Clinical Management of the Child and Teenager with Diabetes

A comprehensive guide to the modern medical management of Type 1 diabetes. Emphasizing the concerns and needs of the child and family, the book is mainly aimed at the primary care givers who are increasingly responsible for managing the care of patients. With detailed guidelines for establishing a comprehensive patient management plan, the book outlines the respective roles of the primary care clinician and the specialty team, and it advises how they can work together most effectively to ensure the health and well-being of the child or adolescent with diabetes. The book covers the basic mechanisms of disease (including the latest understanding of the genetic component), provides diagnostic and treatment guidelines, and offers advice on effective communication between parent, child and members of the health care team. Throughout the book, the authors stress the importance of helping children with diabetes to live as normally as possible.They address a wide range of practical issues - snacking at the mall after school (and how to adjust insulin to cover it), what to do about insulin shots during sleepovers, what to tell friends and classmates as well as teachers and other educators, and how to counsel adolescents about the effect of alcohol on blood sugar levels. The text is enhanced by a variety of sample forms and documents: assessment and other record-keeping forms; sample letters to teachers describing activity restrictions and warning signs they should watch for; growth charts; tables of timing and duration of action for different types of insulin; and diabetic ketoacidosis treatment flow sheets.