Teenagers with diabetesTTeenagers with diabetesTeenagers with diabetesEnglishEndocrinology;AdolescentTeen (13-18 years)PancreasEndocrine systemHealthy living and preventionAdult (19+)NA2017-09-25T04:00:00ZCatherine Pastor, RN, MN, HonBScVanita Pais, RD, CDESanjukta Basak, MSc, MD CM, FRCPCRuth Slater, PhD, C. PsychJennifer Harrington, MBBS, PhD​000Flat ContentHealth A-Z<p>Discover how to help your teenager manage their diabetes and how it will affect their day-to-day lives.</p><p>​​The <a href="http://mindyourmind.ca/">teen years</a> are associated with with physical, mental and emotional changes and development. During this time, your teen may feel a growing desire to fit in with friends, to experiment, to test limits, and to seek independence from family. Self-image changes when a teen’s <a href="http://www.sexandu.ca/">sexuality</a> starts to emerge. <a>Diabetes</a> can affect these processes in different ways.</p><h2>Key points</h2> <ul><li>For adolescents, diabetes management affects important developmental stages including independence, responsibility and self-esteem.</li> <li>The target blood sugar range for children older than 12 is a pre-meal blood sugar level between 4 and 8 mmol/L.</li> <li>Diabetes management in adolescence can also impact your teen's day-to-day life, including sleep, employment and learning to drive.</li></ul>
Adolescents atteints du diabèteAAdolescents atteints du diabèteTeenagers with diabetesFrenchEndocrinology;AdolescentTeen (13-18 years)PancreasEndocrine systemHealthy living and preventionAdult (19+)NA2017-09-25T04:00:00ZCatherine Pastor, RN, MN, HonBScVanita Pais, RD, CDESanjukta Basak, MSc, MD CM, FRCPCRuth Slater, PhD, C. PsychJennifer Harrington, MBBS, PhD​000Flat ContentHealth A-Z<p>Découvrez comment vous pouvez aider votre adolescent à gérer son diabète et en quoi sa vie quotidienne sera affectée.</p><p>On associe l’<a href="http://mindyourmind.ca/">adolescence</a> à des changements et à un développement physiques, mentaux et émotionnels. Pendant cette période, votre adolescent pourrait éprouver le désir grandissant de trouver sa place parmi ses amis, pour expérimenter, tester ses limites et obtenir son indépendance par rapport à sa famille. L’image de soi change lorsque la <a href="http://www.sexualityandu.ca/">sexualité</a> d’un adolescent commence à apparaître. Le <a>diabète </a>peut toucher ces processus de bien des façons.</p><h2>À retenir</h2><ul><li>La gestion du diabète peut affecter les adolescents pour ce qui est du développement normal de leur indépendance, de leur sens des responsabilités et de leur estime de soi. </li> <li>La valeur glycémique des enfant de plus de 12 ans se situe dans entre 4 et 8 mmol/L avant un repas.</li><li>La gestion du diabète au cours de l’adolescence peut également avoir une influence sur sa vie au quotidien, y compris sur son sommeil, son emploi et son apprentissage de la conduite automobile. </li></ul>

 

 

Teenagers with diabetes2515.00000000000Teenagers with diabetesTeenagers with diabetesTEnglishEndocrinology;AdolescentTeen (13-18 years)PancreasEndocrine systemHealthy living and preventionAdult (19+)NA2017-09-25T04:00:00ZCatherine Pastor, RN, MN, HonBScVanita Pais, RD, CDESanjukta Basak, MSc, MD CM, FRCPCRuth Slater, PhD, C. PsychJennifer Harrington, MBBS, PhD​000Flat ContentHealth A-Z<p>Discover how to help your teenager manage their diabetes and how it will affect their day-to-day lives.</p><p>​​The <a href="http://mindyourmind.ca/">teen years</a> are associated with with physical, mental and emotional changes and development. During this time, your teen may feel a growing desire to fit in with friends, to experiment, to test limits, and to seek independence from family. Self-image changes when a teen’s <a href="http://www.sexandu.ca/">sexuality</a> starts to emerge. <a>Diabetes</a> can affect these processes in different ways.</p><h2>Key points</h2> <ul><li>For adolescents, diabetes management affects important developmental stages including independence, responsibility and self-esteem.</li> <li>The target blood sugar range for children older than 12 is a pre-meal blood sugar level between 4 and 8 mmol/L.</li> <li>Diabetes management in adolescence can also impact your teen's day-to-day life, including sleep, employment and learning to drive.