Family Care and Its Tremendous Impact on Diabetes

November 19th, 2008 admin Diabetes 0

Diabetes has a great impact on the daily lives of the persons with diabetes. Family members play an important role in the management of diabetes. The Center for Policy Research and Social Responsibility (CPR2) has recently conducted a study to evaluate the impact of family and hospital care for the persons with diabetes. According to the opinion of the respondents (who are family members of diabetics), 58 percent consider diet, drug and discipline — all required for the management of diabetes; whereas, 22 percent consider discipline;17 percent consider diet; and only 3 percent consider drug as important for the management of diabetes.

Diabetes is the disease which direly needs support of the family members to a major extent. With the support from the families, they can lead normal lives even with deadly diabetes.

Like every year, yesterday was observed as the World Diabetes Day which is the primary global awareness campaign for diabetes.

56 percent respondents think that their family members know that it is possible to lead normal life with diabetes. Again, 27 percent respondent’s family members believe that any disease can happen to anybody. Family members of 10 percent respondents consider that long term treatment is required for diabetes.

It has been found from the research that the diabetics suffer from lack of confidence, do not feel comfortable in attending family and social functions, can not participate fully in household affairs as they feel tired and cannot wake up early and also they remain depressed and suffer from anxiety. The role of family is very critical in resolving these daily life problems of the patients. A sympathetic and patient consideration approach of the family members can make the life of the patients more comfortable and meaningful.

The society can also play an important role by creating an enabling environment for the diabetics. A food choice for the diabetes patient should be available in the family and social gatherings so that the people with diabetes do not feel uncomfortable in those situations.

The state should take a leading role in disseminating basic information about prevention and it should also encourage and facilitate the awareness programmes of the NGOs. Media can address awareness programmes focusing on prevention and management of diabetes. It is also evident from this research that there are misleading information prevailing in the society about diabetes. So, an aggressive communication programme is needed to inform the mass people about the real facts of diabetes.

An organised intervention by the government, health NGOs, citizen groups, media and other stakeholders is the need of the time for developing a diabetes-aware society through lifestyle research, family care, social communication, establishing patient support forum and policy making.

A careful and systematic approach of diabetes management can ensure a healthy life of diabetes patients and can help manage the most common form — type-2 diabetes.

Childhood Diabetes Needs Extra Care

November 19th, 2008 admin Diabetes 0

When a child is diagnosed with diabetes, along with the child the parents will experience everything as new.

Diabetes mellitus ( DM) is not a single entity but rather a heterogeneous group of disorders in which there are distinct genetic patterns as well as other etiological and pathophysiological mechanism that lead to impairment of glucose tolerance. There are two types of diabetes, those are:

Type 1 diabetes: Type 1 diabetes is an immune system disease where the body makes little or no insulin. It usually begins in childhood or teens. Children with type 1 diabetes need daily insulin shots to help their bodies use food. Type 1 diabetes often runs in families.

Type 2 diabetes: Type 2 diabetes is a disease where the body cannot make enough or cannot properly use insulin. Although this form of diabetes usually occurs most often in adults, it is becoming more common in youth. The average age of diagnosis of type 2 diabetes in youth is 12-14 years. It is more common among girls than boys.

Most of the children suffer from type 1 diabetes, so insulin is the treatment of choice. Some are treated with oral drugs. But proper nutritional plan and exercise can reduce the blood glucose effectively.

When choosing foods for a child who has diabetes, it is important to know how different foods affect blood glucose levels. Children who have diabetes basically need the same foods that all children need to grow and thrive. The recommended calorie intake is based on size or surface area of the child.

The following guideline will help provide a healthy diet to help control a child’s diabetes:

Offer balanced meals at regular intervals every day; Learn how different foods affect the child’s blood glucose level; Offer healthy snacks between meals; Encourage the child to drink water when thirsty; Choose whole-grain foods with higher fiber contents; Limit sweets, regular soft drinks, pastries, candy, jam, and honey; Limit saturated fat and cholesterol; Avoid trans fat (found in foods with hydrogenated or partially-hydrogenated oils) etc.

Aerobic exercise, that gets the heart beating faster and uses the large muscles, can help keep blood glucose levels in balance. It can also help lower cholesterol and blood pressure. Exercise also can help the child sleep better, feel more relaxed and even help concentrate better.

Hypoglycemia during or in the 2-8 hours after exercise can be prevented by careful monitoring of blood sugar level before, during or after exercise, sometimes by reducing dosage of insulin or giving extra snacks

Signs of low blood glucose include confusion, grouchiness, irritability, tiredness etc.

If the child has signs of low blood sugar, check blood glucose levels. If the level is under 70 mg/dL, try one of the following:

Have the child drink ½ cup of grape or orange juice, 1 cup of milk, a juice box, or ½ can of a regular (not diet) soft drink Give the child 1-2 tablespoons of sugar or honey

Parents cannot manage there child’s diabetes alone. The stress imposed on the family around the time of initial diagnosis of DM may lead to feeling of shock, denial, sadness, anger, fear and guilt. Meeting with a specialist to express these feelings at the time of diagnosis helps with long term adaptation. The physician must discuss various aspects of child’s diabetes with the child as also with the parents. The exercise has got to be a continuing programme. This needs a good rapport between the physician on one hand and the child and the family on the other hand. Parents need to learn administration of insulin injection, blood sugar testing, recognition of warning signals of hypoglycemia, hyperglycemia, ketoacidosis, infection etc.

Although children can be taught to perform many of the tasks of diabetes management. They do better when supportive — NOT over bearing-parents continue to be involved in management of their disease. Schools have the responsibility to provide diabetic students with a medically safe environment as well as equal access to the same opportunities and activities enjoyed by other students.

Diabetes is a very complicated and life threatening disease. There is no cure for diabetes, it can be controlled. So people of all corners should work together and create awareness, so that a diabetic child can lead a healthy, active and fun-filled life.

Dr Abu Sayeed Shimul