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Diabetes mellitus type 1 in children

What is it?

Diabetes (di-ah-BE-tez) is also called diabetes mellitus (MEL-i-tus). There are three main types of diabetes. Your child has type 1 diabetes. It may also be called insulin dependent, early onset, or juvenile onset diabetes. Type 1 diabetes happens when your child's pancreas (an organ that lies behind the stomach) does not make insulin. Type 1 diabetes is more common in children or young adults but anyone can have it. It usually starts in late childhood but can happen in early infancy through late adulthood. There is no cure for diabetes but your child can have a long and active life if his diabetes is controlled.

How did my child get type 1 Diabetes?

Signs and Symptoms:

The symptoms of hyperglycemia (hi-per-gli-SE-me-ah) or high blood sugar usually come on suddenly. If your child has one or more of the following signs and symptoms, you should take your child to see his caregiver:

What is hypoglycemia?

Your child may have problems with hypoglycemia (hi-po-gli-SE-me-ah). This is a condition that happens when your child's blood sugar level falls too low. It may be caused by having too much insulin in his blood or your child may not have eaten enough. Ask your child's caregiver for more information about hypoglycemia.

It is very important in young children to treat symptoms of low blood sugar right away. Give your child something to eat or drink that has sugar, such as four ounces (one-half cup) of orange juice, five to six pieces of hard candy, or glucose tablets. If your child is very young, you may need to check his blood sugar more often. This is because your child has not learned to recognize the symptoms of low blood sugar. Very young children may not be able to tell you that they feel different when their blood sugar drops. Following are the signs and symptoms of hypoglycemia:

What is ketoacidosis? Ketoacidosis (ke-toe-ah-si-DOE-sis) happens if your child's blood sugar stays too high for too long without being treated. This can cause your child's body to start breaking down body fats for energy rather than using blood sugar. Wastes called ketones are left behind. This may happen when your child is sick or under a lot of stress. It may also happen if your child has eaten too much or has not taken enough insulin. Ketoacidosis can be very serious and needs to be treated right away. Ask your child's caregiver for more information about ketoacidosis.

Following are the signs and symptoms of ketoacidosis:

Can diabetes cause other health problems? High blood sugar levels may damage other body tissue and organs over time. Diabetes can even cause death if left untreated. If your child's blood sugar is well controlled, other health problems may not happen.

Wellness Recommendations:

The most important thing you must do is help control your child's blood sugar. Caregivers will work with you and your child to help keep blood sugar levels within a "target range." This means that the blood sugar is not too high or too low. To do this, you have to find the right balance of diabetes medicine, food, and physical activity. Food puts sugar in their body and raises blood sugar levels. Diabetes medicine and physical activity lower blood sugar levels.

You can help control your child's blood sugar by helping him eat the right food. A diabetes nurse or a dietitian will help you learn what your child should eat and how food affects his diabetes. A diet high in fiber is helpful in diabetes.

Medical Care:

Your child may need to take medicine to control his blood sugar. He may need to go into the hospital for more tests and treatments.

Herbs and Supplements:

Before your child takes any herbs or supplements, ask his caregiver if it is OK. Talk to your child's caregiver about how much your child should take. If your child is using this medicine without instructions from his caregiver, follow the directions on the label. Do not give your child more medicine or take it more often than the directions tell you to.

The herbs and supplements listed may or may not help treat your child's condition.



Complementary Therapies:

Other ways of treating your symptoms:

Talk to your caregiver if:

You would like medicine to treat your child's diabetes.

Your child's symptoms have not gone away or improved by these self-help measures.

You have questions about what you have read in this document.

Your child has one or more of the following symptoms of high blood sugar:


Your child has trouble thinking clearly.

Your child is feeling worse even though you are following the caregiver's directions.

Your child has signs of advanced ketoacidosis:

Care Agreement:

You have the right to help plan your child's care. To help with this plan, you must learn about your child's health condition and how it may be treated. You can then discuss treatment options with your child's caregivers. Work with them to decide what care may be used to treat your child. You always have the right to refuse treatment.


1. Abbas ZG & Swai ABM: Evaluation of the efficacy of thiamine and pyridoxine in the treatment of symptomatic diabetic peripheral neuropathy. East Afr Med J 1997; 74(12):803-808.

2. Anderson RA, Cheng N, Bryden NA et al: Elevated intakes of supplemental chromium improve glucose and insulin variables in individuals with type 2 diabetes. Diabetes 1997; 46(11):1786-1791.

3. Boden G, Chen X, Ruiz J et al: Effects of vanadyl sulfate on carbohydrate and lipid metabolism in patients with non-insulin-dependent diabetes mellitus. Metabolism 1996; 45(9):1130-1135.

