Home Treatment
The daily care for your child with
type 1 diabetes can seem overwhelming, leading to
conflicts between you and your child. Here are some tips that may help:
Make mealtimes less stressful
Mealtimes can become a battleground when you want your child to
get a certain amount of
carbohydrate. You can:
- Meet regularly with a registered dietitian. A registered
dietitian can help set up a flexible meal plan to meet your child's appetite
needs and allow for special events, such as parties and school activities. Some
tips
for mealtimes with young children include having alternative meal
choices.
- Use rapid-acting insulin so you can give the insulin dose after
a meal based on what your child ate.
Count
carbohydrate grams.
Make giving insulin less difficult
Your child may take several insulin injections each day or use
an
insulin pump. You may need help with:
Preparing and giving an insulin injection.
Keep monitoring reasonable
If you test several times a day (before breakfast, with meals,
and at bedtime), you can tell how well your child's blood sugar levels stay
within a target range. You need to test more often when your child is sick.
Follow the
sick-day guidelines that you and your child's doctor
set up, or call for help. Do not give your child non-prescription medicines
without talking with the doctor.
Home
blood sugar monitoring
Encourage physical activity
Encourage your child to have at least 1 hour of physical
activity a day. Try to have at least 15 minutes of energetic activity during
that time. Children with type 1 diabetes can participate in sports just like
children without diabetes. But children who use insulin are at risk for low
blood sugars during and after exercise. Some
tips
for exercising safely for your child with type 1 diabetes can help
prevent low blood sugar levels.
If your child has a tendency to be inactive, you may need
to:
- Limit his or her time playing video games, watching TV, or
using the computer.
- Plan some activities to do along with your child, such as
skating or bicycling.
Catch the ups and downs
Because blood sugar levels can drop to dangerous levels very
quickly:
- Have your child always wear medical identification so medical
personnel can give the right care. You can buy medical-identification
bracelets, necklaces, or other forms of jewellery at a pharmacy or on the
Internet.
- Make sure everyone who cares for your child knows how to treat
low blood sugar quickly. For more information, see:
Dealing
with low blood sugar.
High blood sugar levels develop more slowly, over a period of
hours. For more information, see:
Preventing high blood sugar emergencies.
Keep your child healthy and safe
With planning and care, your child can live a safe and healthy
life. Here are some suggestions:
- Try not to let your child go barefoot. If you notice a foot
problem, even a minor one, talk with a doctor before treating it.
- Keep your child's
daycare or school plan for diabetes care up to date.
- Have written instructions for your babysitter and other
caregivers.
- Keep your child's
immunizations up to date.
- Help your child care for his or her
skin and
teeth and gums. Make sure your child has a dental
checkup every 6 months.
Keep your balance
It's difficult to deal with such a demanding disease as diabetes.
You can:
- Allow
children with diabetes to participate in their
treatment to the extent they can.
- Join a support group for parents of children with diabetes.
These groups can be very helpful, especially the first few years after
diagnosis. Local groups are available in most areas.
- Encourage your child to attend
camps
for children with diabetes. It's a good learning experience for your
child and will give you some time to yourself.