If your child has been diagnosed with type
1 or type 2 diabetes, you may
feel shocked, sad, or even angry or guilty at first — feelings that are perfectly
But the more you learn about diabetes, the better prepared you'll be to talk about
it with your child.
Be sure to talk to your child in an age-appropriate way and to always tell the
truth. And don't be put off by your child's questions — answering them can help
you learn more about diabetes, too.
Kids who've been diagnosed with diabetes may feel that they've done something to
have caused the disease. It's important for parents to make it clear (especially to
younger children) that this isn't so.
Make sure your child knows that diabetes is not going away, and that it's OK to
feel sad or upset about having it. Encourage your child to talk about it openly. Also
discuss the diabetes diagnosis with your other kids, who might be jealous of the extra
attention their sibling gets or concerned about developing diabetes themselves.
Sending the Right Message
The words you use can send a powerful message about diabetes — and your child's
role in managing it. Be positive. Emphasize that together you can get diabetes under
Avoid using terms like "cheating" and "being bad" if your child veers from the
diabetes management plan. Instead, help your child understand how eating and exercise
affect blood sugar levels.
Kids look to their parents for guidance, so how you deal with diabetes can affect
how your child talks with you about it. If you overreact about a high blood sugar
level, for example, your child might be less than honest with you about future blood
It's also hard to expect kids with diabetes to limit sugary treats or get regular
exercise if siblings and parents don't do the same. Have a family discussion about
why living a healthy lifestyle is important for everyone — not just people with
diabetes. Include all family members in meal planning and other activities so your
child won't feel alone in diabetes management.
Diabetes Talks by Age
Here are some tips for diabetes discussions based on a child's age:
Infants and toddlers don't understand why they need to have shots or get their fingers
poked. To help, try to make blood sugar testing and giving insulin
part of your child's daily routine, like diaper changes or going down for a nap. Perform
diabetes care quickly and gently, in a soothing manner, and reassure your child with
calming words afterward.
Preschoolers still rely on parents for their diabetes care. Explain
diabetes-related tasks in simple terms. Parents can also help them feel some sense
of control by letting kids tell them where they'd prefer to have their insulin
injection and which finger to use for a blood glucose test.
Kids in grade school through middle school should be learning
how to take on some of their diabetes care, but still need parental involvement. Be
supportive, but don't push as your child gradually takes on self-care responsibilities.
Your doctor or diabetes health
care team can guide you on which tasks are appropriate at each stage.
As kids grow, they become more interested in doing things independently and more
sensitive about seeming different from their peers. Offer praise whenever your child
assumes a new self-care responsibility, but be understanding of temporary setbacks
— which can be especially common when kids feel stressed. Avoid being overprotective,
and reinforce the expectation that kids with diabetes can do anything that kids without
diabetes can do. Also discuss how having your child take responsibility for diabetes
can make it easier to go to fun events like parties and sleepovers.
Teens may make poor decisions regarding their diabetes care because
of peer pressure, the fear of being different from their friends, and a feeling of
invincibility. It's important to talk about drugs,
and other issues with your teen and how they could affect their diabetes and overall
health. There is a fine line between offering support and lecturing, so express your
concerns in a caring manner.
For kids of any age, finding a support group can help them connect with other kids
with diabetes so they'll feel less different.
Honest, open communication is key when talking to kids and teens about diabetes.
The more you talk with and involve your child in diabetes care, the better prepared
you'll both be when you're apart.