Summary:
Most children & adolescents who are diagnosed with diabetes usually have Type 1 diabetes that requires insulin for treatment. Diabetes in pregnancy includes a woman with Type 2 diabetes who becomes pregnant or a woman with gestational diabetes during pregnancy.
Contents |
Most children and adolescents diagnosed with diabetes usually have type 1 or insulin dependent diabetes. They need insulin, dietary management and exercise to control their diabetes.
If your child is diagnosed with diabetes, learn more about your child’s diabetes, and how to administer his/her insulin, how to plan his/her meals and exercise programmes. As your child grows, he/she must learn from you how to control his/her diabetes. In this way, your child will gradually assume responsibility in managing his/her diabetes.
As your child goes to school, he/she interacts with other children and wants their approval and wants to fit in. Your child may consider diabetes a stigma. He/she may be unwilling to tell other children about it. A plan of treatment that interferes with school and friendships may be unwelcome. So you will have to consider these problems of psychological and social adjustment and help your child adopt a positive and healthy attitude towards his/her diabetes. Encourage early self-care in the sports and activities that he/she can carry out as well as the types of foods and drinks he/she can or cannot take.
When parents tighten the control of the level of glucose in the child’s blood, low blood glucose or hypoglycaemia becomes a real risk. Very active, young children are also prone to hypoglycaemia. It is important to make sure that there is good meal planning and regular monitoring. It is crucial that your child takes their meals on time and snack in between meals. Teach him/her to recognise the signs and symptoms of low blood glucose reaction and how to manage it.
The school should be told of your child’s diabetes. By understanding that your child has diabetes, special privileges may be allowed for your child to take meals and snacks on time, even during class. The school would also allow your child to go for appointments to the doctors as well as to use the restroom. A friendly schoolmate should also be taught how to recognise and treat low blood glucose reaction. As far as possible, allow your child to participate fully in all school and after school activities. Teach your child to have healthy and regular meals and stick to the medication schedule. If the activity your child participates in is hard and tiring he/she should take a small snack before starting on the activity.
As your child enters adolescence, encourage him/her to assume more responsibility for his/her diabetes such as giving himself/herself insulin injections, making wise decisions on his/her diet as well as frequent monitoring of blood glucose levels. Your child must also know the possible complications resulting from an unhealthy lifestyle. Therefore, he/she must learn not to smoke, take drugs or alcohol, which could increase the risk of complications from the diabetes.
There are three main types of diabetic pregnancies:
A high blood glucose level left untreated has major consequences for the mother and the foetus. If present early in the pregnancy, the result may be physical abnormalities in the foetus. In the later part of the pregnancy, the growing foetus may have macrosomia (abnormal largeness) that can lead to too early a delivery, or damage to the baby or mother during delivery of the very large baby.
Whatever the type of diabetes, it is very important to achieve good diabetes control before you plan to have a baby. If you have diabetes and want to become pregnant, you need to check with your doctor or diabetic care team before you plan to conceive. If you are taking oral medication for diabetes, it is likely that your doctor will consider switching you to insulin and allowing your diabetes control to stabilise before you conceive.
Types of Diabetes | Type 1 (Insulin Dependent) Diabetes | Type 2 (non-Insulin Dependent) Diabetes | Gestational Diabetes |
---|---|---|---|
Treatment | Diet and insulin doses up to four times daily. The dose in pregnancy may be more than the dose in non-pregnant state. | Diet & insulin | Diet alone or diet & insulin |
Do not miss postnatal visits to your doctor. It is important, as he will advise you on your type of diabetes and how to manage it well. He will also discuss your future family plans as well as caring of yourself and your child.
You should be able to breastfeed if you are not taking oral medication for control of diabetes. However, you need to be careful with the following:
Your baby’s blood glucose level is affected by your blood glucose level before delivery. This does not mean that your baby will have diabetes in later life. The doctor will observe your baby, who may be placed in a special-care unit so that his breathing and blood glucose can be monitored carefully. The insulin injections given during pregnancy to control your diabetes does not affect the health of your baby.