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Diabetes in Children Tips

Know All About CGMS!

Dr. Atul Abhyankar 88% (10 ratings)
MD, DM - Cardiology, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship in Interventional Cardiology
Cardiologist, Surat
Know All About CGMS!

With the increasing prevalence of diabetes, it is being considered as the next big epidemic – completely related to lifestyle. India has become the diabetes capital of the world with increasing prevalence. The age of onset of diabetes is reducing, with children having diabetes and requiring insulin. The complications arising out of diabetes are also more – there is no bodily system which is not affected by diabetes. For someone who is diabetic, keeping blood sugars under check is the constant challenge. Uncontrolled blood sugars can lead to transient complications including loss of consciousness and fatigue and long-term complications including neuropathy and retinopathy. 

What is CGMS: 

Continuous glucose monitoring system is an FDA approved device. This device has a sensor that is placed either in the belly area or on the arm. These sensors identify the sugar levels in the body fluid and send it to a wireless which is worn by the monitor patient as a belt. Readings can be obtained at regular intervals, ranging from every 5 to 15 minutes.

CGMS measures blood sugar levels every 15 mins, that is 96 times a day The data can be downloaded into a persona device – smartphone, tablet, or laptop and used for further analysis. It does not replace the need for routine monitoring, but helps improve vigilance with a constant monitoring. It can help detect trends and patterns and helps the doctor identify periods of the day when the sugars are too high or too low. The amount of insulin or antidiabetic medication required can be adjusted based on sugar levels. The exercise regimen can be defined including the type, time, and duration of workout. Meal planning can be customized to suit body needs in a better manner. Night-time sugar lows which often go undetected can be monitored with the alarm Highs or low between meals (especially with snacking) can be tracked Determine treatment efficacy. The biggest advantage of CGM devices is that they provide information on what is happening to your blood glucose level every few minutes.

CGMS measures blood sugar levels every 15 mins, that is 96 times a day. The newest devices display glucose readings on a screen so you can see – in real time - whether glucose levels are rising or falling. Some systems also contain an alarm to let you know when your glucose reaches high or low levels. Some devices are able to display graphs revealing glucose levels collected over a certain number of hours on its display screen. The data collected on all devices can be uploaded to a computer for graphing and further important trend analysis. 

Whom is it for?

If you think this is a great way to constantly watch your sugars, it is not required. The following people would benefit from this. People with insulin pump usage Those who have frequent fluctuations in sugar level, which is not clearly explained Those who are not aware of low sugars, and may have problems with fatigue or loss of consciousness Gestational diabetes

The Usage 

Continuous glucose monitoring systems (CGMS) may not make life with diabetes any easier. But they can definitely improve health, if you can deal with the hassle and expense. So how do you know if such a system is right for you? You can easily and discreetly view your current glucose values continuously throughout the day, without having to do a finger stick. It’s easy and discreet. The monitors have “trend arrows” that show you if your level is rising or falling quickly, so you can prevent highs and lows. 

Continuous glucose monitoring can help “identify fluctuations and trends that would otherwise go unnoticed with standard HbA1c tests and intermittent fingerstick measurements. The device can capture dangerously low overnight blood sugar levels which often go undetected, reveal high blood sugar levels between meals, show early morning spikes in blood sugar, evaluate how diet and exercise affect blood sugars, and provide up to a 72-hour complete review of the effects of changes made to your therapy by your health-care team. 

If you are a dedicated investigator, you can use CGMS to understand what’s happening with your blood sugar levels.

Type 2 Diabetes - How It Can Be Prevented In Children?

Dr. Anil Mehta 90% (676 ratings)
MBBS, DNB (General Medicine)
General Physician, Delhi
Type 2 Diabetes - How It Can Be Prevented In Children?

Type 2 diabetes (T2DM) is a chronic metabolic disorder that prevents the body from processing sugar or glucose. The disorder causes insufficient production of the hormone Insulin (responsible for regulating sugar into the different parts of your body); or the body's failure to respond to the hormone produced. Although no cure is available for T2DM, there are several ways in which you can help prevent Type 2 diabetes in your child. These are:

1. Get your child to indulge in some physical activity - Spending about 60 minutes of the day on physical activity can help your child to ward off Type 2 diabetes. In terms of screen time, it shouldn't be over 2 hours a day. By doing so, he or she ends up building his or her muscles as well as gets rid of extra fat from the body. An active life would also help your child to maintain an optimal body weight with obesity being a cause of this form of diabetes. Whether it's a sport like swimming, cricket or basketball, or even walking and dancing, physical activity in any form can help in preventing your child from developing Type 2 diabetes.

