Children are very naive about the problems they can encounter, so it is important for their parents to maintain and monitor their health with attention.
Q.1 How can I ensure that my 10-year-old kid manages his activities while on insulin and is it possible to carry it to school, etc.?
Ans: You have to ensure that your child does not miss out any dose of insulin, and his diet and activities are as planned by the pediatric endocrinologist and dietician. Any unscheduled activities like parades, sports day celebrations have to be undertaken after consultation with your doctor. Similarly, the importance of a regular meal and not skipping meals has to be explained and re-enforced to the child. The treatment plan should be discussed with the class teacher and the helpline numbers of the doctor &/or hospital given to the class teacher for use in emergency situations. Holidays have to be planned with the doctor and the dietician.
Q2. What are the symptoms to watch out for in case of a child with respect to diabetes?
Ans: When a child is already diagnosed to have diabetes, one has to look for acute complications like - dizziness, nausea, weakness, excess sweating which may indicate low blood sugar levels. On a long term basis, the child’s growth, appetite especially loss of weight are the signs one to watch out for. Also, regular investigations for the involvement of other organs should be done. These children are prone to repeated infections like pustules over the skin, urinary tract infections etc. One should take prompt treatment for the same.
Q3. Does a child have to be completely off sweets or can he/she with some amount of precaution?
Ans: Nowadays sugar-free sweets are easily available. In moderation, these can be allowed.
Q4. What are the precautions children can take to prevent the occurrence of T2D?
Ans: One needs to be cautious in case there is a strong family history. In general, a healthy lifestyle with good eating habits, regular, balanced meals and outdoor activities have to be encouraged. One has to watch out for obesity and target to keep the child’s BMI (body mass index) in the normal range.