Insulin imbalance and resistance to insulin as the underlying causes of diabetes and children with these insulin defects, often arise from cases of obesity. At a time when a great number of the population was less mindful of their eating habits leading to overweight or obesity, these same members of the society produced off-springs with inherent genetic deficiencies of hormonal imbalances particularly insulin.

As the offspring grew older, they developed dietary habits that trigger hormonal imbalances including the inability of insulin to help in the absorption of glucose to provide them with bodily energy.

Diabetes and Children Diagnosed with Diabetes:

I. Based on statistics  genetically impaired children represent 5% of the present-day sufferers of diabetes type 1 and are generally characterized by the following conditions:

• They are not obese and in fact prone to weight loss.

• They manifest diabetes symptoms such as frequent thirstiness and urination.

• They may experience controlled levels of blood sugar but will eventually revert to experiencing imbalance as time passes due to dietary habits and lifestyle factors.

• Their diabetic condition often leads to the total destruction of insulin producing cells, henceforth, needing insulin derived from external sources as medication.

II. There are cases where diabetes and children diagnosed with this disease are found to be with the presence of ketones, an organic compound whose simplest form is an industrial solvent known as acetone. The inability of the pancreas to produce insulin is due to ketoacidosis, the presence of excessive level of acid in the blood. This type of diabetes is known as diabetes ketoacidosis

III. Overweight or obese children as atypical in type 2 diabetes, wherein they manifest resistance to insulin are often characterized by the following traits common among diabetic sufferers:

• They are overweight and experience very little or no weight loss at all and sugar is often present in their urine.

• They seldom experience thirstiness or produce excessive urine.

• About 45% to 80 % of children with type 2 diabetes have one diabetic parent; often, the family history of diabetes sufferers have spanned for more than one generation.

• They typically belong to American Indian, African American, Hispanic or Asian origin.

• About 90% of type 2 diabetic children possess dark shiny patches of skin often found in creases or between fingers, toes and back of the neck, often earning the description “dirty neck”.

The large number of children suffering from type 2 diabetes led the experts to believe that social and environmental factors render this children as susceptible to diabetes.

While in some cases said factors actually trigger genetic tendencies, the inability to maintain blood sugars at a normal level is largely due to the primary problem of adults who only passed on the abnormality to their children. Later, the development of diabetes and children who inherited this disease will progress into totally damaging their insulin producing cells.

Responsible parenting therefore should begin even before we become parents. How we take care of our body and of our children will pave the way for possible disorders to develop or be genetically passed on to the future generations.

The impaired genes plus the prevalence of negative social and environmental factors are said to be the recent findings as to why diabetes and children have developed a semblance of correlation.

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Diabetes is a disease due to the insulin insufficiency to help regulate the body’s metabolism resulting to high sugar blood level. Insulin is a hormone or a substance produced by the pancreas that helps in the use and storage of glucose (sugar) when food is undergoing digestion stage.

Luckily, there is the glycemic index (GI) for diabetes. It is a guide that identifies how one can regulate the carbohydrate content known as glucose, and the corresponding result with regards to the blood sugar level.

However, some health experts argue that the use of glycemic index presents difficulty since compositions may vary from one person to another. However, others insist that the glycemic index guide should be used to set a standard.

The glycemic index is helpful in planning the meal of diabetics or people suffering from the diabetes disease. Hence, foods with low GI will have a relatively small rise in the blood sugar level while foods with high GI will have the tendency to shoot up the level of the blood sugar.

Hence, the index numbers represent food with the highest glucose content as a fast acting carbohydrate. This is to raise low blood sugars after a recent activity like intense exercises which involved the use of much body energy.

Conversely, foods containing slow carbs or glucose content, will prevent excessive glucose levels in the body. Glycemic Index numbers therefore will start at an arbitrary number of 100 with food groups showing numbers in a range of near 100, median numbers away from one hundred or a long distance away from one hundred. These index guides therefore will come in useful in planning meals for diabetic patients.

With the aid of the Glycemic Index, the ultimate goals are:

1. To make the sugar level in the blood normal.
2. To control the blood pressure thereby protecting the heart.
3. To be more conscious in attaining a reasonable weight.
4. To avoid complications emanating from diabetes like heart and kidney diseases.
5. To aid in achieving good health.

Calorie counts are also significant in planning the diets for diabetes. Normally, type 1 diabetes is restricted to around 16 calories for every pound of body weight in a day. While type 2 diabetes requires a calorie diet approximately measuring 1,500 to 1,800 per day. A gram of carbohydrate is around 4 calories, more or less.

On the other hand, there are the so-called free foods that you can partake without counting their calories. They contain no more than 20 calories or less than 5 grams of carbohydrates. The food groups include broth, mineral water, coffee, tea, diet soft drinks, sugar free candies and the likes.

Diabetics should focus not only with the diets for diabetes but also maintain a habitual exercise regimen. Regular exercise will improve blood circulation, the immune system, and insulin sensitivity. However, prior consultation with the attending physician regarding food or exercise is still needed.

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When one is diagnosed with diabetes, the blood sugar in the body is already high. The insulin being produced by the pancreas is no longer proportionate in order to normalize the blood sugar level in the body.

Here are 4 important points to remember if you are afflicted with diabetes:

I. Learn your type of diabetes- It may be type 1, type 2 or Gestational

a. Type 1- The body is no longer producing insulin, hence, this type of diabetes needs a daily dose of insulin injection.

b. Type 2- This is the common diabetes and treated with oral medications.

c. Gestational- This occurs at a later period of pregnancy. The child is prone to become overweight and possess the diabetes disorder as well. The mother later becomes susceptible to Type 2 diabetes.

II. Monitor your blood sugar/pressure and cholesterol level

a. Blood sugar- There is the A1C test in monitoring blood sugar which aims to have a blood sugar level of below 7. This is to avoid complications in the heart, feet, eyes, kidneys and blood vessels. A1C test is also known as HbA1c, glycated hemoglobin or glycosylated hemoglobin tests, indicates the average blood glucose level of a diabetic patient over the past few months.

b. Blood pressure- The ideal blood pressure is 130/80. High blood pressure can cause stroke, kidney disease or heart attack.

c. Cholesterol- The goal of most people is to have a low-density lipoprotein (LDL) of less than 100 and high density lipoprotein (HDL) of above 40. The LDL or commonly referred to as the “bad” cholesterol has the ability to block the blood vessels that will cause heart attack or stroke.

III. Deal with your diabetes

a. Have a meal plan.

b. Eat nutritional foods like fruits, vegetables, skinless chicken/turkey, lean meat, dish, beans, low-fat milk or whole-grains.

c. Eat a low salt and low fat diet.

d. Indulge in a 30 minute to 1 hour daily exercise.

e. Contact your mental health counselor if you are experiencing depression.

f. Eliminate the smoking habit.

g. Always maintain good dental hygiene to avoid dental problems.

g. Check for any blisters, cuts or even sores.

h. Monitor your eyesight and refer any changes you notice right away to your doctor.

i. Maintain your daily dose of medicines even if you feel good.

IV Monitor your routines

a. Make sure that daily routines are properly attended to with the use of a checklist or note pad intended for this purpose only.

b. Mark your calendar for the date of your next visit to the doctor so as not neglect it.

c. Maintain a target level of cholesterol, weight, blood pressure, just to name a few.

Controlling your diabetes can deter or delay the occurrence of diabetes problems to maintain a better quality of life and can prolong your lifespan in the process.

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