How Is Type 2 Diabetes Managed In Children And Youth?
Managing type 2 diabetes is a life-long process that begins with a daily commitment to keeping blood glucose levels within a safe target range. Good management involves three related steps: monitoring your blood sugar levels, taking oral medications and/or insulin, and making healthy lifestyle changes. Your diabetes healthcare team can help you set personal goals for maintaining your ideal blood glucose levels. But for the most part, the target blood glucose level for children and adolescents should fall within 70 to 120 mg/dl before eating.
The number of times you need to check blood sugar varies depending on whether you also take insulin. Your doctor or diabetes educator will tell you the number of times per day that you should be checking. For people who take insulin, blood sugar should usually be checked at least 4-6 times a day. Other people need to check and at least 1-2 times a day. Always follow your healthcare provider's instructions when it comes to the number of times you need to check You job is to monitor your blood sugar each and every day. There's also a way to test how well you've been managing your blood sugar over a two-to-three-month period. This test can give you a sense of your progress and show you what your average blood sugar levels have been like over time.
This test is called the A1C test or the hemoglobin A1c test. Think of it as a "diabetes report card." Like a report card that gives students grades they've earned over a period of time, the A1c test shows the overall amount of sugar that's been in the blood for the past 2-3 months. An A1c test result is actually the percentage of red blood cells that have glucose stuck to them. This percentage is directly related to the amount of blood glucose that's been in the blood for the past 2-3-months. The goal for children and youth with type 2 diabetes is an A1c result that is less than 7%. However, physically and psychologically, it may be hard for children and adolescents to achieve this target.
In addition to keeping blood glucose levels normal, it's also important to keep blood pressure and cholesterol in check. Your blood pressure should be checked each time you see your healthcare provider and your cholesterol should be measured - and if it's too high, it should be treated and re checked. If your cholesterol level is normal it should be measured every 2 years.
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Last Updated: Saturday April 20, 2013 13:31:32
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