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4year old recent type 1 diagnosis

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

annie81

Member
Relationship to Diabetes
Parent of person with diabetes
Hi there everyone
I know it’s late but recently I’ve found myself unable to sleep so look in the web for information etc.
Christmas Eve my 4 year old was diagnosed with type 1 diabetes and overwhelmed isn’t even the word to describe how I feel, I think 3 days went by a blur and I still thought this can’t be real it’s got to be a dream or joke or something. Ive never encountered diabetes (uncle and grandad had type 2 but in their 50’s) type 1 is just mind blowing and the fact I can’t explain it to a child makes it worse, everyone says it gets better and I’m sore it does it’s just hard to see that just now when I’ve to pin my child down screaming as he doesn’t want the injection he is a real fussy eater too so don’t know what different meals to make now.
I’m not sure really what I’m looking for on here haha just hoping someone can say something that may help
 
You shouldn't even need to change the way he eats - unless of course you were not feeding him properly before - T2 yes, lower carbohydrate is very frequently the best way to go - but unless I need to lose weight, I don't cut mine down, just don't act too piggy for too long otherwise nothing I own will fit!

The snag with carbs for a T1 is that we need to have extra jabs to cover them - so have to assess whether we can be bothered to do so when faced with an 'unexpected' cream tea or enticing smells reaching us from an eatery!

Tell me - honestly! - WHY your child is so frightened - eg is it because YOU are frightened and are therefore communicating your own fear to him - and then make it worse by holding him down? Insulin jabs do not hurt - except if we do it wrong - sooooo - is it technique or is his skin clammy = damp?
 
Thank you for your reply, I think because he’s fussy about food I wanted to make foods more enticing than just sticking to the few he likes. There is so much I’ve seen that are lower in carbs but he won’t eat them and I know just eating the same food over again is fine as I’m sure he’ll grow out of it but I’d like to know more food sources that he may try.

I’ve been told he can only have 35g of carbs for meals which isn’t a lot and he’s always saying he’s hungry, when we make spaghetti bolognaise he has double helpings and I was told off for doing that.

I think his fear of the injection is maybe from the experience in the hospital where he was asleep and woke up to have 3 nurses above him injecting him and they ended up pinning him down and since then he gets all worked up when he knows it’s injection time. I know they don’t hurt so don’t think that bothers him but he’s not really able to say what he’s worried about so I can only guess
 
Hello and welcome @annie81

I'm sorry to hear about your little one's diagnosis. It is a huge shock and at first there is a lot of information to take on with no time to adapt. It does get easier, I know it doesn't look or feel like that at present but things do start to fall into place and little ones are incredibly good at adapting to the new situation .

For now get as much help and support from the clinic. I know that some of the childrens clinics do try and get them on to an insulin pumps as an option which means one cannula change every 3 days then just button pressing for delivering insulin. I'm sure they'll discuss this with you in time if it is an option.

These pages form Diabetes UK offer good information https://www.diabetes.org.uk/guide-to-diabetes/your-child-and-diabetes also there is an excellent book that covers every aspect of Type 1 by Ragnar Hanas 'Type 1 Diabetes in Children, Adolescents and Young Adults', it is an invaluable book whatever the age of diagnosis. It is updated from time to time so if you do order go for the most recent edition.

There is a Kidsac support pack for newly diagnosed children from the JDRF including Rufus the Bear - I think you can order for free - here is the link https://jdrf.org.uk/information-sup...eaflets/kidsac-pack-children-type-1-diabetes/

The parents section on the forum has people who have been in the same situation as yourself and will hopefully be along to offer help.

It is overwhelming when it is you and your child having to get to grips with a whole new world of insulin, testing, carbs etc but there is fantastic technology around to manage diabetes and equally fantastic paediatric specialist nurses and consultants who will help you along. Please ask for any help or if you just want to let off steam about the whole situation. I wish you all well.🙂
 
Oh - what a rotten thing for a little kiddy to have to remember all the while and associate with every time. I don't blame him for reacting like that one little bit - just a shame you're lumbered with that.

I'm going to draw this thread to another parent with two Type 1 sons - @Bronco Billy - to see if he can suggest any ways forward you might try - cos have to say he's usually very helpful to parents.
 
Aww thank you so much I really appreciate that. I’m sure this time next year we’ll wonder what all the fuss was about but all the advise I can get going forward is greatly appreciated, Im going to get the Ragnar hanas book as a lot of people have mentioned it now
 
Hi there everyone
I know it’s late but recently I’ve found myself unable to sleep so look in the web for information etc.
Christmas Eve my 4 year old was diagnosed with type 1 diabetes and overwhelmed isn’t even the word to describe how I feel, I think 3 days went by a blur and I still thought this can’t be real it’s got to be a dream or joke or something. Ive never encountered diabetes (uncle and grandad had type 2 but in their 50’s) type 1 is just mind blowing and the fact I can’t explain it to a child makes it worse, everyone says it gets better and I’m sore it does it’s just hard to see that just now when I’ve to pin my child down screaming as he doesn’t want the injection he is a real fussy eater too so don’t know what different meals to make now.
I’m not sure really what I’m looking for on here haha just hoping someone can say something that may help
Hello Annie. I have two kids who are getting bigger 17 & 21 this month. Still a worry but I have been T1 since England won a nice big world cup. Never been unemployed in my life thanks to the NHS & staff. Good luck & knowledge is King.
 
