5 Mistakes to Avoid with Social Media and Medicine

Social media and medicine have been existing side by side for years.  With both worlds intersecting, many gray areas exist for both parties.

Practitioners are apprehensive about online patient interactions, navigating the muddy waters of  HIPPA and guarding their licensure.  Some will have distinct lines of communication via email for purposes such as non-emergent questions, communicating about blood sugars and insulin adjustments, etc.  Others may have their own websites or not be using this outlet at all. [Read more...]

Medtronic Continuous Glucose Monitor (CGM), is it worthwhile?

 

If you have diabetes should you bother with a Medtronic Continuous Glucose Monitor (CGM)?

That has been questionable for me over the years.  It is sort of a love/ hate relationship for me.  When it is working really well I love it, when it isn’t my love runs dry.  As I sit here writing this, I just cleared a “sensor error”. Medtronic Continuous Glucose sensor

CGM’s are user heavy.  People will often assume it is doing the work for you, you see your blood sugar on the screen, you’re done.  That is far from the truth with CGM’s and it makes me realize how far we are from target with the Artificial Pancreas Project.  In theory it sounds fabulous but the CGM part has to be dialed for the rest of it to be feasible. [Read more...]

Hyperglycemia- how does it make you feel?

Dear She Sugar

A question I frequently receive from other parents is - What does hyperglycemia (high blood sugar) really feel like?  High blood sugar, sings and symptoms

Many parents feel frustrated at times trying to interpret their child’s behavior with Type 1 Diabetes.  Are they being a kid that needs to be reprimanded or are they feeling poorly?  Could they be playing me?  I mean really, how terrible could high blood sugar make you feel?  Are they tired from staying up late last night or from their busy day today?  Any of these questions ring a bell? [Read more...]

How Do I Explain The Diagnosis of Type 1 Diabetes To A Child?

How Do I Explain Type 1 Diabetes To A Child?

At diagnosis we all receive a huge crash course in life with Type 1 Diabetes.  People are coming at you from all corners of the hospital- Doctors, Dieticians, Diabetes Educators, Lab Type 1 diabetestechs, Nurses and the list goes on and on.  There is little rest, lots of tears and a confounding amount of information.  We leave the hospital with arm loads of supplies and head home with a soft plan for the next few hours or days with Type 1 Diabetes.  Feeling like you were tossed from the eye of a tornado, how do you explain the diagnosis of type 1 diabetes to a child?

It really is important for you to educate yourself as much as possible about what diabetes is.  I encourage you to read through all of the important information you just lugged home with you.  Recycle what you don’t need and organize what seems important and empowering.  Remember education is powerful and will give you the muscle you need to create a healing environment.  At this point you have to work through a newly disrupted household and life with a chronic disease.  Honor your feelings, this situation brings the strongest people to their knees in complete emotional distress.  It takes a healthy Mom or Dad to take care of this new and endless set of needs with a new diagnosis of type 1 diabetes.

I have found honesty to be the best policy when asked questions about diabetes by a child.  As difficult as the questions may be, answering openly and truthfully is really important.

I remember when my daughter asked me:
“Mom, how many days do I have to take shots?”
My initial response was:
“Honey, let’s take this one day at a time.”
After a few days passed she asked again.
At that point I felt better equipped to tell her:
“Diabetes will be part of our life every day until a cure is found.”

Every child at the same age is different in both their emotional and educational levels.  Their response to this new diagnosis and way of life is unique from their peers.  Being sensitive and in tune to where they are and how much information is appropriate at that time is very helpful. It is an emotional time for everyone.  It’s not only OK- it is healthy for your child to see you cry (just not all the time!), they are looking to you to see how they should feel about all of this too.  You are the lead in creating a positive and healthy home environment. Being the role model with a clean diet, exercise and daily attention to Diabetes will form wonderful life long habits for your child.  I often thank my Mom for instilling this healthy way of life into my growing mind and body.

