Self-management

Lifestyle and home remedies

Type 2 diabetes is a serious disease. Helping your child follow his or her diabetes treatment plan takes round-the-clock commitment. But your efforts are worthwhile. Careful management of type 2 diabetes can reduce your child's risk of serious — even life-threatening — complications.

As your child gets older:

  • Encourage him or her to take an increasingly active role in diabetes management
  • Stress the importance of lifelong diabetes care
  • Teach your child how to test his or her blood sugar and inject insulin if needed
  • Help your child make wise food choices
  • Encourage your child to remain physically active
  • Foster a relationship between your child and his or her diabetes treatment team

Above all, stay positive. The habits you teach your child today will help him or her enjoy an active and healthy life with type 2 diabetes.

School and diabetes

You'll need to work with your child's school nurse and teachers to make sure they know the symptoms of high and low blood sugar levels. Federal law protects children with diabetes, and schools must make reasonable accommodations to ensure that all children get a proper education.

Coping and support

Living with type 2 diabetes isn't easy — for you or for your child. Good diabetes management requires a lot of time and effort, especially in the beginning.

Diabetes can affect your child's emotions both directly and indirectly. Poorly controlled blood sugar can cause behavior changes, such as irritability. If you notice that your child or adolescent is persistently sad or pessimistic, or experiences dramatic changes in sleeping habits, friends or school performance, have your child assessed for depression.

Your child may find encouragement and understanding in a type 2 diabetes support group for children. Support groups for parents are also available. Websites that offer support include the American Diabetes Association (ADA).

Prevention

Healthy lifestyle choices can help prevent type 2 diabetes in children and its complications. And if your child already has type 2 diabetes, lifestyle changes can reduce the need for medications. Encourage your child to:

  • Eat healthy foods. Offer your child foods low in fat and calories. Focus on fruits, vegetables and whole grains. Strive for variety to prevent boredom.
  • Get more physical activity. Encourage your child to become active. Sign up for a sports team or dance lessons, or look for active things to do together.

Better yet, make it a family affair. The same lifestyle choices that can help prevent type 2 diabetes in children can do the same for adults. The best diet for a child with diabetes is also the best diet for the whole family.

April 19, 2017
References
  1. Laffel L, et al. Epidemiology, presentation and diagnosis of type 2 diabetes mellitus in children and adolescents. http://www.uptodate.com/home. Accessed Dec. 3, 2016.
  2. Laffel L, et al. Comorbidities and complications of type 2 diabetes mellitus in children and adolescents. http://www.uptodate.com/home. Accessed Dec. 3, 2016.
  3. Amutha A, et al. Diabetes complications in childhood and adolescent onset type 2 diabetes — A review. Journal of Diabetes and Its Complications. 2016;30:951.
  4. Goldman L, et al., eds. Diabetes mellitus. In: Goldman-Cecil Medicine. 25th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Dec. 3, 2016.
  5. Laffel L, et al. Management of type 2 diabetes mellitus in children and adolescents. http://www.uptodate.com/home. Accessed Dec. 3, 2016.
  6. Diagnosis of diabetes and prediabetes. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/diabetes/diagnosis-diabetes-prediabetes. Accessed Dec. 3, 2016.
  7. McCulloch DK, et al. Pathogenesis of type 2 diabetes mellitus. http://www.uptodate.com/home. Accessed Dec. 3, 2016.
  8. Jameson L, et al., eds. Type 2 diabetes mellitus: Etiology, pathogenesis, and natural history. In: Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Dec. 3, 2016.
  9. Melmed S, et al. Type 2 diabetes mellitus. In: Williams Textbook of Endocrinology. 13th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Dec. 3, 2016.
  10. Kliegman RM, et al. Diabetes mellitus in children. In: Nelson Textbook of Pediatrics. 20th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Dec. 4, 2016.
  11. AskMayoExpert. Childhood obesity. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
  12. Jameson L, et al., eds. Management of diabetes in children. In: Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Dec. 3, 2016.
  13. Meehan C, et al. Treatment options for type 2 diabetes in youth remain limited. The Journal of Pediatrics. 2016;170:20.
  14. Tan MH, et al. Metformin: From research to clinical practice. Endocrinology Metabolism Clinics of North America. 2016;45:819.
  15. Tools for effective diabetes management. National Institute of Diabetes and Digestive and Kidney Diseases. www.niddk.nih.gov/health-information/health-communication-programs/ndep/health-care-professionals/school-guide/Pages/publicationdetail.aspx. Accessed Dec. 4, 2016.
  16. Hyperglycemia (high blood glucose). American Diabetes Association. http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hyperglycemia.html. Accessed Dec. 4, 2016.
  17. DKA (ketoacidosis) & ketones. American Diabetes Association. http://www.diabetes.org/living-with-diabetes/complications/ketoacidosis-dka.html. Accessed Dec. 4, 2016.
  18. Cameron FJ, et al. Care of diabetes in children and adolescents: Controversies, changes, and consensus. The Lancet. 2015;385:2096.
  19. School responsibilities under federal laws. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/health-communication-programs/ndep/health-care-professionals/school-guide/section4/Pages/default.aspx. Accessed Dec. 4, 2016.
  20. Huynh E, et al. Beating diabetes together: A mixed-methods analysis of a feasibility study of intensive lifestyle intervention for youth with type 2 diabetes. Canadian Journal of Diabetes. 2015;39:484.
  21. Natural medicines in the clinical management of diabetes. Natural Medicines. http://naturalmedicines.therapeuticresearch.com. Accessed Dec. 4, 2016.