2. Plan a well-balanced diet for your child - Encouraging your child to have healthy foods and making right food choices can also lower his or her chances of getting this metabolic disorder. Foods high in fiber like whole grain cereals and bread, lentils, fruits, and vegetables should be consumed. Similarly, foods low in trans and saturated fats like lean meat, chicken, yogurt and cheese should be included in your child's diet. Processed foods, as well as sugary drinks, should be no-no when it comes to your child's diet.


3. Adopting proper eating habits - It is not only making the right food choices that are important but eating right as well is vital for preventing the onset of diabetes. Having meals with fix portion sizes is a habit that you need to develop in your child. Ideally, half the plate should be filled with vegetables and fruits; a quarter with lean protein like chicken; and the remaining with whole grain. To accompany the meal, make your child have one cup of no-fat or low-fat milk. Desserts like ice cream and cookies should be allowed only once or twice a week.

Type diabetes

3 people found this helpful

5 Diabetes Symptoms In Your Children

Dr. Nikhil Prabhu 93% (551 ratings)
MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
5 Diabetes Symptoms In Your Children

5 Diabetes Symptoms In Your Children

3 people found this helpful

Impact Of Modern Day Gadgets On Kids!

Dr. Garima Sharma 90% (447 ratings)
MBBS
General Physician, Fatehabad
Impact Of Modern Day Gadgets On Kids!

Childhood memories are always special, we often get nostalgic reminiscing about them. When we were kids there was a range of outdoor activities, games and creative things to do, something to look forward and run around. However, the definition of modern childhood has undergone a sea change.

If you have a child in your home, you will be acutely aware of the gadget addiction phenomenon. Be it a mobile, iPad, television or gaming console, children today are almost inseparable from their gadgets. From a 2-year-old baby to 12-year-old teenagers, all can be found glued to their favorite gadgets, due to which physical activity and outdoor games have ceased to exist in their lives.

Further, this addiction to modern day gadgets is triggering a negative impact on their health. A number of studies indicate that the incidence of obesity, depression, and even diabetes (juvenile diabetes) amongst children and teenagers is on a mercurial rise, because of such a lifestyle.

But who is to be blamed for this?

It is common knowledge today, that parents across that globe try to deliver the best of everything to their kids, but sometimes we forget that more than things and luxury, our kids need our time.

Here are some effective measures to curb the gadget menace

  • Communicate: As a modern working parent, life is extremely hectic. However, make sure you spend some quality time with your child daily. Talk to your child about different things and understand what is going in their daily life.

  • Understand your child: Communication paves the way for better understanding, but as a parent, you have to make an effort to understand your child, as each child is unique and so are their needs.

  • Educate yourself: Make sure you are fully aware of what is going on with your child and how he or she is doing throughout the day in different areas, be it school or other activities. Talk to the other parents, and know what your children's peer group are doing.

  • Engage them: Take them to parks, indulge in fun outdoor and physical activities. When your child refuses to eat or do a particular work, never bribe them with a mobile phone or a laptop. Instead, promise them a weekend picnic or a day out.

  • Reduce internet time: Make sure children below 8 years have either no access or reduced access to the Internet. In fact, children below 10 years should not be allowed to use mobile phones, but that is practically not possible in today’s time, so parents should make an effort to control that and make sure that their children are not spending unnecessary time on internet as not only it is wasting their precious time, but also affects their mental health too.

Lastly, do not let your child forget that there is more to life than video games and TV. Love them but don’t give in to your child’s unrealistic demands.

6 people found this helpful

CGMS - Continuous Glucose Monitoring system

Madhavbaug Clinic 88% (59 ratings)
Non-invasive Cardiology
Ayurveda, Thane
CGMS - Continuous Glucose Monitoring system

With the increasing prevalence of diabetes, it is being considered as the next big epidemic – completely related to lifestyle. India has become the diabetes capital of the world with increasing prevalence. The age of onset of diabetes is reducing, with children having diabetes and requiring insulin. The complications arising out of diabetes are also more – there is no bodily system which is not affected by diabetes. For someone who is diabetic, keeping blood sugars under check is the constant challenge. Uncontrolled blood sugars can lead to transient complications including loss of consciousness and fatigue and long-term complications including neuropathy and retinopathy. 

