When it comes to understanding your diabetes risk, knowledge is power, which is why regular diabetes screenings are so important. A simple blood test can tell you if your blood glucose is rising or whether you have prediabetes, a state in which blood sugar levels are slightly elevated but not high enough to qualify for diabetes. Experts estimate that prediabetes affects 79 million people in the U.S. "When people learn they have prediabetes, I tell them they're extremely lucky," says Betul Hatipoglu, MD, an endocrinologist at Cleveland Clinic. "It's an opportunity for them to make changes so they can reverse the disease." Get a blood glucose test every one to three years, depending on whether you have other risk factors.
Deepti Rawal, MD
- internal medicine
Location and Office HoursCT Multispecialty Group Endocrinology
Hartford, CT 06106
- monday: 9:00AM - 4:30PM
- tuesday: 9:00AM - 4:30PM
- wednesday: 9:00AM - 4:30PM
- thursday: 9:00AM - 4:30PM
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Should I have regular diabetes screenings?
How is type 1 diabetes treated in young children?
William Lee Dubois, Endocrinology/diabetes/metabolism, answeredInsulin is the one and only way to treat Type-1 Diabetes, regardless of age, because those of us with T-1 don’t produce any insulin ourselves. Without insulin from outside, T-1 is fatal.
When it comes to young children, although the medication is the same, we do look at specialized delivery options. We do this simply because young children are small ecosystems. A little bit of insulin will go along way when the patient weights 32 pounds!
Insulin syringes are made is sizes as small as 30 units total volume, which can make it easier to estimate the smaller doses children require. Additionally, two companies make ½ unit insulin pens for children; and we also have the option of insulin pumps which can deliver very small percentages of a unit of insulin for fine tuning.
How can I make sure that my child with diabetes is safe when exercising?
American Diabetes Association answeredExercise and physical activity are good for everyone and especially important for children with diabetes. Whether it's a team sport, a solo sport or an outdoor adventure that your child enjoys, planning is key. Blood glucose (BG) levels can drop during or after exercise so be on the look-out, be prepared and check often.
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- Ask questions. Talk to your diabetes care team (D-team) about how to prepare for physical activity and what to do when your child's BG goes up or down during activity.
- Share the news. Make sure coaches or other adults they designate are aware that your child has diabetes, can recognize symptoms and know what to do.
- Pack a snack. Spending energy may mean your child will need a larger than usual snack. Include protein, such as string cheese, or a turkey sandwich and complex carbs like whole wheat crackers or an apple.
- Check it. Your child should test BG level before physical activity and again, every half-hour during activity. Your child will lose all concept of time during play - so provide a stop watch for an adult on the sidelines to set after each check or give your child a special watch with an alarm to help her remember.
- Cool down. The effects of physical activity may not show up immediately afterward. Keep an eye on BG levels for up to 24 hours, especially after strenuous activity.
- Look for highs. If BG is high, your child should stop exercising and check urine for ketones. If ketones are present, get medical help.
- Be prepared. In case of severe hypoglycemia, be sure a trained adult is present to administer glucagon.