Clinical Management Of The Child And Teenager With Diabetes

Written by a Johns Hopkins pediatric endocrinologist and an award-winning medical writer, Clinical Management of the Child and Teenager with Diabetes is a comprehensive and accessible clinical guide to the modern medical management of Type 1 diabetes. Emphasizing the concerns and needs of the child and family, the book is addressed to primary care clinicians, who are increasingly responsible for managing the care of patients with diabetes. With detailed guidelines for establishing a comprehensive patient management plan, this book discusses how to effectively ensure the health and well-being of the child or adolescent with diabetes. The authors cover the basic mechanisms of disease, provide diagnostic and treatment guidelines, describe the spectrum of management options, and offer valuable advice on how to achieve effective communication among parent, child, and members of the health care team. Throughout, the authors stress the importance of helping children with diabetes to live as normally as possible. They address a wide range of management alternatives, including 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.

Currently, available information on pediatric and adolescent diabetes is limited to chapters in larger books covering the broader topic of pediatric endocrinology, and these do not have the space to delve into specific topics. This concise, timely book contains everything that a practicing provider needs to know in order to provide comprehensive, up-to-date care for children and adolescents with diabetes, from the latest methods for diagnosing various types of diabetes to integrating cutting-edge technology in the care of this patient population. Initial management, the use of insulin pumps, continuous glucose monitoring, and automated insulin delivery are discussed in detail, as are nutrition therapy, exercise, psychosocial challenges, acute and long-term complications, and future directions for treatment and research. Further, this book provides clinicians with guidelines for the implementation of best practices as outlined by leading associations such as the American Diabetes Association (ADA) and International Society of Pediatric and Adolescent Diabetes (ISPAD). The Yale Children’s Diabetes Program has been ranked among the best in the United States, including clinicians and researchers who are world-renowned for their efforts in improving the care of children with diabetes. This wealth of knowledge and experience positions the author team well as experts in this field.

Written by three psychologists with more than 50 years of collective experience in the field of diabetes and youth, Teens with Diabetes provides evidence-based techniques for clinicians to treat the psychological needs of children with diabetes and help them transition into their teenage years. The authors have provided care to thousands of diabetic teens and their families from initial diagnosis to leaving home for college. Any professional working with diabetic teens, including psychologists, physicians, social workers, dietitians, and nurse educators, needs this how-to handbook for working with what is arguably one of the most difficult populations in diabetes. Topics covered include handling the initial diagnosis of diabetes in teens, talking with young people about diabetes in a manner that is effective and reduces reactivity, improving diabetes self-care, helping families negotiate the challenges of adolescent diabetes, dealing with peer relations, dealing with high-risk issues related to diabetes, and handling with mood problems.

Part of the Paediatric Psychology series Children and young people are increasingly among those being diagnosed with diabetes. However in the UK only 1 in 6 children succeed in controlling their diabetes successfully, despite support from parents and professionals. This enlightening new book is a comprehensive account of diabetes and the complex medical and psychosocial factors that influence metabolic control in children and young people. It presents a series of evidence-based and accessible educational, psychological and social approaches to increase specialist knowledge, promote positive attitudes, enhance patient care and create appropriate healthcare environments. The book offers an easy-to-comprehend approach to clinical care and includes practical tools for assessment for all healthcare professionals throughout the text. Featuring contributions from a number of international experts in the field, this thorough and wide-ranging guide is informative reading for all students, academics and professionals with an interest in paediatric psychology and health.

To a child, the first syllable of the word diabetes can sound terrifying. For parents, imposing the regimen of balancing diet and activity with insulin injections, monitoring daily blood sugar levels, and record-keeping for a young child or an adolescent seeking independence seems an impossible task. In When a Child Has Diabetes the Diabetes Team at Torontos renowned Hospital for Sick Children offers its medical expertise and practical know-how to parents to help them and their children understand diabetes and live happy and healthy lives. One of the keys to dealing with juvenile diabetes is to learn as much as you can about it. In When a Child Has Diabetes readers will learn the latest about the causes and management of this challenging condition. Topics include: What diabetes is and how it is usually controlled How to know when diabetes is not being well-managed and what to do about it How to help young children deal with a condition that they may not understand How insulin pumps work, and who should use them How to teach older children and teens accept their difference and manage it responsibly What complications may develop and how you can reduce the risksBIO:DENIS DANEMAN, MB, BCH, FRCPC, chief of the division of endocrinology at The Hospital for Sick Children and a professor of pediatrics at the University of Toronto, directs the hospitals Diabetes Team. MARCIA FRANK, RN, MHSC, CDE, is a clinical nurse specialist in Toronto, Ontario. KUSIEL PERLMAN, MD, FRCPC, is a staff endocrinologist and assistant professor of pediatrics at the University of Toronto. With their colleagues, these health care professionals see more than 100 new children with diabetes every year and provide ongoing care, education and support to more than 800 children and their families.

An updated and revised 5th edition of one of the most highly respected resources on juvenile diabetes, from the Diabetes Team at the world-renowned Hospital for Sick Children. The Center for Disease Control and Prevention reports that, annually, more than 200,000 US and Canadian children are diagnosed with juvenile diabetes. For the parents and caregivers of the children diagnosed with juvenile diabetes every year, the key to successful diabetes management is to learn as much as possible about diabetes from a trusted and reliable source. Armed with this knowledge, they will be able to improve quality of life for both their children and themselves. This updated and revised 5th edition offers the latest medical expertise, based on current research and standards for diagnosis, and features an even more user-friendly format, case studies, charts and Question and Answer sections. A must-have for anyone caring for a child with diabetes, When a Child Has Diabetes covers the causes of diabetes, current and evolving treatments, blood glucose management, meal planning, associated conditions, strategies for adjustment and much more. With its friendly, approachable style, this comprehensive and supportive guide will help parents and children learn the hands-on skills needed for at-home diabetes care so they can all live happy, healthy lives.

The twin epidemics of obesity and type 2 diabetes mellitus (T2DM) continue to affect an ever increasing number of children, adolescents, and young adults. Management of Pediatric Obesity and Diabetes provides healthcare trainees and professionals with practical, comprehensive, and contemporary approaches to the pediatric patient at risk for obesity, T2DM, and related conditions. A unique guide on the subject, this volume provides clinical paradigms for diagnosis and management of pediatric T2DM and related conditions, while succinctly describing state-of-the-art basic and clinical sciences underlying these problems. The chapters in this volume are independent and concise. Each chapter focuses on a key clinical issue or mechanism of disease. Providing practical, data-driven resources based upon the totality of the evidence, this important text helps the reader understand the basics of pediatric obesity and T2DM and implement strategies to prevent and treat obesity and diabetes in children and adolescents. Management of Pediatric Obesity and Diabetes provides health professionals across many areas of research and practice with up-to-date, well-referenced, and comprehensive evidence on identification, treatment, and prevention of these chronic, serious, metabolic diseases in children. This volume will serve the reader as the most authoritative resource in the field to date.