</li></ul><p>With or without diabetes, all teenagers develop differently. Once teenagers can start to reason and think about their future, they will understand the implications of diabetes and its management.</p><p>There are many factors such as peer pressure, parties and other social events, part-time jobs, and a busy life in general that may interfere with the teen’s ability to translate this new awareness into good self-care.</p><p>Even though it may seem that teens should be more responsible and more able to achieve good <a href="/En/ResourceCentres/diabetes/Balancing-blood-sugar-levels/Pages/default.aspx">blood glucose (sugar) control​</a>, adolescence is often the time when optimal diabetes management is most difficult.</p><h2>Normal developmental patterns during adolescence</h2><table class="akh-table"><thead><tr><th colspan="2"> Normal developmental patterns during adolescence </th></tr><tr><th width="30%"> Age </th><th> Your child: </th></tr></thead><tbody><tr><th rowspan="3"> Early adolescence (ages 12 to 14), your child:</th><td>places enormous importance on body image </td></tr><tr><td>struggles with sense of identity</td></tr><tr><td>seeks reassurance more and more from peers rather than family.</td></tr><tr><th rowspan="3"> Mid-adolescence (ages 14 to 17), your child:</th><td>struggles for autonomy and control of personal destiny</td></tr><tr><td>can be involved in teen–parent conflict stemming from relatively trivial issues such as hair length, clothes and curfew, as well as more serious issues such as smoking, alcohol and drug use</td></tr><tr><td>may indulge in other risk-taking behaviours.</td></tr><tr><th rowspan="2"> During early adulthood (ages 18 to 21), your child:</th><td>becomes increasingly stable</td></tr><tr><td>begins to shape long-term plans such as career and personal goals.</td></tr></tbody></table><h2>How diabetes affects adolescents</h2><p>Diabetes management needs a degree of responsibility and behavioural control that is not typical in many adolescents. It affects important developmental stages, including independence, body image, identity, sexuality, responsibility and self-esteem.</p><p>Many teens do not like checking their blood sugar levels and avoid doing it. They may think that checking their blood sugar level is inconvenient, a constant reminder of their condition, and makes them feel different. It is worthwhile having a discussion with your teen in an attempt to discover what the issues are in their particular case.</p><h3>Blood sugar targets</h3><p>The target range for children aged 12 and older is to achieve a pre-meal blood sugar level between 4 and 8 mmol/L. This range allows good blood sugar control while reducing the risk of <a href="/Article?contentid=1726&language=English">severe “low blood sugar</a>” (hypoglycemia). This is a tighter range than for children aged 6-12, who have a target range of between 4 and 10 mmol/L. Older children and teenagers should be able to recognize the symptoms of hypoglycemia, and should be able to effectively manage the reduced target range.</p> <figure class="asset-c-100"> <img src="https://assets.aboutkidshealth.ca/akhassets/INM_blood_glucose_target_range_above_12yrs_EN.png" alt="" /> </figure> <h3>Taking insulin</h3><p>Many teens may neglect to take their insulin. There are many reasons why this may happen:</p><ul><li>It is inconvenient and time-consuming</li><li>They may forget to bring their supplies</li><li>Each needle is a reminder that they have diabetes and they are different from their peers</li><li>They may want to avoid dealing with their diabetes</li></ul><h3>Sleeping in</h3><p>When taking any <a href="/En/ResourceCentres/diabetes/Insulin-in-diabetes-management/Understanding-insulin/Pages/default.aspx">intermediate or long-acting insulin</a>, your child should receive a dose routinely at the same time of the day. Sleeping in should be kept to a minimum as giving insulin at different times will cause swings in blood sugar levels and affect your child’s long term health. It is acceptable to give insulin within a 1 hour window. For instance, if your child is taking intermediate or long acting insulin at 8 a.m., they should take the insulin between 7:30 a.m. to 8:30 a.m.