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Take Charge


A child with type 2 diabetes needs to


adhere to a management plan that may include diet and exercise alone or may require oral medications and/or insulin injections


emergency situation. Mild symptoms of hypoglycemia may include shakiness, dizziness or irritability. Treatment is a quick sugar source such as four ounces of juice or six ounces of regu- lar soda. Symptoms of moderate hypo- glycemia include blurred vision, slurred speech and behavior changes. Treatment is the same for mild hypoglycemia with a repeat blood test after 15 minutes and an additional sugar source if indicated. If a child has a sudden change in behavior, he should be treated for hypoglycemia. Severe hypoglycemia is an emergency situation — with an inability to swallow or a loss of consciousness — and you should notify emergency services. The child’s family, school personnel or someone aware of the child’s health status can give a glucagon injection, but a parent not familiar with the child should call 911 immediately. Children and teens should always have their blood glucose monitor- ing kit with them and test their blood with any mild or moderate symptoms of hypo- glycemia. If their blood glucose levels are


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low, they can easily drink a quick source of sugar and prevent a severe medical emergency. Children and teens have an individual target blood glucose level, and they need to know the steps to take if results are out of that range. The other short-term complication


is hyperglycemia or high blood sugar. Sometimes the blood glucose levels are elevated or above the child’s target range. This may result when the child receives too little insulin, eats more food than planned and insulin coverage is not enough, is stressed, is sick with an underlying infection and may be unaware of growth spurts. Symptoms of mild hy- perglycemia may include thirst, frequent urination, fatigue or sleepiness. In addition to those symptoms, moderate hyperglyce- mia may include nausea and vomiting. When a child has severe hypergly-


cemia, he will also have symptoms of labored breathing, confusion and loss of consciousness. Children and teens should always have their blood glucose monitor- ing kit with them and test their blood with


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