Sorry to hear about your little boys diagnosis, what a nasty shock for you all. Hopefully some knowledgeable parents will be along soon with some helpful tips, all the best to you all.
 
Hi annie81. How are you? It’s a bit of a shock, isn’t it? Like you, my wife and I had never encountered type 1 before. We have no family history of it, then suddenly – bang! Within a few months, we had two in the family! My children were a similar age to your son, my daughter was 6 and my son was 5.

What you have been told is true, is does get easier, Scouts honour Now is the hardest time because life has changed in a way that only those who have been there can imagine. Yes, your son has changes to get used to, but so do you. Perhaps the biggest change is how much life will have to be planned from now on. That said, do you remember how much life changed when your son was born (assuming he was your first child)? Your life changed a lot then, too. What happened? You learned something every day, you got better at being a mum and what seemed difficult at first became routine. The good news is that the same thing will happen now. You will learn a bit more about type 1 every day, you will get better at dealing with it and routine will eventually creep back into your lives.

My daughter also had a fit of the screamies at injection time. To ease the pain, we used a sugar free ice-pop (available from most good supermarkets – and probably a few bad ones as well) to numb the injection area first. Once the injection had been done, my daughter disposed of the ice-pop the only way a 6-year-old child knows how, she ate it! I know you said you don’t think the injection hurts, but your son will still feel something. Sometimes, the insulin can sting as it enters the body.

I suspect the 35g carb limit has been put in place so that your team can see how his body reacts to insulin, helping them get the ratios right. This happened with both of mine when they started as they were on mixed insulin. When they were put on a multi daily injection regime, the limit was lifted and we were given ratios instead. Is your son on mixed insulin? Cheese and slices of meat are carb free, so make good snacks. I’m sure the dietician in the hospital team can help you with food ideas that fall within the carb limit. Children’s taste buds tend to develop as they grow older. My daughter used to hate mushrooms and now she loves them, although I’m yet to persuade either of my children about how delicious Brussel sprouts are! I will, mark my words Another good book to buy is Carbs and Cals. It has pictures of food on a plate, giving the weight and various nutritional information for that weight. The pictures really help judge how much you are putting on your child’s plate, although scales are invaluable. There is also a Carbs and Cals app (there’s an app for everything these days) Carb counting is another part of life with type 1 that is difficult as first but gets much easier. I can now judge how many carbs are on a plate of food from 100 yards Britain’s Got Talent, here I come!

I know you have a lot to think about and your mind is turning faster than a washing machine, but have you had a chance to think about school life yet? There is a Diabetes in School board if you have any questions about care in school. In the meantime, you may find the schools section of the Diabetes UK website useful, it’s at https://www.diabetes.org.uk/Guide-to-diabetes/Your-child-and-diabetes/Schools

Don’t be afraid to post any questions you have, either here or on the school or parents’ boards. No question is too silly

Good luck to everyone and remember, you’re all doing a great job.
 
Hi Annie
So sorry to hear of your son’s diagnosis. As others have said this will get easier but I know that must be hard to believe at present. I hope that Bronco Billy’s advice has reassured you.

In reading your posts, I can understand why your son is now getting so upset about the injections. What a way to start in the hospital. I am wondering which insulin he is using. I tried a switch to one of the newer ones FIASP which I found stung every time. I stuck with it for a while but then went back to Novorapid which caused me no problem.

The book that @Flower recommended by Ragnar Hanas is excellent. It explains things clearly and is a good reference book to go back to.

Keep in touch and keep asking any questions you have.
 
Hi guys
Thank you so much for your reply’s it does make me feel so much better.
Bronco billy- This is true about learning just is a shock that you feel is harder to adjust to as its having to administer medication that keeps your child alive- that sounds scarier than having a new baby haha.
I guess you mostly just go through life not having to think about conditions till your faced with them then its panic stations trying to get clued up quickly.

my sons on humalog during the day and abasaglar at night if ive got that right! yeah i bvelieve the 35g carbs is to find a base ratio but hes a very fussy eater that either likes food that have sky high cards or none lol cant win. home made sausage casserole last night he only had 6g carbs for the 37g of mash he had so obviously i need to make up the rest of the carbs with something but hes very picky with food just now, hes was a great eater till about 2 years ago and has been fussy since but im hoping he grows out of it. He doesnt eat icecream/lollies, cakes, chips, cheese, fruit or veg he'll moan not to eat the sausages and steak pie and mash but i can usually bribe him with eating some, i tend to mix veg into potato to hide it but he used to love all that stuff. Spag bol and chicken korma i can guarentee he will eat double helping of but i hate the idea of eating the same things every day.

delicious brussel sprout!!!!!! haha i wouldnt go that far but all mine will eat atleast 1 sprout if it can be mixed with potato and gravy but my son obvious wont which is ok they are not that nice anyway haha
i bought the carbs and cals app so will have a look through that.I hadnt even thought about school life yet, he starts p1 in august so have time but what kind of things would i need to think about ?
 
