Juvenile Diabetes and the Honeymoon Period

In many children with juvenile diabetes a period occurs shortly after being diagnosed
they go through what is commonly called as the honeymoon period.  This is a time when
your child’s blood sugar levels will return to normal without the aid of additional insulin.
It is important to remember that this happens in a lot of children and does not mean that
the disease has gone away.  The pancreas is still trying to do its job and is working
overtime to make insulin for your child’s body.  Following are some guidelines to follow
when this happens.The length of the honeymoon period is not the same for everyone.  In one child it can last months while in another child it can feasibly last for over a year.  It all depends on how
much insulin your child’s pancreas can produce and how long it can keep up that rate of
production.  It will be hard to figure out how much if any insulin your child needs during

this time when their blood sugar levels are normal.  Constant monitoring of the blood
glucose levels is still required, because you will not know when the honeymoon period is
over otherwise.Keep in close contact with your health care provider.  He or she will help in determining what the best plan is to follow during the honeymoon phase.  Some may even want you to give minute amounts of insulin daily in order to keep your child used to the injections and
your child’s body accustomed to the additional insulin it will need.It can be emotionally hard for your child during the honeymoon phase.  Everything will seem back to normal and they are going to want to resume their life like it was prior to diagnosis. It is important to remain on the diabetic diet and continue monitoring during this time.

Juvenile Diabetes and Teenagers

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Teenagers are young adults and are ready to take on new responsibilities.  If your
teenager has had juvenile diabetes for some time, this is the time to pass the reins of
management over to them.  It may seem a bit intimidating to you to let your child take
control of their diabetes but it is the best thing you can do for them.  They are
approaching a time in their life when they are going to be going out on their own.  For
both your sake and theirs, a comfort level needs to be reached in reading blood sugars,
giving injections and planning appropriate meals.If your child was a teenager when he or she was first diagnosed, involve them in the process from the beginning.  Their input and the ability to make some decisions will help them feel in control of a situation they would rather not be in.
The biggest point to stress and make sure your teenager understands is how important it
is to keep proper control of their diabetes.  Juvenile diabetes is a serious disease and it has
serious complications if blood sugar levels are not kept under control.
Discuss with your child different scenarios that are sure to arise and try and come up with
solutions or ways to manage them.

Drinking can have a negative affect on blood glucose
levels and it is important that a young adult realize the dangers.  When they reach legal
age, they need to know how drinking can affect them and ways to incorporate that into
their life if they so choose.As a parenting, letting go is a hard thing to do but it is necessary to create independent adults.  Trust your child to make the right decisions for their diabetes and be there to
guide them when necessary.

Insulin Pumps for Juvenile Diabetics

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A popular alternative, especially for teenagers, to daily insulin injections is to use an
insulin pump.  Although it is an alternative for everyone because of the high cost of the
unit and having to wear it 24 hours per day for others it can help in successfully
managing juvenile diabetes.An insulin pump is worn all the time and provides a steady stream of fast-acting insulin instead of a combination of fast-acting and long-lasting insulin that is typically combined in a syringe.  If your child is has to have multiple needles in a day this is also an attractive
alternative.  Wearing an insulin pump provides greater flexibility; there is no specific injection and
eating times that have to be met.  But eating at similar times each day is still
recommended.  One of the best features of wearing an insulin pump is the ability to bolus
– giving additional fast-acting insulin immediately before eating a meal or a snack by
pressing one of the buttons on the pump.  This method can prevent spikes in blood sugar
by providing a boost of insulin when it is needed most.

Some of the downsides of a pump are the expense.  The unit itself is not cheap and you have to still buy the insulin and supplies to go with it.  And it has to be worn all the time with the exception of bathing or swimming.  But you and your child will have to weight the pros and cons of a pump and see what they want to have in the end.
The same amount of effort is still needed to keep blood sugars in control but having an
insulin pump can be more convenient by not having to worry about insulin injections.  An
insulin pump will also keep a steady stream of insulin in the body overnight when blood
sugars can sometimes spike.

Insulin Pumps for Juvenile Diabetics

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A popular alternative, especially for teenagers, to daily insulin injections is to use an
insulin pump.  Although it is an alternative for everyone because of the high cost of the
unit and having to wear it 24 hours per day for others it can help in successfully
managing juvenile diabetes.An insulin pump is worn all the time and provides a steady stream of fast-acting insulin instead of a combination of fast-acting and long-lasting insulin that is typically combined in a syringe.  If your child is has to have multiple needles in a day this is also an attractive
alternative.  Wearing an insulin pump provides greater flexibility; there is no specific injection and
eating times that have to be met.  But eating at similar times each day is still
recommended.  One of the best features of wearing an insulin pump is the ability to bolus
– giving additional fast-acting insulin immediately before eating a meal or a snack by
pressing one of the buttons on the pump.  This method can prevent spikes in blood sugar
by providing a boost of insulin when it is needed most.Some of the downsides of a pump are the expense.

