Juvenile Diabetes Association

What does the  Juvenile Diabetes Association Do?

The Juvenile Diabetes Association (JDA) publishes detailed recommendations and guidelines for the management of type 1 diabetes in the form of position statements, consensus statements, and technical reviews.

This mainly includes special considerations, recommendations, and standards of medical care for children and adolescents. Other position statements include age-specific guidelines for screening for retinopathy and neuropathy in juvenile diabetes.

Special care for children with diabetes

What is Juvenile diabetes associationThe JDA has published recommendations regarding certain aspects of juvenile diabetes that apply specifically to children and adolescents while taking into account care at schools and camps.

The main purpose of the Juvenile Diabetes association is to provide a comprehensive resource on current standards of juvenile diabetes care pertaining to pediatric diabetes.

Although it’s not an exhaustive resource on all aspects of care and management of the condition, current works in progress are indicated and relevant resources are provided as such.

Information provided by the Juvenile Diabetes Association is based on relevant evidence from current and published studies and is supported by expert consensus or opinion. Numerous detailed chapters and guidelines on juvenile diabetes are included. Existing texts include those by the Australian Pediatric Endocrine Group and ISPAD (International Society of Pediatric Adolescent Diabetes).

Children and adolescents have needs and characteristics that dictate special standards of care and management. Management of juvenile diabetes must take the differences between various ages into account.

Read about the Signs of Childhood Diabetes HERE!

Importance of Involving Adults in the Management of Juvenile Diabetes

In caring for adolescents and children with juvenile diabetes, professionals recommend that adults be involved in the kid’s diabetes management. School-aged children, as well as adolescents, may be unable to provide their own juvenile diabetes management care independently.

Therefore, it’s essential to provide education about how to care for children as well as adolescents with diabetes to the entire family unit while emphasizing developmentally and age-appropriate care and integrating this into diabetes management. Therefore, adult supervision is important in most aspects and throughout the transition in and out of age-specific care.

  • Diagnosis

Diagnosis of juvenile diabetes is usually a straightforward process largely because most kids with the condition present a history of polydipsia, weight loss, polyphagia, and polyuria with ketonuria, ketonemia, glycosuria, and hyperglycemia. However, in most cases, the physician must document elevated blood glucose levels to diagnose diabetes.

  • Initial care

The main determinants of where, how, and who provides the initial education and care are the age of the child, clinical severity at presentation, the ability to provide education, and the proximity of the child to tertiary care centers.

Ideally, newly diagnosed patients with type 1 diabetes should be evaluated by a team consisting of a nurse educator, a mental health professional, a dietitian, and a pediatric endocrinologist qualified to provide pediatric-specific support and education.

Unfortunately, such systems are unavailable in most areas and circumstances. However, nowadays the use of telemedicine is beginning to allow the expertise of pediatric centers to improve the care of juvenile diabetes patients in remote regions.

Regardless of the primary and secondary source of care, all providers should understand the stages of juvenile diabetes and how they affect the management of the condition. Moreover, they should understand different management approaches to juvenile diabetes.

  • Diabetes education

Studies in patients with juvenile diabetes show that factors such as family and patient education, close contact with diabetes teams, and delivery of comprehensive diabetes case management are associated with reduced complications, hospitalizations overall costs, and emergency room visits.

The educational program should be personalized to the specific needs of the child, culturally sensitive, and designed to accommodate the needs of the child and family.  The patient’s sibling (s) should also be taken into consideration as they may feel sidelined due to the increased attention paid to the affected child as a result of the new diagnosis.

Proper juvenile diabetes education for the patient and family is complex and intense and requires diabetes educators with skills including compassion, good communication, humor, in-depth knowledge of type 1 diabetes, and sensitivity.

