Alyssa's Journey with Type 1 Diabetes

An outlet, a diary of sorts, a place for thoughts, a place to connect,
an expression of feelings about Juvenile Diabetes......

Wednesday, June 6, 2012

Guest Blog Post from Type 2 Diabetes and Children

My blog is about my daughter's journey with type 1 diabetes; however, type 2 diabetes is also a terrible disease and the amount of children developing the disease is on the rise.  So when Jeff from asked if their writers could do a guest post on my blog regarding type 2 diabetes and children, I had to agree.   I thought my readers could get a great deal of information from their post that covers details of the disease as well as the medications that are used to treat type 2.  Thank you for the great information Alanna Ritchies of! 

As many as 45 percent of new onset pediatric diabetes cases in the United States are type 2. This is partially due to the growing population of obese children and adolescents.

Type 2 diabetes affects more than 22 million adults in the United States. It used to be primarily diagnosed in people older than 40, but it now affects an alarming number of children.

Over the past 20 years, the prevalence of childhood and adolescent obesity has doubled, according to the American Academy of Pediatrics Committee, putting children at risk of developing type 2 diabetes. At diagnosis, 85 percent of these children are obese.

Obesity and a lack of physical activity, as well as exposure to diabetes in utero, are thought to be major contributors to the increase in type 2 diabetes during childhood and adolescence. Generally, the diagnosis applies to those between 10 and 19 years of age with insulin resistance and a strong family history of type 2 diabetes.

The age of development is connected to changes in puberty that affect hormone levels. Doctors often diagnose children exhibiting symptoms like obesity, glucose in the urine or excessive thirst.

The Centers for Disease Control and Prevention’s Division of Diabetes Translation has been conducting workshops to raise physician awareness about the disease, determine the magnitude of the problem and assess and improve the quality of care among children and adolescents with type 2 diabetes.

In about 10 percent of cases, lifestyle intervention for those diagnosed with diabetes early may be enough. Everyone else will need either insulin, medication or both to control their blood sugar.

The Food and Drug Administration (FDA) has approved certain insulin products for children and one oral medication, metformin. Metformin increases the body’s sensitivity to insulin and decreases the amount of glucose produced by the liver. It can also promote weight loss.

While many adults with type 2 diabetes may be taking a thiazolidinedione such as Actos, this class of drugs has not been studied for pediatric use.

Adults and children should be aware of the risks, however. Actos, which is the most popular diabetes drug worldwide, has been linked to vision problems, fractures and heart failure. The Food and Drug Administration (FDA) has placed a black-box warning on Actos, listing restrictions for people with heart conditions.

Actos has also been repeatedly linked to bladder cancer, including by a recent study that showed an 80 percent increase in the risk. Thousands of
Actos lawsuits have been filed by patients who have suffered.

Before thiazolidinediones or other type 2 diabetes medications are prescribed to children, more studies are necessary.

A child’s ability to take on medical regimens, exercise plans and diet changes is contingent upon supportive parents and an understanding of the diagnosis.

The American Diabetes Association plans to develop educational strategies for teaching children about managing type 2 diabetes. Children may blame themselves if their condition worsens, but should know that the disease is progressive, meaning it will worsen with time. It is also important that they and their parents understand the risks associated with popular medications like
Actos side effects and with type 2 diabetes in general.

Alanna Ritchie is a writer for An English major, she is an accomplished technical and creative writer.

Tuesday, June 5, 2012

Packing for Grandma's

Since Alyssa's diagnosis, the only people she has been left with are her two older brothers and her grandmothers.  On Thursday, my hubby and I will be leaving for the Florida Keys to celebrate our 18th wedding anniversary.  Ahhhh.....4 sun-filled days in paradise!!

Before Lu's DX, all I had to pack were her clothes when she'd spend the night away from home.  Now, packing takes much more preparation.

Alyssa's Packing List

*Diabetes supplies (meter, strips, lancets, alcohol swabs, syringes, & insulin)
*Emergency Kit for lows (Glucagon, smartie candies, and juice boxes)
*4 Breakfasts, 4 lunches, 4 dinners, and 24 snacks
 (I pack snacks and meals that I prepare ahead of time that have the exact amount of carbs that she needs for each meal)
*sugar free drinks & water bottles to mix sugar free Kool Aid in
(I type up her schedule and instructions for what to do in the event of highs or lows and add the emergency endocrinologist's number)
*favorite pillow & stuffed animal

Our car will be loaded down on the way to the airport until we drop her off.  What's funny is that everything that I am taking can fit into 1 rolling carry on bag!

Monday, June 4, 2012

Cheer Camp

Alyssa is on a competitive cheer team and this weekend she took part in her first cheer skills camp. Alyssa’s diabetes is very sensitive to extra physical activity, so this requires careful planning and monitoring as well as timing meals and insulin. This is because muscles use up glucose at almost 20 times the normal rate during intense exercise and can result in low blood sugar levels.

During her normal practices in order to avoid drops in blood glucose levels, we check her bg’s before class starts and if she is below 200 she has a carb/protein snack and she has a low sugar Gatorade on hand that has about 15 g of carbs. This snack and drink will replace the glucose slowly as she burns the glucose she has on board and holds her over through the 1 ½ hour practice. In the case of cheer camp, I knew the activity would be more intense and last longer. We checked her sugar when we arrived on day 1 and it was 212, she had a snack and about an hour in her bg was 200. At the water break re-check, her level was at 147, so she had a few grapes and more low sugar Gatorade. By the end of day 1 practice, her level was at 150. Day 2 started at 12:30p, so she ate lunch at 11:30a. When we got to the gym her bg was 300, but she had just eaten and had a lower level of insulin about 30 minutes prior. At the water break, we checked and her level was down to 200. She ate a few grapes and 2 peanut butter crackers. At the end of camp, her bg was 116. I knew her bg’s would continue to drop after the exercise stopped because her team had worked so much harder on day 2, so I let her have a little of the high carb snacks that were offered like cheese puffs, chips, grapes, and even a donut! I chose not to give her insulin and rechecked her bgs about an hour later…99...perfect... her body was still burning that glucose.  If she hadn't had that snack, she would have went low.

Alyssa is such a trooper. She didn’t complain about having her finger pricked 4 times extra because she was having such a good time… We have a longer choreography camp in a couple of weeks and I'm feeling a little bit better about it.