 The unit itself is not cheap and you have to still buy the insulin and supplies to go with it.  And it has to be worn all the time with the exception of bathing or swimming.  But you and your child will have to weight the pros and cons of a pump and see what they want to have in the end.
The same amount of effort is still needed to keep blood sugars in control but having an
insulin pump can be more convenient by not having to worry about insulin injections.  An
insulin pump will also keep a steady stream of insulin in the body overnight when blood
sugars can sometimes spike.

Hypoglycemia

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Hypoglycemia is when a child (or any other person) with diabetes is suffering from low
blood sugars.  This can be an extreme and dangerous situation and in the worse case
scenarios can lead to a diabetic coma or even death.  But with careful monitoring of
blood sugar levels this can be prevented.An important lesson to teach young children with juvenile diabetes is to recognize the signs of when they have low blood sugar.  For very young children this is going to be difficult when they don’t have the words or comprehension to explain what they are
feeling.  Your child can develop hypoglycemia if they have not eaten enough, have had too much
insulin or if they have missed a meal.  All of these situations can be avoided but they still
happen from time to time.  Make sure your child always has some emergency food on
hand for these types of situations and knows when they should eat it.A child suffering from hypoglycemia may display certain symptoms that can help an
outsider know what is going on.

Especially for young children keep a look out for mood
swings, shakiness, paleness, acting strangely or the inability to concentrate.  The
condition can manifest itself in many different ways but in an individual they usually
react the same way to hypoglycemia.  Learn how your child reacts to low blood sugars
and advise others who care for your child in the course of a day so that they too can be
preparedIf your child is frequently suffering from hypoglycemia, consult with your doctor or
diabetes educator.  An adjustment to the insulin schedule or the amount of insulin that is
given may need to be adjusted.  A closer look at the meal plan is warranted too, maybe
meal times or the type of food eaten needs to be changed.

How Juvenile Diabetes is Diagnosed

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It can be scary when you realize that something may be wrong with your child.  You will
want to find out right away what it is and how you can help.  The testing that is done to
determine if your child has juvenile diabetes is not very evasive and can be determined in
a very short period of time.Once you have taken your child to your health care provider, blood work will be ordered to check your child’s blood glucose levels.  The first test that is performed is normally a with a blood glucose monitor in your doctor’s office.  If the level is high a fasting blood
glucose test will be ordered.  Your child will not be able to eat for 8-10 hours prior to the
blood being drawn.  It is best to do this first thing in the morning as soon as your child
wakes up.  Bring a snack along for your child to eat after the blood work as they are sure
to be hungry.Depending on the results from the fasting blood test your doctor will probably order
another round of tests to verify the results.

 This test is also done on an empty stomach
and you should make an appointment as you will have to be in the office from 1-3 hours.
When you arrive at the lab your child will have some blood drawn and then be asked to
drink a beverage that is high in sugar.  After one hour another blood test will be
conducted to see how your child’s body has processed the sugar.  If the three hour test
was ordered two more blood tests will be done at the two hour and three hour marks.
The results from this test will give your doctor the information needed to make a
diagnosis of juvenile diabetes in your child.

Help from Grandparents with Diabetic Children

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A night out on the town is just what mom and dad needs, but who is going to baby sit?
Grandparents are the best baby sitters, especially when they involve an overnight stay.
For parents of children with juvenile diabetes it might not be as easy.  It is going to be
hard to leave your child with anyone for an extended period of time unless they know
how to take of your child and manage their diabetes.Training and a little bit of practice is all that is needed.  The good thing about grandparents is that you know they have your child’s best interests at heart.  They are going to take the responsibility seriously and follow your instructions to the letter.
To give the grandparents confidence and make yourself feel better do a trial run.  Have a
day where you are around and let grandma or grandpa take the reins for the day.  It
doesn’t take much time to become comfortable with drawing and injecting the insulin and
testing blood sugar levels with a monitor.For the first visit, help out by providing a list of step-by-step instructions as a back-up.

 And you can even provide meal suggestions.  Send your child with their emergency kit (they really shouldn’t go anywhere without one anyway) and make sure everyone knows how and when to use the contents.Leave contact numbers where you can be reached at all times.  It will give peace of mind to everyone involved to know that if any questions arise or an emergency does develop you are just a phone call away.  Encourage the calls so that no one feels that they are interrupting you – even for little questions.
After the first successful overnight stay, be ready for many more requests to go and stay
at grandma and grandpa’s house for a sleepover.