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Diabetes Positive Approach, Issue #1303-- Cope with Diabetes; Live Healthy
March 05, 2013

Now that we are still working on Children and Diabetes, it is best if we do not compare the worst part of our personality to other people's best features. Really, we should not do this in everything we do so we could end up the same as in Napoleon Hill's quotation, "What the mind of man can conceive and believe, it can achieve". Truly, this happened to someone you know very well.

This someone believed her worst features that at age 38, she became a cleaning lady on welfare. But then she read "The Magic of Believing" and started believing in herself. At one point, she ended up earning one million dollars a year. She is none other than Phyllis Diller!

In This Issue:

Diabetes in Children - Part 6 Understanding the Tests and Diagnosis of Juvenile Diabetes">Diabetes in Children - Part 6 Understanding the Tests and Diagnosis of Juvenile Diabetes

Diabetes in children is a topic with lots of information one needs to know. On previous pages we already learned why the rise in statistics is no longer a mystery, what to do when the child is at first diagnosed, what is type 1, the symptoms to look for, when to go to a doctor, the causes, risk factors and the complications. This time we will undertake to learn the tests and diagnosis of juvenile diabetes.

Know that if the doctor thinks your child has diabetes, he will recommend some tests for screening purposes. The two tests that are usually employed are the glycated hemoglobin test which is known as the AIC test and the random blood sugar test. Let us deal with these tests one at a time to understand them better.

AIC Test or the Glycated Hemoglobin Test

The result of this blood test will show the average blood sugar level in the past two months or three. What this test does is measure the blood sugar attached to hemoglobin. The hemoglobin is the protein in the red blood cells that carry oxygen. The hemoglobin that has more sugar attached to it has higher blood sugar level.

If the A1C level is 6.5 percentage or more, then it shows the presence of diabetes. Mind you, they have to test twice to confirm this figure. An A1C reading of between 6 and 6.5 level shows prediabetes which just means there is a high risk of developing diabetes. The A1C is the A in the understanding of the ABC of diabetes. As for the BC parts of the ABC, there are other pages that deal with the B and C.

Random Blood Sugar Test

To do this test, they will take a blood sample randomly. That means the blood sample is taken at random regardless of when the child last ate. If the blood sugar level is found to be 200 mg/dL or higher, then diabetes is strongly indicated. The test results by the way is shown in milligrams per deciliter or millimoles per liter.

If the test results is below 200 mg/dL or 11.1 mmol/L and the doctor still thinks the child has diabetes, then he may have to recommend that the child take the glycated hemoglobin test which is A1C in short. This will definitely show if the child has diabetes or not because the test results will show the percentage of blood sugar in the hemoglobin.

Fasting Blood Sugar Test

This type of test is taken with a blood sample after fasting overnight. The normal reading is shown by the fasting blood sugar level of less than 5.6 mmol/L (100 mg/dL). Anywhere from 5.6 to 6.9 mmol/L (100 to 125 mg/dL) is well thought-out as prediabetes. A child with 7 mmol/L (126 mg/dL) or higher reading on two separate tests will have a diabetes diagnosis.

To determine if it is type 1 or type 2 diabetes, the doctor will do blood tests to confirm the presence of autoantibodies that ordinarily appear in type 1 diabetes. This will help the doctor diagnose the condition as type 1 diabetes as those showing the absence of autoantibodies will be diagnosed as type 2.

If ketones are present in the urine of the child, then this also suggests that the diagnosis is type 1. If there is too much sugar in the blood stream that leads to inadequate supply of glucose, the body uses fat instead for energy. Ketones appear when the fat breaks down. Ketones are the acids that form in the urine and blood when the body uses fat for energy instead of glucose.

Some glucose meters test for ketones which is important because knowing the measurement can help prevent complications that one can get from ketoacidosis. It will also help the doctors know what to do when an emergency occurs.

More Info After the Diagnosis

To make sure the diabetes management is working out, there will be regular visits to the doctor who will take the A1C level of the child which will help determine the target level. The target level will depend on different factors including the child's age. This is where the A1C test is better than the every day tests as it will show if the treatment plan is working or not or if there is a need to modify it.

The doctor will also check the liver, thyroid and kidney functions plus the cholesterol and blood pressure levels and test for celiac disease as well. He will examine the sites for the blood tests and insulin delivery. These are in addition to the physical examination and history completed by the doctor. We have more reports on how to take care of diabetes in children.

2. Must-Reads from Around the Web

How Much Do You Know About Diabetes? Let a 9-year-old Manlius Boy Fill You In

Ky. Attorney General Sues Maker of Diabetes Drug

More Have Diabetes Under Control

Nurse: Despite Prevalence, Diabetes Can Be Prevented

Diabetes and Eyes, What Your Vision is Trying to Tell You

3. Diabetes in Children - Part 7 Blood Sugar Monitoring

Diabetes in children has the issue of blood sugar monitoring as an important part of the management. Both parents and children should know when the blood sugar is not within target range. This helps know how physical activities and food affect the blood sugar so if the child is taking insulin, it will be a guide to know how much short-acting insulin is needed. It is a good thing the blood sugar can be checked anytime anywhere with a glucose meter.

