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Coping and support

By Mayo Clinic staff

Living with type 1 diabetes isn't easy — for you or for your child. Good diabetes management requires a lot of time and effort, especially in the beginning.

Your child's emotions
Diabetes can affect your child's emotions both directly and indirectly. Poorly controlled blood sugar can directly affect your emotions by causing behavior changes, such as irritability. And, if that happens at a birthday party because your child forgot to take insulin before having a piece of cake, he or she could end up fighting with friends.

Another way diabetes can take a toll on your child's emotions is by making him or her feel different from other kids. Most of the time, children don't want to be different and having to draw blood and give themselves shots definitely sets kids with diabetes apart from their peers. Getting your child together with other children who have diabetes may help make your child feel less alone.

Mental health and substance abuse
People with diabetes have an increased risk of depression and anxiety, which may be why many diabetes specialists regularly include a social worker or psychologist as part of their diabetes care team.

Teenagers, in particular, may have a particularly hard time dealing with diabetes. A child who has been very good about sticking to his or her diabetes regimen may rebel in the teen years by ignoring his or her diabetes care. Teens may also have a harder time telling friends or boyfriends or girlfriends that they have diabetes because they want to fit in. They may also experiment with drugs or alcohol, behaviors that can be even more dangerous for someone with diabetes. Eating disorders and forgoing insulin to lose weight are other problems that can occur more often in the teen years.

Talk to your teen, or ask your teen's doctor to talk to your teen, about the effects of drugs and alcohol on someone with diabetes. If you notice that your child or adolescent is persistently sad or pessimistic, or if you notice dramatic changes in his or her sleeping habits, friends or school performance, talk to your doctor or a therapist to have your teen assessed for depression. Additionally, let your child's doctor know if you notice that your son or daughter is losing weight or doesn't seem to be eating well.

Support groups
Talking to a counselor or therapist may help your child or you to cope with the dramatic lifestyle changes that come with a type 1 diabetes diagnosis. Your child may find encouragement and understanding in a type 1 diabetes support group for children. Support groups for parents also are available. Although support groups aren't for everyone, they can be good sources of information. Group members often know about the latest treatments and tend to share their own experiences, or helpful information, such as where to find carbohydrate counts for your child's favorite take-out restaurant. If you're interested, your doctor may be able to recommend a group in your area.

Or, you can visit the American Diabetes Association or Juvenile Diabetes Research Foundation to check out local activities for people with type 1 diabetes. The American Diabetes Association also offers diabetes camp programs. And, both groups offer online information and forums for children and teens.

Putting information in context
Because complications from poorly controlled diabetes can be so frightening, it's important to remember that many studies — and therefore, a lot of literature you may be reading — were completed before many advances in diabetes care occurred. And that means, many of those scary statistics probably don't apply to your child. If you and your child work with your child's doctor and do your best to control blood sugar levels, your child with likely live a long and normal life.

Prevention Lifestyle and home remedies
References
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  2. Levitsky LL, et al. Epidemiology, presentation, and diagnosis of type 1 diabetes mellitus in children and adolescents. http://www.uptodate.com/home.index.html. Accessed Jan. 5, 2009.
  3. Eisenbarth GS, et al. Pathogenesis of type 1 diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Jan. 5, 2009.
  4. McCulloch DK. Glycemic control and vascular complications in type 1 diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Jan. 5, 2009.
  5. Kidney disease (nephropathy). American Diabetes Association. http://www.diabetes.org/utils/printthispage.jsp?PageID=TYPE1DIABETES3_232930. Accessed Jan. 6, 2009.
  6. What is diabetes: Diabetes complications. Juvenile Diabetes Research Foundation. http://www.jdrf.org/index.cfm?page_id=101308. Accessed Jan. 6, 2009.
  7. Prevent diabetes problems: Keep your eyes healthy. National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/complications_eyes/index.htm. Accessed Jan. 6, 2009.
  8. McCulloch DK. Patient information: Preventing complications in diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Jan. 5, 2009.
  9. Skin complications. American Diabetes Association. http://www.diabetes.org/utils/printthispage.jsp?PageID=TYPE1DIABETES3_232934. Accessed Jan. 6, 2009.
  10. What people with diabetes need to know about osteoporosis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. Accessed Jan. 9, 2009.
  11. Levitsky LL, et al. Management of type 1 diabetes mellitus in children and adolescents. http://www.uptodate.com/home.index.html. Accessed Jan. 5, 2009.
  12. Standards of medical care in diabetes -2009. Alexandria, Va.: American Diabetes Association. http://care.diabetesjournals.org/content/vol31/Supplement_1/. Accessed Jan. 28, 2009.
  13. Estimated average glucose, eAG. American Diabetes Association. http://professional.diabetes.org/GlucoseCalculator.aspx. Accessed Jan. 6, 2009.
  14. The basics of insulin. American Diabetes Association. http://www.diabetes.org/utils/printthispage.jsp?PageID=TYPE1DIABETES3_263601. Accessed Jan. 6, 2009.
  15. McCulloch DK. Patient information: Insulin therapy in type 1 diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Jan. 5, 2009.
  16. Levitsky LL, et al. Complications and screening in children and adolescents with type 1 diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Jan. 5, 2009.
  17. Robertson RP. Pancreas and islet transplantation in diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Jan. 6, 2009.
  18. Low blood sugar: Definition, symptoms. Juvenile Diabetes Research Foundation. http://www.jdrf.org/index.cfm?fuseaction=home.viewpage&page_id=EC9AC822-1321-C844-13C1013CF597E42F. Accessed Jan. 6, 2009.
  19. High blood sugar: Definition, symptoms. Juvenile Diabetes Research Foundation. http://www.jdrf.org/index.cfm?fuseaction=home.viewpage&page_id=EC92D98E-1321-C844-13EB771367A49526. Accessed Jan. 6, 2009.
  20. Ketoacidosis. American Diabetes Association. http://www.diabetes.org/type-1-diabetes/ketoacidosis.jsp. Accessed Jan. 6, 2009.
  21. Collazzo-Clavell M (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 21, 2009.
  22. Diabetes and teens. Juvenile Diabetes Research Foundation. Accessed Jan. 20, 2009.
  23. Stalvey MS. Fifty years ago in the Journal of Pediatrics. Journal of Pediatrics. 2007: 150(1) http://www.mdconsult.com/das/article/body/115791309-2/jorg=journal&source=&sp=16726925&sid=788957128/N/562819/1.html?issn=0022-3476. Accessed Jan. 6, 2009.
  24. What is Type 1 Diabetes TrialNet? Type 1 Diabetes TrialNet. http://www.diabetestrialnet.org/about/index.htm. Accessed Jan. 6, 2009.
  25. International Expert Committee. International Expert Committee report on the role of the A1C assay in the diagnosis of diabetes. Diabetes Care. 2009;32:1.

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June 13, 2009

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