Diabetes: When to Call the Doctorenteenshttps://kidshealth.org/EN/images/headers/T-diabetesCallDoc-enHD-AR1.jpgTaking care of your diabetes includes knowing when to call a doctor and get medical help.getting help for diabetes, when to call 911 if you have diabetes, when to call the doctor, when to call the diabetes health care team, type 1 diabetes, type 2 diabetes, hyperglycemia, hypoglycemia, glucagon, diabetic ketoacidosis, diabetes, diabetes emergencies, getting help at school, symptoms that mean it's an emergency, ketone levels, blood glucose levels, diabetes emergencies for teens, getting medical help if you're a teen, injury, medications, depression, therapist, mental health professional04/01/200506/05/201806/05/2018Steven Dowshen, MD06/01/2018de1ff189-1169-4fee-90f1-72926c7c6921https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-doctor.html/<p>Taking care of your diabetes includes knowing when to call a doctor and get medical help. As you learn more about diabetes, you'll become more confident about knowing when to call for help.</p> <h3>Getting Help</h3> <p>Even if you're managing your diabetes on your own, it's a good idea to tell your mom or dad when you're feeling <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-sick.html/">sick</a> or having any symptoms that might be related to your diabetes. Having this parental support can be a huge help. Your mom or dad can help you get in touch with your doctor to prevent things from getting serious or even take you to the emergency&nbsp;department if you need it.</p> <p>If you're having a problem, start by checking your diabetes management plan. The plan can give you ideas on when and where to call for help.</p> <p>For many medical problems, it's best to start by calling your primary doctor, like your pediatrician or family doctor. In some cases, though, your diabetes management plan might advise you to call someone else on your diabetes health care team.</p> <h3>What Should I Tell the Health Care Team?</h3> <p>If you need to see a doctor or get medical care, health care professionals may ask about:</p> <ul> <li>your symptoms, like whether you've been throwing up or feeling more tired than usual</li> <li>your blood glucose levels</li> <li>your urine or blood&nbsp;<a href="https://kidshealth.org/ws/RadyChildrens/en/teens/ketones.html/">ketones</a> level</li> <li>your temperature</li> <li>any prescription medications you're taking and the phone number of your pharmacy</li> <li>any foods and drinks you've had</li> <li>whether you've had any drugs or alcohol</li> </ul> <p>If you have time, it can help to write down this info before you visit the doctor.</p> <h3>What to Do if You're Sick or Injured</h3> <p>If you're ill, especially if the illness causes fever, nausea, vomiting, or diarrhea, or if your ability to eat or drink has been affected, call your doctor.</p> <p>You should also let your doctor or diabetes health care team know if you:</p> <ul> <li>have had a significant injury (more than a minor cut, scrape, or bump)</li> <li>are going to be having surgery</li> <li>have been prescribed new medications for another health problem (some medications may affect blood sugar levels)</li> </ul> <p>If you think a situation is an emergency, tell someone to call 911 or help you get to the emergency department. If you are alone, don't hesitate to call your doctor or 911.</p> <h3>What to Do if You're Having Diabetes Problems</h3> <p>Your diabetes management plan may tell you to call your doctor or get emergency medical care if you have diabetes problems such as <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/hyperglycemia.html/">hyperglycemia</a>, <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/ketoacidosis.html/">ketoacidosis</a>, or <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/blood-sugar-low.html/">hypoglycemia</a>.</p> <h3>Hyperglycemia</h3> <p>Hyperglycemia happens when the level of glucose (sugar) in the blood is higher than it should be.</p> <p><em><strong>You should call your doctor</strong></em> if you have high blood sugar levels throughout the day, if you find your blood sugar level is always high at the same time each day, or if you are having symptoms of high blood sugar like drinking or urinating (peeing) a lot more than normal.</p> <h3>Diabetic Ketoacidosis (DKA)</h3> <p>When the body can't use glucose for fuel, it breaks down fat for energy instead. When fat is broken down, the body produces chemicals called ketones, which appear in the blood and urine. High levels of ketones cause the blood to become more acidic, a condition known as diabetic ketoacidosis (DKA). Ketoacidosis can make you very sick if you don't get help.</p> <p><strong><em>Go to the ER or call 911 right away</em></strong> if you have symptoms of ketoacidosis like:</p> <ul> <li>nausea and vomiting</li> <li>abdominal pain</li> <li>deep, rapid breathing</li> <li>drowsiness or confusion</li> </ul> <p>Obviously you can't drive yourself to the&nbsp;emergency department&nbsp;if you're feeling very sick. If you think you're in ketoacidosis, tell someone (a parent, teacher, or a friend) to take you to the&nbsp;emergency department&nbsp;or call 911.</p> <h3>Hypoglycemia</h3> <p>Hypoglycemia occurs when the level of glucose in the blood is lower than it should be. People with diabetes may experience hypoglycemia (also called low blood sugar) if they don't eat enough or if they take too much glucose-lowering medication (such as insulin).