4. Dierkx RI, van de Hoek W, Hoekstra JB et al: Smoking and diabetes mellitus Neth J Med 1996; 48(4):150-162.

5. Faure P, Benhamou PY, Perard A et al: Lipid peroxidation in insulin-dependent diabetic patients with early retina degenerative lesions: effects of an oral zinc supplementation. Eur J Clin Nutr 1995; 49(4):282-288.

6. Frati AC, Jimenez E & Ariza CR: Hypoglycemic effect of Opuntia ficus indica in non insulin-dependent diabetes mellitus patients. Phytother Res 1990b; 4(5):195-197.

7. Gatenby SJ, Ellis PR, Morgan LM et al: Effect of partially depolymerized guar gum on acute metabolic variable in patients with non-insulin-dependent diabetes. Diabetic Med 1996; 13(4):358-364.

8. Jain SK, McVie R, Jaramillo JJ et al: Effect of modest vitamin E supplementation on blood glycated hemoglobin and triglyceride levels and red cell indices in type 1 diabetic patients. J Am Coll Nutr 1996; 15(5):458-461.

9. Jiang ZS, Zhang SL & Yan H: Study on syndrome-type in TCM and its correlation with superoxide dismutase and malonyldialdehyde in patients with non-insulin dependent diabetes mellitus. Chung Kuo Chung Hsi I Chieh Ho Tsa Chih 1997; 17(10):597-598.

10. Keen H, Payan J, Allawi J et al: Treatment of diabetic neuropathy with gamma-linolenic acid. Diabetes Care 1993; 16(1):8-15.

11. Konrad T, Vicini P, Kusterer K et al: alpha-lipoic acid treatment decreases serum lactate and pyruvate concentrations and improves glucose effectiveness in lean and obese patients with type 2 diabetes. Diabetes Care 1999; 22(2):280-287.

12. Lehmann R & Spinas GA: Role of physical activity in the therapy and prevention of type II diabetes mellitus. Ther Umsch 1996; 53(12):925-933.

13. Lima M, Cruz T, Pousada JC et al: The effect of magnesium supplementation in increasing doses on the control of type 2 diabetes. Diabetes Care 1998; 21:682-686.

14. Nicholson AS, Sklar M, Barnard ND et al: Toward improved management of NIDDM: A randomized, controlled, pilot intervention using a lowfat, vegetarian diet. Prev Med 1999; 29(2):87-91.

15. Okada S, Hamada H, Ishii K et al: Factors related to stress in patients with non-insulin-dependent diabetes mellitus. J Int Med Res 1995; 23(6):449-457.

16. Passariello N, Fici F, Giugliano D et al: Effects of pyridoxine alpha-ketoglutarate on blood glucose and lactate in type I and II diabetics. Int J Clin Pharmacol Ther Toxicol 1983; 21(5):252-256.

17. Pick ME, Hawrysh ZJ, Gee MI et al: Oat bran concentrate bread products improve long-term control of diabetes: a pilot study. J Am Diet Assoc 1996; 96(12):1254-1261.

18. Shanmugasundaram ER, Rajeswari G, Baskaran K et al: Use of Gymnema sylvestre leaf extracts in the control of blood glucose in insulin-dependent diabetes mellitus. J Ethnopharmacol 1990a; 30(3):281-284.

19. Sharma RD, Sarkar A, Hazra DK et al: Use of fenugreek seed powder in the management of non-insulin dependent diabetes mellitus. Nutr Res 1996c; 16(8):1331-1339.

20. Sotaniemi E, Haapakoski E & Rautio A: Ginseng therapy in non-insulin dependent diabetic patients. Diabetes Care 1995; 18:1373-1375.

21. Tandan R, Lewis GA, Krusinski PB et al: Topical capsaicin in painful diabetic neuropathy: controlled study with long-term follow-up. Diabetes Care 1992; 15(1):8-14.

22. Urooj A, Vinutha S, Shashikala P et al: Effect of barley incorporation in bread on its quality and glycemic responses in diabetics. Int J Food Sci Nutr 1998; 49(4):265-270.

23. Vuksan V, Jenkins D, Spadafora P et al: Konjac-glucomannan (glucomannan) improves glycemia and other associated risk factors for coronary heart disease in type 2 diabetes. Diabetes Care 1999; 22:913-919.

24. Vuksan V, Sievenpiper JL, Koo VYY et al: American Ginseng (Panax quinquefolius) reduces postprandial glycemia in nondiabetic subjects and subjects with Type 2 diabetes mellitus. Arch Intern Med 2000; 160(7):1009-1013.

25. Welihinda J, Karunanayake EH, Sheriff MHR et al: Effect of Momordica charantia on the glucose tolerance in maturity onset diabetes. J Ethnopharmacol 1986; 17(3):277-282.

Last Updated: 9/15/2016

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