Once you have a solid base of knowledge it needs to be tailored to meet your child’s needs.
I have found picture books on anatomy are great for explaining, kids are very visual and it helps them to understand their bodies.  Perhaps showing your child a picture of where the pancreas is will help them visualize the body part involved in this disease.  Describe the “job” of the pancreas.  You can say something as simple as “your pancreas is sick” and isn’t working how it was before your diagnosis of type 1 diabetes.  Describe insulin as a medicine that helps the body to use what you eat for energy and to grow big and strong.  It is similar to putting gasoline in your car.  It can’t run without gasoline and we can’t run without insulin.

Children don’t need a lot of information at first, sometimes kids don’t want to know anything and may cover their ears and hide.  All of these reactions are normal and are protective mechanisms.  Reactions will change over time; you may see anger, fear and sadness come and go.  Remember to make it as basic as possible; you’ll know when they’ve had enough (They’ll get antsy and run away or start talking about something totally different in the middle of your conversation- LOL).

The Bag of hope from JDRF was spectacular.  Who wouldn’t want to come home with a bear that has Type 1 Diabetes too?  That is another excellent tool for teaching your child about their new diagnosis of type 1 diabetes- thank you JDRF.  Rufus helped us adjust by administering numerous finger pokes, shots and hugs to that poor innocent fuzzy guy.

Books on Diabetes for you and your child are also an important addition (see my favorites).

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Thanks!
She Sugar

 

Type 1 Diabetes and Bedwetting in Children (Part 2)

Type 1 Diabetes and bedwetting in children can be a common issue, see Part 1 of this article from yesterday.  There is not much to identifying that you have this going on in your house, right?  Here are some thoughts that may improve your success with toilet training at night.type 1 diabetes and bedwetting in children

 

  • Try your best to remain calm and not punish your child- remember it is an accident, increasing their anxiety with this is never productive.
  • Praise your child when they have a dry night, only wet underwear, a smaller accident on the bed, or they get up to use the toilet.
  • Be sure to never shame your child for bedwetting, trust me they are not purposefully bedwetting and this can be very difficult on their self esteem.
  • Check in with siblings so you are certain they aren’t teasing them.
  • Let them know other children are going through this too, they are not alone.
  • Praise your child for their help in the middle of the night when they remove wet linens and put clothing in the laundry basket.
  • Make an appointment to talk to your Pediatrician about other health conditions that may be contributing to the problem (such as constipation or a urinary tract infection) and get a referral to a Urologist if needed.
  • Try your best to maintain normal blood sugars overnight-as we know high blood sugars with Type 1 Diabetes and bedwetting in children is commonplace.  Make an appointment with your Endocrinologist and Certified Diabetes Educator for insulin adjustment suggestions if this is your situation.
  • Take your child to the bathroom a few hours after they fall asleep if it is possible.
  • You may want to encourage less fluid intake between dinner and bedtime if it is appropriate.  This can potentially cause resentment and anger so be certain to be gentle with this suggestion.  Remember high blood sugars cause increased thirst and this is not a time to decrease available fluids. [Read more...]

Type 1 Diabetes and Bedwetting in Children

“Mooooommmmm my bed is wet!”bedwetting

Sound vaguely familiar from the fog in your head at 1am?

Taking a deep breath you jump out of bed, all the lights go on and the cleanup begins.

(You may be thinking)
“Do they make beds that are 100% water repellant?”
“I just washed all those sheets, pajamas, and comforter LAST night”
“Why is this happening every night?”
Or with a pathetic moan of self pity… “I have to get up for work in a few hours” [Read more...]

Type 1 Diabetes and Sadness

 

There is a common thread among us- parents who are concerned about their child with Type 1 diabetes that is sad.  Here are some thoughts to keep in mind as your family adjusts to daily living with Type 1 diabetes.

I truly don’t think there is a soul out there who hasn’t shared in you or your child’s feelings at one point or another in their diagnosis.  I think that each and every one of us has some type or touch of sadness/ depression at diagnosis and thereafter. As children grow their feelings and knowledge about diabetes continuously change. Keeping a healthy body and mind and realizing how they both affect the other is a vital part of wellness in dealing with any chronic disease. [Read more...]

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