</p><p>You may want to discuss with your diabetes team about other more flexible insulin regimens (<a href="/En/ResourceCentres/diabetes/Insulin-in-diabetes-management/The-insulin-regimen/Pages/default.aspx">multiple daily injections</a> or <a href="/En/ResourceCentres/diabetes/Insulin-in-diabetes-management/Insulin-injections/Pages/Insulin-pumps.aspx">insulin pumps</a>) that may better fit your teen’s lifestyle. Sleeping in is much easier if your teen is using an insulin pump or <a href="/En/ResourceCentres/diabetes/Insulin-in-diabetes-management/Understanding-insulin/Pages/default.aspx">long-acting insulin </a>(such as Lantus/Glargine, or Levemir/Detemir). The risk of either “<a href="/Article?contentid=1726&language=English">low blood sugar</a>” (hypoglycemia) or “<a href="/Article?contentid=1726&language=English">high blood sugar</a>” (hyperglycemia) should be very low.</p><h3>Menstruation</h3><p>Diabetes will have no effect on your daughter’s periods. However, the increase in hormones during menstruation can cause blood sugar levels to rise. Women who take insulin may need to take more during their periods. You can check this by observing the blood sugar pattern over the month.</p><h2>Birth control</h2><p>Teens with diabetes are no exception to the need for protection from <a href="/En/News/NewsAndFeatures/Pages/Safe-sex-Talking-to-your-teen-about-sexually-transmitted-infections-.aspx">sexually transmitted infections (STIs)</a> and unwanted pregnancy. Teens with diabetes should be given information about <a href="http://www.sexualityandu.ca/">sexuality, contraception and pregnancy</a> well before they need it. These discussions should take place with members of the <a href="/Article?contentid=2511&language=English">diabetes team</a> and should be confidential.</p><p>To prevent STIs, condoms are a must for all sexually active teens. To prevent pregnancy, women with diabetes have the same options for birth control (oral contraceptive pill, IUD, etc.) as do those without.</p><p>Pregnancies in teenage girls are always considered high risk as there is a greater chance of things going wrong for both the mother and her baby. Babies who are exposed to high blood glucose levels when they are in their mother’s womb have a greater risk of:</p><ul><li>birth defects</li><li>being larger than babies whose mother had no high blood sugar episodes during the pregnancy; having a big baby leads to a difficult delivery</li><li>having multiple health problems after birth.</li></ul><p>When the time comes to plan a family, your child should be reassured that the health-care team will be there to help them and their baby get the best possible start.</p><h2>Driving</h2> <p>Driving a car requires sound judgement and responsibility. Because a low blood sugar level can impair judgement, young people with diabetes have an additional duty to make sure that their blood sugar level is not too low before they get behind the wheel of a car. A low blood sugar level can increase the risk of an accident.</p><p>All young people with diabetes should check their blood sugar level every time before they start driving. Teens with diabetes can generally easily get a regular driver’s license, as long as they have reasonable blood sugar control. Make sure your teen complies with traffic laws and local regulations.The Ministry of Transportation keeps people with diabetes accountable for keeping their diabetes management under control before getting behind the wheel.</p><h2>Employment</h2><p>There are many examples of people with diabetes who have succeeded in a broad range of careers such as doctors, lawyers, nurses, politicians, professional athletes, artists, actors, accountants, teachers and engineers. Please refer to the Diabetes Canada website for their position <a href="http://www.diabetes.ca/about-cda/public-policy-position-statements/employment">statement on employment​</a>.</p><h2>MedicAlert identification</h2><p>Teens wear MedicAlert identification for all sorts of reasons: because they have allergies to foods, medications or bee stings, or have asthma. The bracelet or neck chain gives emergency medical personnel information that could save a person's life. It is recommended that all people with diabetes wear MedicAlert identification.</p><p>Ask your diabetes team to show you samples of the kinds of identification available.</p>Teenagers with diabetesFalse

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