Why Do We Have to Monitor the Blood Sugar?

Blood sugar monitoring or testing will help warn of the low blood sugar which could become an emergency. Eating something with sugar can prevent an emergency situation from happening. On the other hand, blood sugar that is consistently high could lead to permanent damage to the heart, eyes, blood vessels, kidneys and nerves.

If the child is prescribed to take short-acting insulin, knowing the blood sugar level before a meal will help determine how much insulin is needed. Monitoring the blood sugar level will also help understand how exercise affects the blood sugar. Usually exercise lowers it while sickness and stress can lead to higher levels. This will help determine the need for adjustment to the treatment plan so tell the doctor the results of your monitoring at home.

How Do We Do the Blood Sugar Monitoring?

Step 1: Get organized.

Find out from the doctor how often to monitor and record the results. Make it into a habit like testing the blood sugar level before breakfast. Have all the supplies ready so each test can be done quickly. Check whether the strips have expired as this will give inaccurate results. Check also if the code numbers on the meter match those on the bottle for the testing strips. If they don't match, you can change the code numbers by following the directions that are in the meter.

Check the accuracy of the results of the meter by using the sugar control solution made by the manufacturer of the meter and follow the directions that came with it the first time you use a meter. Check it regularly and put the reminder in the child's bag so you will be reminded to do this.

Step 2: Do the Actual Test.

Children with type 2 may need only to check the blood sugar only once or two times a day but children who have type 1 diabetes need to test their blood sugar several times a day. Frequent testing will let one know how well the treatment plan is working. Here are the steps to take in monitoring the blood sugar level.

1. Wash both the tester and child hands with soap and water and use a clean towel to dry them well.

2. Place a clean lancet in the lancet device which holds and controls how deeply it goes down the skin.

3. Get a test strip from the bottle making sure to put the lid back on so the moisture will not affect the rest of the strips.

4. Get the blood sugar meter ready by following the instructions that came with the meter.

5. Stick the side of the finger tip of the child with the lancet.

6. Put the drop of blood on the strip making sure to cover the test part well.

7. Put pressure on the area where the needle was stuck with a clean cotton ball to stop the bleeding.

8. Read the results which the meter will show in a few seconds.

Step 3: Record the Result of the Test.

This is very important as the result will show what foods, exercise and other factors are keeping the blood sugar on the healthy range. Take all the results to the doctor so he will know what steps to take regarding the treatment plan. Manufacturers of diabetic supplies can provide you logs where you can write down the results of the test or you can use a plain notebook. Some meters can keep as many as 100 test results.

Here are some guidelines to succeed at monitoring the child's blood sugar level:

Keep the supplies and meter with the child the whole time.

Schedule the checking of the blood sugar in with the child's routine so it becomes a habit.

Check if the meter is accurate during every visit to the doctor by comparing the results.

Prick the side of the child's fingers as the finger tips are more sensitive.

Maintain and calibrate the meter with the test strips properly.

The aforementioned guidelines summary wll help remind those who help take care of the children who have diabetes. As long as they are followed there should be no reason for anyone not to succeed at monitoring the child’s blood sugar thus making it easier to help look after the diabetes in children.

4. A Success Quotation of the Month

“Physical fitness is not only one of the most important keys to a healthy body, it is the basis of dynamic and creative intellectual activity.” - John F. Kennedy

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

Rustic Apple-Cranberry Tart

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.


Child 1: "What are the historic monsters called when they sleep?"

Child 2: "A dinosnore!"

Child 1: "Why did the stupid racing driver make ten pitstops during the race?"

Child 2: “He was asking for directions.”

Child 1 “What is the fruitiest lesson?”

Child 2: “History, because it is full of dates.”

Child 1: “How do we know the the Earth won't end?”

Child 2: “Because it is round.”

Child 1: “How did your mother know you did not wash your face?”

Child 2: “I forgot to wet the soap!”

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: "How Can We Prevent Sore Fingers?

Answer: Here are some suggestions to prevent sore fingers:

Prick the side of the finger tip instead of the tip of the fingers as the latter will be more painful.

Don't use the same finger all the time. Use a different finger for each test. When any finger gets sore, let it rest for awhile by not using it for a few days.

When it is not easy to get enough drop of blood to cover the strip's test area, get the child's hand down below his waist and wait five seconds before squeezing starting at the hand moving to the end of the finger.

Lancets that have been used become dull and so they are painful when reused.

Some meters use lancet devices can get blood samples from other sources like the forearm so investigating this may help prevent sore fingers.

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, !

Napoleon Hill said that "Imagination rules the world." How true that is! We can really create our future just by imagining it happening. Henry J. Kaiser agreed by saying, "You can imagine your future." He said that he succeeded in life and owes it his use of constructive use of creative imagination.

So let us imagine the future of these children to be productive and happy as much as possible. We can all help by forwarding this newsletter to anyone with diabetic children. We probably have two more issues on children and diabetes so bear with us.

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 2013 Roger Guzman, M.D.

Please get permission if you want to publish it. Also, this newsletter disclaims all responsibility for any product mentioned. Please do not rely on the newsletter having examined or endorsed any product unless the author clearly said it. You are advised to exercise due diligence before buying.

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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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