  • Identification

diabetes BraceletsPersons with diabetes should always wear, an ID (identification) that clearly identifies them as having diabetes. Identification is particularly important for school-going children and adolescents who are often away from parents’ and teachers’ supervision and may even be driving or operating machinery.

juvenile diabetes association

Children who are active in sports are a case in point, and it is essential for coaches to be aware of their condition and the signs and proper treatment of hypoglycemia. Bracelets and necklaces are readily available from various organizations and major pharmacies.

Toddlers with diabetes can wear shoe identification tags which may be useful in case of emergencies. Wallet cards are not adequate because they could easily be missed by caregivers or paramedics.

Learn how Vitamin D can help Juvenile Diabetes HERE!

Juvenile diabetes association

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Juvenile Diabetes Diet

Proper management of type 1 diabetes requires maintaining a healthy diet designed to ensure proper nutrition while monitoring the intake of fat, protein, and carbohydrates. However, it is essential to understand that there is no single universal type 1 diabetes diet. Proper management of the condition involves being mindful of what and how you eat and how the body responds to certain foods.

Why Should you Follow a Juvenile Diabetes Diet?

Although there’s no universal diet for juvenile diabetes, people with the condition need to monitor their blood glucose levels closely. Without insulin therapy, proper diet, and exercise, a person with juvenile diabetes could experience serious health complications. Some of the common complications associated with unmanaged type juvenile diabetes include:

  • High blood pressure and increased risk for stroke, poor blood circulation, and heart attack
  • Skin sores can be infected causing pain and tissue death
  • Vision problems
  • Nerve damage
  • Kidney damage

Following the proper type 1 diabetes dietary guidelines can mitigate the complications associated with the condition and improve the overall quality of life.

Read about the Obesity Epidemic associated with Juvenile Diabetes HERE!

How Can you Prepare for a Juvenile Diabetes Diet?

type 1 diabetes meal planAlthough there is no standard diet for juvenile diabetes, a dietitian or nutritionist can help you come up with a diet and create meal plans that work for you even in the long term.

It might seem easy to reach for processed foods and fast foods especially when you’re short on money or time, but it’s essential to keep in mind that these foods are high in salt, sugar, and fat, and they offer minimal nutrients.

Grocery shopping regularly and planning meals ahead can help reduce “emergency eating” which is usually “unhealthy eating”.

Stocking your kitchen well with healthy foodstuffs can also help reduce your intake of unhealthy sugar, sodium, fat, sodium, and carbohydrates that can spike blood glucose.

One of the most important aspects of a healthy juvenile diabetes diet is consistency. You can maintain consistent blood sugar levels by:

  • Eating around the same time every day
  • Avoiding skipping meals
  • Paying keen attention to food labels

Starting a Diabetes Diet

Type 1 Diabetes dietYou should work with your doctor to calculate the right dosage of insulin according to your carbs intake. Your healthcare provider will also guide you on the importance of exercise and your recommended activity level.

Choosing nutritious foods high in minerals and vitamins is optimal. It is generally recommended that you choose nutrient-dense carbohydrates, healthy proteins, and fats.

In case you’re having any problems managing juvenile diabetes, work with your dietitian or doctor to help manage your timing of meals and medications. It is also important to discuss the portions of carbohydrates per meal that are appropriate according to your specific condition and needs.

Here are some recommendations:

  1. Carbohydrates

The three main types of carbs are sugar, starches, and fiber, which can come in form of bread, pasta, fruits, beans, or starchy vegetables. Carbohydrates are converted into sugar in the digestive tract before being absorbed into the bloodstream hence raising your blood sugar level.

Therefore, it is important for people with juvenile diabetes to manage their carbohydrate intake. If your blood sugar levels are low, choose fast-acting carbohydrates that will be easily digested and then absorbed into your bloodstream.

Start with 15g of carbohydrates then recheck your blood glucose and have another 15g if the level is still low.

