Doctor in Pushpawati Singhania Research Institute (PSRI Hospital)
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Patient Review Highlights
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When children suffer from Type 1 diabetes, it means that their pancreas does not produce enough insulin. To stay alive, these children should depend on the external supply of insulin. These children suffering from diabetes go through a devastating experience and in fact, this is a trauma for the caregivers too. There are lots of dietary and lifestyle changes that need to be followed. When children experience symptoms such as extreme thirst, weight loss, fatigue, blurred vision, irritability, and fungal infections, immediately taking them to the doctor is important. These symptoms may indicate type 1 diabetes. To diagnose diabetes, a range of tests are available. When children are affected by diabetes, continuous monitoring is required.
Tests: The doctor recommends various tests at frequent intervals to check if the different organs function properly. Diabetes in children can damage vital organs, and the tests conducted by the doctors indicate the rate or extent of damage if present. Cholesterol, liver function, growth, regular eye tests, blood pressure, kidney test, and thyroid tests are the common tests that are frequently done.
Insulin: External supply of insulin is something that keeps these children going. Many types of insulin are available. The insulin is prescribed based on the onset of the disease and the duration of the action. The dosage, combination, and type of insulin are recommended by the doctor. When Type 1 diabetes is not treated, there are lots of long-term complications like nerve damage, kidney damage, eye damage, heart and blood vessel disease, and skin infections that keep coming.
Cause: The cause of diabetes in children is not known. In a few people, type 1 diabetes is because of the immune system. The immune system considers the insulin-producing cells as foreign bodies and destroys it. The result is that the body does not get enough insulin, and the glucose levels are higher in the bloodstream. This leads to the life-threatening complications.
Risk factor: There are multiple risk factors for diabetes in children. If any of the parents or siblings suffer from type 1 diabetes, the risk among the child is higher. Increased risk for diabetes in children is also seen when there is genetic susceptibility. This disease is also common in the non-Hispanic children in the US. Exposure to certain viruses results in autoimmune disease that leads to pediatric diabetes. Early intake of cow’s milk is linked to childhood diabetes.
Unfortunately, there is no cure for childhood diabetes. The children are tested for antibodies. The presence of these, however, does not confirm the presence of childhood diabetes. There is no way to prevent the antibodies present in the body. It is essential to make the child feel comfortable. The caregivers should boost their morale, and help them stick to the diet chart and activity regime. Their needs can be specific and complicated. It is mandatory to stick to the appointment schedule. The children cannot afford to miss the appointments. Insulin therapy happens all through the life of these children. Options to take insulin are convenient these days with the insulin pen and insulin pumps. In teenage girls and girls who are hitting puberty, hormones may demand changes in insulin requirements. Consult a doctor and get to know what to expect at specific instances. In case you have a concern or query you can always consult an expert & get answers to your questions!
Parents are responsible not only for the birth of the child but also for their well-being. For children, their parents are their first teachers, those who inculcate in them the right manners, attitudes and habits. Consequently, you too must be careful in deciding what habits and manners you pass down to your children.
Some of the habits that you should teach your children are:
1. Eating healthy food
Children always have the propensity to consume junks and avoid healthy food. It is the duty of the parents to correct this and teach their kids to eat healthy food. You must explain and elucidate the importance and nutritional value of eating healthy food. At the same time, the harm caused by the junk food must also be brought to their notice. You should introduce multiple fruits and green vegetables in the diet. Eating healthy food is a habit that reaps great benefits in the long run.
2. Table manners
Children eating on their own generally creates a mess. Therefore, you must teach your child the right table manners. When to use spoon or fork and what should be the etiquettes that must be observed while eating with a large group of people must be known by a child. You should begin to treat your child as a grown up as he or she sits at the table.
3. Regular brushing of the teeth
The importance of teeth is most acutely felt with advanced age. Therefore, it is imperative that you teach your children to take good care of their teeth. You must educate your child about the necessity of good teeth and see to it that they brush daily and twice a day. Brushing in the morning as well as before going to sleep is equally important and the child must be aware of it.
4. Early to bed
It is necessary for children to get adequate sleep. Therefore, you must make it a habit from the very start to put them to sleep early and see to it that that they get sufficient rest.
5. Play outdoors
You must make it a habit for your children to play more often outside. Staying at home without any activity has serious repercussions like obesity and lethargy. Therefore, it is extremely important that children involve in sufficient physical activity.
