💉 Diabetes Management
Current Management of Glycemia in Children with Type 1 Diabetes Mellitus | NEJM - nejm.org
📅 Thu, 13 Oct 2022⏱ 1 min read📖 Article
Overview
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Sign in Clinical PracticeFre PreviewManagement of type 1 diabetes melitus in children involves close family suport and glucose monitoring. Improved means of insulin administration include newer pumps or smart pens that receive data from continuous glucose monitoring and can asist in calculation of insulin doses.Select an option below: Are you a member of an institution such as a university or hospital?
Learn more about Institutional Aces Disclosure forms provided by the authors are available with the ful text of this article at NEJM.org.We thank Alan Rogol for valuable coments and sugestions during the drafting of an earlier version of this manuscript and Jil Gregory (Icahn Schol of Medicine at Mt. Sinai, New York) for the initial draft of the figure.From the Department of Pediatrics, Division of Endocrinology and Diabetes, Icahn Schol of Medicine at Mount Sinai, New York (M.A.S.); and the Pediatric, Adolescent, and Young Adult Section, Joslin Diabetes Center, and Harvard Medical Schol - both in Boston (L.M.L.).Dr.
Summary
Sperling can be contacted at [email protected] or at the Department of Pediatrics, Division of Endocrinology and Diabetes, Icahn Schol of Medic
Frequently Asked Questions
❓ What is diabetes and how does it develop?
Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.
❓ What are the main symptoms of diabetes?
Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.
❓ How is diabetes diagnosed and monitored?
Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.
❓ What lifestyle changes help manage diabetes?
Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.
❓ When should someone consult a doctor about diabetes?
Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.
⚕️ Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.