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Fast-acting carbs (15 grams) include:

  • 4-6 crackers
  • ¼ cup of fresh fruit juice
  • 4 ounces of fresh fruit (1 small fresh fruit)
  • 1 tsp of honey
  • 2 tsps of raisins
  1. Fruits

If you are using a juvenile diabetes diet plan, fruits should be counted as carbs because they’re natural sources of sugar. You can opt for frozen or fresh fruits. However, it is important to keep in mind how many carbs are in specific portions of fruit in order to properly manage your insulin and blood sugar levels.

Examples of fruits that contain carbohydrates (portions that contain 15g of carbohydrates)

  • 3 ounces of fresh/frozen grapes
  • ½ cup of canned fruit
  • 4 ounces of fresh fruit (1 small fresh fruit)
  • 1 cup of melon or grapes
  • ½ cup of fresh fruit juice

Remember, you don’t have to limit your intake to only 15g per snack or meal. However, you should note the number of carbohydrates in specific servings based on your blood glucose management plan and insulin needs.

  1. Vegetables

Sugar, in form of starch, naturally occurs in a wide variety of common vegetables including peas, corn, and potatoes. However, starchy vegetables are higher in carbs compared to other vegetables and should be consumed in moderation and properly accounted for especially when calculating the carbohydrate intake of type 1 diabetes patients.

On the other hand, non-starchy veggies have a lower impact on the blood sugar level and are richer in phytochemicals, fiber, and minerals. Therefore, you can eat up to 3 cups of non-starchy vegetables per meal without having a big effect on your blood sugar levels.

More than 3 cups of non-starchy vegetables can be counted as 15g of carbohydrates and anything less than 3 cups should be considered “free”. Examples of non-starchy vegetables include:

  • Onions
  • Beets
  • Asparagus
  • Green leafy veggies
  • Carrots
  • Sprouts
  • Peppers
  • Celery
  • Cucumber
  • Tomatoes
  • Sprouts

Always choose frozen or fresh vegetables without added sauces or salt.

Portions of starchy veggies that contain 15g of carbohydrates include:

  • ½ cup of peas
  • 3 ounces of baked potato
  • ½ cup of squash
  • ½ cup of boiled potatoes or sweet potatoes
  • ½ cup of corn
  1. Whole grains

These are considered fibrous and nutritious starch and it is recommended that about 50% of grains consumed should be whole. Whole-grain bread, bran cereal, and brown rice are great sources of whole grains.

Be mindful of your total intake in a single meal and read labels to ensure your blood sugar is properly regulated with the medication you are using.

  1. Fats and proteins

Healthy fats are important for optimal heart and brain functioning while proteins are very important in repairing wounds and maintaining muscle. Proteins can be found in meat, eggs, and beans. Healthy fats include seeds, nuts, and avocado.

Fats and proteins don’t directly raise blood sugar levels. However, experts recommend that people with juvenile diabetes limit their intake of fatty or processed meats, which are high in sodium and saturated fat.

Although these items do not affect blood sugar directly, consuming them in high quantities can have harmful effects such as heart disease, which is a common complication of type 1 diabetes.

When Should You Eat?

Knowing when and what to eat is extremely important.

It is recommended that juvenile diabetes patients eat smaller meals while progressively snacking throughout the day in order to make their blood sugar easier to manage and monitor while preventing spikes.

A certified diabetes educator or registered dietitian and your doctor can help you calculate the insulin needed to support your carbs intake while avoiding blood sugar lows and highs.

Nuts, vegetables, and fruits travel easily and are particularly great to have on hand especially when you need them.

Physical activity and exercise lower blood sugar. Therefore, it’s important to measure blood sugar levels before and after engaging in any physical activity. This lets you know how much you have to eat in order to maintain healthy blood sugar levels.

The bottom-line

Living with juvenile diabetes or type 1 diabetes means you must be more mindful of what you eat and its impact on your body. Your nutritionist, dietitian, and a doctor can help you create a meal plan that works specifically for you.

See more information HERE on Juvenile Diabetes:)

Juvenile diabetes diet

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