It is often stated by doctors that a child's brain and body develop through good nutrition, and this starts even before they have been conceived. If you are planning for a baby, then it is a must to tune your body for infant nutrition, as healthy growth of the brain in a child begins much before conception. An example to support this is that, folic acid intake should be started 14 weeks before conception. Folic acid is considered to be helpful in the early functioning of the brain.
By the time a baby is born, already three quarters of the cells of the brain are formed and the quarter which is left is formed by the first birthday. As soon as children reach 3 years, they have a brain which is as big as an adult's, and when children are growing, the neurons of the brain grow and develop with them. Thus a poor diet can hamper the growth of children, and also affect their ability to process information and learn. This becomes worse if the iron levels in the body dip below the required levels.
Iodine shortage also leads to irreversible motor and cognitive developments in the child. Similarly, DHA which is considered to be an essential fatty acid in the child development, if compromised, can lead to learning problems. It is known that DHA is the key component for the intensive production of the synapse which is important in the initial years of life for development and learning. Other nutrients like zinc, folic acid and choline all pay a role in the initial functioning of the brain.
Feeding a variety of food to the baby is important as they help in the development, but certain foods are a must. These are:
- Breast Milk: As per dieticians, a baby can only digest breast milk or formula milk in the initial months. Babies should be breastfed for the first six months as it has the basic nutrients required by a baby, and also gives protection against allergies, digestive diseases and infections. Breast milk also has iron which is crucial for the development of the baby.
- Iron rich cereals: Babies can be fed solid food by 4-6 months. If a baby can sit without support and shows tongue thrust reflex, then he or she is ready for solids. Starting solids with the introduction of cereals or rice cereals is good, as they can be easily digested. It can also be diluted with the breast milk or formula. As these cereals are rich in iron, they are good for the development of the baby. A diet deficient in iron leads to delayed talking and walking of a child.
- Fruit and vegetable: A good time to introduce vegetables and fruits is when the baby is 6-7 months. These foods are loaded with minerals and vitamins which provide different textures and tastes to the baby. Carrots mashed and strained, along with beans, apples, bananas, peaches and peas and pears can be given to the baby. These can be boiled or pureed or mashed for the baby for easy consumption.
- Pureed Food: These foods are generally the meats which can be given from 8-9 months. Meats like lamb, chicken and liver contain iron. The iron of the meats is easily absorbed, as compared to the iron in plants. For the maximum absorption of the iron in the meat, it should be served with vitamin C, some fruits, cantaloupe or broccoli. It is believed that vitamin C boosts the absorption of iron.
Though there are a number of environmental and genetic factors which effect the development of a child, food is one of the most important factors. Thus it should be kept in mind that good food leads to a happy, healthy and a well developing baby. Start from the beginning and focus on the right portions to ensure the health of your baby. In case you have a concern or query you can always consult an expert & get answers to your questions!
Some babies learn to walk by the age of nine to ten months, and others may take longer, much longer to start walking properly. By the age of 15 months, people may start asking you if your little munchkin is able to walk yet. These constant questions can eventually irk you off, and keep you wondering if truly your baby is facing any sort of disability or not. In most cases, you will probably find your baby was too lazy to start walking all along, and he has mastered the art of “toddling” a couple of months later. Other times, when your baby has not started walking in over 17 months, you may want to give your paediatrician a visit.
When should you not worry?
If your baby is an active child and is playing around normally, you may not worry about him or her too much. If you find your child able to move around crawling or rapidly kicking his legs around, then your child is probably a late bloomer when it comes to walking. Other factors that will indicate that your baby is not going through any developmental issues are when he or she is able to communicate with sounds or broken speech. Other thing that you must keep in your mind is the relative age of your baby if it is born premature. If your toddler was born two months prematurely, then you must consider his developmental age by adding two months to his actual birth. Also notice if your child is able to move positions on his own, like if he is able to change positions when he is sitting down or lying down. As such, inability to walk is not really a solid indicative of a developmental disorder.
When is it of concern?
When you go to your paediatrician with your child regarding his inability to walk, your doctor will firstly take a note of the general movement of your baby. Thus the “quality” of movement is what matters the most. If your baby is showing signs of rigidity or flaccidity in his limbs, it may concern your doctor, as it is the primary symptom of cerebral palsy. Nothing can be concluded unless your get proper reports of scans like MRIs which your doctor will recommend you to get.
If your child is not walking, avoid carrying him around too much to allow him to make movements on his own. Who knows, you may find yourself chasing him around all over in no time!
In case you have a concern or query you can always consult an expert & get answers to your questions!