talk to the pediatrician or your child's doctor. Don't leave this at the last minute because deterioration could happen rapidly when there is a suspicion of diabetes in children.

Symptoms To Look For in Infants

How about for the infants? What symptoms will we be looking at? Well, here they are:

    The baby is constantly thirsty and hungry.
  • The diapers are excessively wet.
  • The baby is fussy and irritable.
  • The baby is sleeping more than usual.
  • The diaper rash keeps recurring.

8. Got something to say? Please write down your questions and comments in the contact form in our website.

Just go to the contact form and write your questions there. Also go to the disclaimer.

Thank you for being a subscriber of Diabetes Positive Approach, !

Now you have fully accepted that you deserve to succeed in taking good care of yourself. You feel strongly that you will take good care of yourself with conviction and confidence. Therefore we will not hesitate too long before taking action so we can help others like the children with diabetes.

We will confront the decision ahead of us and face them head on. We don't worry when we make the wrong decision because we know the worst thing to do is not to make any decision at all. We can act decisively because we are not afraid to make a mistake. Nor do we feel threatened when things go wrong.

Warm Regards,

Roger and Evelyn Guzman

Did you like this newsletter? If so, please recommend it to your friends. If you have any questions or tips, please leave a comment at our contact form and write your questions or comment there. This newsletter is copyright 2012 Roger Guzman, M.D.

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Did you miss the following back issues of this newsletter? Here are two of them:
Diabetes Positive Approach Newsletter 805

Diabetes Positive Approach Newsletter 806

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