JUVENILE-ONSET DIABETES

Description:

Autoimmune disease – child’s pancreas stops producing insulin,

Symptoms:

  • Increased thirst and frequent urination
  • Extreme hunger
  • Weight loss
  • Fatigue
  • Blurred vision
  • Irritability or unusual behavior
  • Yeast infection
  • Extreme weakness and/or tiredness
  • Extreme thirst—dehydration
  • Increased urination
  • Abdominal pain, numbness in feet
  • Nausea and/or vomiting
  • Blurry vision
  • Wounds that don’t heal well
  • Irritability or quick mood changes
  • Changes to (or loss of) menstruation
  • Rapid heart rate
  • Reduced blood pressure (falling below 90/60)
  • Low body temperature

Causes:

  • Autoimmunity
  • Insulin-producing (islet) cells in the pancreas-destroyed
  • Genetics
  • Exposure to certain viruses-triggers the disease

Risk factors:

  • Can be passed down through families
  • Low vitamin D levels
  • Less common than type 2
  • Children of fathers with type 1 diabetes-more prone
  • Viral exposure
  • Other dietary factors

Diagnostic tests:

  • Screening tests:
  • Random blood sugar test
  • Fasting blood glucose level
  • Glycated hemoglobin (A1C) test
  • The Oral Glucose Tolerance Test
  • Ketone testing (further checking)

Differential diagnostics:

  • Diabetes Insipidus
  • Pediatric Hyperthyroidism
  • Pheochromocytoma Imaging
  • Renal Glucosuria
  • Salicylate Toxicity
  • Psychogenic polydipsia
  • Factitious illness

Treatments:

  • Blood sugar monitoring
  • Continuous glucose monitoring (CGM
  • Insulin and other medications
  • Insulin delivery options
  • Pancreas transplant
  • Islet cell transplantation
  • Healthy eating
  • Physical activity

Medications:

  • Insulin (shots or pumps)
  • Immunosuppressive agents (but has side effects)
  • Vaccines (to prevent occurance)
  • Substances proved to control blood glucose level:
  • A) Blond psyllium, cascia cinnamon, fenugreek
  • b) Guar gum and niacinamide (vitamin B-3).

Lifestyle Management:

  • Checking blood sugar levels a few times a day
  • Insulin injections
  • Healthy diet (with attention to sugar levels)
  • Regular exercise to help control blood sugar levels
  • Foot care
  • Mental health and substance abuse