</p> <p><strong><em>You should check your diabetes management plan</em></strong> if you have low blood sugar and feel:</p> <ul> <li>hungry</li> <li>shaky</li> <li>sweaty</li> <li>weak</li> <li>drowsy</li> <li>dizzy</li> </ul> <p>The plan can tell you what to do to treat hypoglycemia. You should always treat hypoglycemia first, then call your doctor. That's because people with diabetes can develop more serious symptoms if their blood sugar drops lower.</p> <p><strong><em>You should call your doctor</em></strong> if you're having hypoglycemia a lot.</p> <p><strong><em>You or a parent, teacher, or coach should call for emergency medical help</em></strong> if you are:</p> <ul> <li>confused</li> <li>feel like you're going to faint</li> <li>having seizures</li> </ul> <p>Your parents, teachers, and coaches should all know how to help you in case of a low blood sugar emergency or they should know to call 911. It might also help if you tell your close friends or people you work with about serious diabetes symptoms you might experience and when they should call 911 if they see you having them.</p> <h3>Other Reasons to Call a Doctor</h3> <p>Sometimes people with diabetes can become overwhelmed and have a hard time coping with the disease. This is very common, especially in teens. If you find that you feel sad all the time, want to eat or sleep a lot or not at all, or you're thinking about suicide, your doctor can be a resource for you if you don't feel comfortable talking to a parent or teacher. He or she may refer you to a counselor, therapist, or other mental health professional who can help you understand more about why you feel the way you do and help you figure out ways to feel better.</p> <h3>Preventing Problems</h3> <p>If hyperglycemia or hypoglycemia, fatigue, or other symptoms happen at the same times every day, your diabetes health care team may need to adjust your diabetes management plan. Doing this can help to prevent some major diabetes problems, so make an appointment to see your doctor as soon as possible.</p> <p>You also can head off major diabetes problems by always carrying a few things with you, like your testing supplies, snacks, diabetes medications, and your contact information (like your address, phone number, and your parents' cell phone numbers).</p>Diabetes: cuándo llamar al médicoEl cuidado de tu diabetes también incluye saber cuándo llamar a un doctor para recibir ayuda médica. A medida que vayas aprendiendo más acerca de la diabetes, irás reconociendo cada vez mejor cuándo es conveniente pedir ayuda.https://kidshealth.org/ws/RadyChildrens/es/teens/diabetes-doctor-esp.html/ce6736d5-f557-4ccd-a356-a911a794b759
Diabetes CenterOur Diabetes Center provides information and advice for teens about treating and living with diabetes.https://kidshealth.org/ws/RadyChildrens/en/teens/center/diabetes-center.html/2de408fd-c6ef-4ca3-a5cf-9a1456fe0f29
Diabetes Control: Why It's ImportantPeople who have diabetes may hear or read a lot about controlling, or managing, the condition. But what is diabetes control and why is it so important?https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-control.html/f02a787a-3326-4ffb-bee2-d2c965896f13
Handling Diabetes When You're SickBeing sick is no fun for anyone. For people with diabetes, being sick can also affect blood sugar levels.https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-sick.html/69541ace-0bab-456f-a426-a3d04ed05b99
Keeping Track of Your Blood SugarTo keep your diabetes under control, stay healthy, and prevent future problems, you need to keep blood sugar levels in a healthy range. To do that, check and track those levels regularly.https://kidshealth.org/ws/RadyChildrens/en/teens/track-blood-sugar.html/723dff80-03a4-4bdf-a5e9-d21412553ea8
Managing Your Medical CareVisit our center on managing your medical care for advice on how to get involved in taking charge of your health and choosing the right health care providers.https://kidshealth.org/ws/RadyChildrens/en/teens/center/medical-care-center.html/b7f9c27a-9cd3-4460-8d5b-53aeb78aa39f
Medicines for DiabetesTaking medicines is a major part of staying healthy if you have diabetes because they help you keep your blood sugar levels under control.https://kidshealth.org/ws/RadyChildrens/en/teens/medicines-diabetes.html/bbb46625-eff9-4291-97bd-a4a9b50a4866
Type 1 Diabetes: How Is It Treated?People with type 1 diabetes need to follow a treatment plan to manage their diabetes and stay healthy and active.https://kidshealth.org/ws/RadyChildrens/en/teens/treating-type1.html/b3770aec-4766-4994-b1ec-4e406892a919
Type 2 Diabetes: How Is It Treated?People with type 2 diabetes need to follow a plan to manage their diabetes and stay healthy and active.https://kidshealth.org/ws/RadyChildrens/en/teens/treating-type2.html/b6458cdd-5ad3-4b39-80ba-79625d8b958c
When Blood Sugar Is Too HighFor people with diabetes, controlling blood sugar levels is important. Having a blood sugar level that's too high can make you feel lousy, and having high blood sugar levels a lot can be unhealthy.https://kidshealth.org/ws/RadyChildrens/en/teens/high-blood-sugar.html/76e71f3a-c621-4474-8266-4cde74bfc4f3
Your Diabetes Health Care TeamIt takes all of your team members — you, your parents, doctors, certified diabetes educators, dietitians, and mental health pros — to help you take care of your diabetes.https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-team.html/8bce6552-f82e-4e39-9abf-ba3817c872f6
kh:age-teenThirteenToNineteenkh:age-youngAdultEighteenPluskh:clinicalDesignation-endocrinologykh:genre-articlekh:primaryClinicalDesignation-endocrinologyWhen to Get Helphttps://kidshealth.org/ws/RadyChildrens/en/teens/flu-center/get-help/64af2516-0721-458e-b9a1-bce9d0d8b1efDiabetes Treatment & Prevention for Teenshttps://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-center/treatment/732b47e5-de83-4951-97ce-01bb85d7d7fc