When you have a child with diabetes, you and your family have a lot to learn, but
you don't have to go it alone. Your child's diabetes health care team can help.
Treating diabetes requires the expertise of many types of health care providers,
so health care teams typically include doctors, certified diabetes educators, dietitians,
and mental health professionals.
What Does the Diabetes Health Care Team Do?
The diabetes health care team teaches families all about diabetes. It helps families
create and use the child's treatment plan, also called the diabetes management
The team adjusts insulin
and other diabetes medicines, develops meal plans, and makes physical activity recommendations
to help control blood sugar levels.
All team members should take into account your child's schedule, skills, preferences,
lifestyle, and growth and developmental needs. The team will help you cope with the
challenges of parenting a child with a chronic illness and will help your child cope
with his or her own set of challenges.
Keep in mind that you and your child are the captains of your diabetes health care
team — all of the team activities focus on helping you and your child manage
diabetes. The roles and responsibilities of the team members often overlap. You should
feel comfortable communicating with all team members because you'll be in contact
with them often.
What Does Each Team Member Do?
A pediatric endocrinologist is a doctor who specializes in treating
kids who have diseases of the endocrine
system, such as diabetes and growth
disorders. But pediatricians, family practitioners, and other medical doctors
also can treat kids with diabetes and manage their health care needs.
You and your child should feel comfortable with the doctors you choose because
your child's diabetes management plan is based on the doctor's prescribed treatment.
Ask plenty of questions and make sure you understand the answers.
Doctors will ask detailed questions about how your child is feeling and will do
physical examinations. They'll also teach you and your child about diabetes and, with
recommendations from all the team members, make a diabetes management plan.
Besides monitoring your child for diabetes complications and other medical conditions
that can happen with diabetes, the doctor will make changes to insulin schedules and
write prescriptions for medicines and referrals to other specialists as needed.
Note: Your child will still continue to get general health care
from a pediatrician or other primary care doctor.
Certified Diabetes Educators (CDEs)
Certified diabetes educators (CDEs) are nurses, dietitians, social workers, doctors,
or pharmacists who help people manage their diabetes. CDEs have had special training
to teach parents and kids.
explain what diabetes is and how it affects the body
show you how to test blood sugar levels, work the blood
glucose meter, and test the accuracy of blood sugar monitoring equipment used
review the diabetes management goals with you
discuss any challenges you and your child are facing
Registered dietitians are experts in nutrition and meal planning. They know about
food and its effects on the body and blood sugar levels. Just as your child grows
and develops, so must his or her meal
plan, which you can talk about with the dietitian.
The dietitian will track your child's growth and recommend the right amount of
calories needed each day. The dietitian also will:
make adjustments to meal plans based on sports, holidays, special events, and
provide snack and recipe ideas
teach you and your child how to make healthy food choices
help you and your child learn carbohydrate counting and meal planning techniques
teach you to read food
labels and develop strategies for determining the carbohydrate content of foods
when food labels aren't available
Mental Health Professionals
A mental health professional, usually a social worker or psychologist (but sometimes
a psychiatrist or counselor), can be a great resource for families dealing with diabetes.
Mental health professionals can help parents watch for any problems at home,
work, or school. They also can see how diabetes care affects the entire family, and
help you find ways to improve your child's diabetes management.
Social workers can help you find outside resources (like support groups) for families
dealing with diabetes. They can suggest ways for families to get necessary diabetes
equipment and supplies and help them deal with insurance and financial issues.
Psychologists and psychiatrists can use behavior modification techniques to help
kids if they're having trouble controlling their diabetes, are feeling
angry or sad, or aren't taking responsibility for diabetes care as they mature.
Psychiatrists also can prescribe medicines for emotional problems related to diabetes,
such as depression.
Depending on where you live and the type of diabetes facility that you visit (whether
it's a specialty diabetes clinic or pediatrician's office), you may find all members
of your team in one place. Or you might visit several different offices for diabetes
care. If you don't have access to a dietitian or mental health professional but would
like to see one, ask the doctor to refer you to one.
Every person on the team is important to managing your child's diabetes. Making
sure they all know the diabetes management plan will make your child's care as coordinated