What is CGMS: 

Continuous glucose monitoring system is an FDA approved device. This device has a sensor that is placed either in the belly area or on the arm. These sensors identify the sugar levels in the body fluid and send it to a wireless which is worn by the monitor patient as a belt. Readings can be obtained at regular intervals, ranging from every 5 to 15 minutes.

CGMS measures blood sugar levels every 15 mins, that is 96 times a day The data can be downloaded into a persona device – smartphone, tablet, or laptop and used for further analysis. It does not replace the need for routine monitoring, but helps improve vigilance with a constant monitoring. It can help detect trends and patterns and helps the doctor identify periods of the day when the sugars are too high or too low. The amount of insulin or antidiabetic medication required can be adjusted based on sugar levels. The exercise regimen can be defined including the type, time, and duration of workout. Meal planning can be customized to suit body needs in a better manner. Night-time sugar lows which often go undetected can be monitored with the alarm Highs or low between meals (especially with snacking) can be tracked Determine treatment efficacy. The biggest advantage of CGM devices is that they provide information on what is happening to your blood glucose level every few minutes.

CGMS measures blood sugar levels every 15 mins, that is 96 times a day. The newest devices display glucose readings on a screen so you can see – in real time - whether glucose levels are rising or falling. Some systems also contain an alarm to let you know when your glucose reaches high or low levels. Some devices are able to display graphs revealing glucose levels collected over a certain number of hours on its display screen. The data collected on all devices can be uploaded to a computer for graphing and further important trend analysis. 

Whom is it for?

If you think this is a great way to constantly watch your sugars, it is not required. The following people would benefit from this. People with insulin pump usage Those who have frequent fluctuations in sugar level, which is not clearly explained Those who are not aware of low sugars, and may have problems with fatigue or loss of consciousness Gestational diabetes

The Usage 

Continuous glucose monitoring systems (CGMS) may not make life with diabetes any easier. But they can definitely improve health, if you can deal with the hassle and expense. So how do you know if such a system is right for you? You can easily and discreetly view your current glucose values continuously throughout the day, without having to do a finger stick. It’s easy and discreet. The monitors have “trend arrows” that show you if your level is rising or falling quickly, so you can prevent highs and lows. 

Continuous glucose monitoring can help “identify fluctuations and trends that would otherwise go unnoticed with standard HbA1c tests and intermittent fingerstick measurements. The device can capture dangerously low overnight blood sugar levels which often go undetected, reveal high blood sugar levels between meals, show early morning spikes in blood sugar, evaluate how diet and exercise affect blood sugars, and provide up to a 72-hour complete review of the effects of changes made to your therapy by your health-care team. 

If you are a dedicated investigator, you can use CGMS to understand what’s happening with your blood sugar levels. If you wish to discuss about any specific problem, you can consult a Cardiologist.

3684 people found this helpful

Diet Chart For Diabetes Patient

Dr. Jagdish Prasad Mehrotra 91% (1699 ratings)
MBBS, D.P.H
General Physician, Gurgaon
Diet Chart For Diabetes Patient

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy or is stored for futher use. In diabetic people, the body either does not make enough insulin or it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:

Type 1

  • This is popularly known as juvenile onset diabetes. 
  • Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
  • People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.

Type 2

  • Also known as adult onset diabetes, this occurs around 35 to 40 years. The more common of the two types, it accounts for about 80 per cent of the diabetics.
  • Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
  • Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
  • Sometimes, oral medication or insulin injections are also needed.

Symptoms of diabetes

The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different   different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.

Diabetes diet chart:

  • Morning at 6:   teaspoon fenugreek (methi) powder + water. 
  • Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
  • Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
  • Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
  • Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
  • 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
  • 6 pm: 1 cup soup
  • 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
  • 10.30 pm: take 1 cup cream free milk without sugar.

When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!

  1. Salt: salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.
  2. Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
  3. Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your diet totally. But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.
  4. For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
  5. Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
  6. Tea and coffeeDo not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
  7. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
  8. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels. 

Advice for diabetes patient:

  1. 35-40 minute faster walk every day.
  2. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
  3. Avoid oily food.
  4. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
  5. Do not take fast and also don t go much party.
  6. Diabetic person should eat food slowly.

Calorific requirement:

  1.  An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
  2.  An elderly diabetic but not over weight  1400 -1800 kcal.
  3.  A young active diabetic  1800 -3000 kcal.
  4.  Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
  5.  Daily intake of protein: 60gm to 110gm.
  6.  Daily intake of fat: 50gm to 150gm.
41 people found this helpful
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