Hi annie81. You make an excellent point about administering medication. We’re just regular folks on the street, but have been put in charge of life saving and potentially lethal medication.

Both humalog and abasaglar have been known to sting on entry, so this may be part of the reason for his behaviour at injection time.

It sounds like you have your hands full feeding your son. Here are some links I found which may help. I found them by randomly searching the internet, so can’t vouch for how useful they are.

https://www.gosh.nhs.uk/medical-information/general-health-advice/food-and-diet/fussy-eaters

https://www.netmums.com/child/how-to-deal-with-a-fussy-eater

https://raisingchildren.net.au/toddlers/nutrition-fitness/common-concerns/fussy-eating

I put a post on the Diabetes in School board giving some general tips to make school life easier. You can find it at https://forum.diabetes.org.uk/boards/threads/useful-information.75117/ Probably the two most important points are staff training and the care plan. Chat to your hospital team to make sure they plan to train the school staff. The importance of communication between you and the school can’t be over-stated. There might be a lot of it to begin with as the school learns what their role is (and while you are learning to trust them – that’s not easy ) but it is worth it. They may not have had a diabetic child to care for before, so encourage them to ring you if they aren’t sure about anything.

A good care plan can make such a difference, although it can be a daunting document to write. Again, it’s worth it. Think of it as a reference book for the school staff. It will help them give your son the care he needs and guide them in the right direction. The right direction is the one you want them to go in.

There is a section on the Diabetes UK website dedicated to schools, you will find it at https://www.diabetes.org.uk/Guide-to-diabetes/Your-child-and-diabetes/Schools There is a lot of helpful information there. Under the ‘school resources’ heading, there is a link to free resources, including a sample care plan. You’ll notice that you can order a ‘parent pack’ from the same page. It contains useful information about what you can expect from the school. There is also a pack for the school to help them give your son the care he needs. As your son is so young, he will need quite a lot of support, including supervision of BG testing and insulin injections. It’s worth meeting with the school before he starts to agree on how they will support him. If you do this, write a ‘wish list’ in advance so you know what you want to be agreed at the meeting. The school should take into account what you want, not simply impose their will on you. Most schools are very accommodating and willing to help. Remember, if you don’t ask, you don’t get.
 
There is a device you can buy to put on the end of the pen when injecting called The Tickleflex, perhaps see if that helps.
 
There is a device you can buy to put on the end of the pen when injecting called The Tickleflex, perhaps see if that helps.


Haha that tickle flex looks great, I did see a butterfly thing that’s got a cool pad on and vibrates to soothe and distract before injecting but diabetic nurse said not to bother wasting money on at as he’d eventually be given a pump but part of me thinks if it’s needed for even 6 months and makes injecting nicer then surely that’s worth it
 
Hi Annie
So sorry to hear of your son’s diagnosis. As others have said this will get easier but I know that must be hard to believe at present. I hope that Bronco Billy’s advice has reassured you.

In reading your posts, I can understand why your son is now getting so upset about the injections. What a way to start in the hospital. I am wondering which insulin he is using. I tried a switch to one of the newer ones FIASP which I found stung every time. I stuck with it for a while but then went back to Novorapid which caused me no problem.

The book that @Flower recommended by Ragnar Hanas is excellent. It explains things clearly and is a good reference book to go back to.

Keep in touch and keep asking any questions you have.


Are the insulin’s my sons On just now temporary then as I’ve not seen anyone mention them on here so I figured he’d be put on something else when he gets older. I’ve seen novorapid and a couple of others mentioned on here.
 
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Are the insulin’s my sons On just now temporary then as I’ve not seen anyone mention them on here so I figured he’d be put on something else when he gets older. I’ve seen novorapid and a couple of others mentioned on here.
What insulin’s are your son using?

There are usually two different ones.
Basal insulin (or background insulin) I know of Lantus and Levemir
This deals with the glucose that our bodies release all the time to keep us going

Bolus insulin (or fast acting) I know of Novorapid, FIASP, Apidra
These deal with the glucose from the food we eat.
 
I started straight in Lantus and Novorapid when I was diagnosed ten years ago.
I have changed over the years for various reasons, but others have stayed on their original ones.
New insulin’s are developed as time goes by. That was why I tried FIASP as I thought it would act more quickly, but as I said it stung horribly for me and some others on here.

I just wondered whether your son is reacting to whatever he is using.
 
I started straight in Lantus and Novorapid when I was diagnosed ten years ago.
I have changed over the years for various reasons, but others have stayed on their original ones.
New insulin’s are developed as time goes by. That was why I tried FIASP as I thought it would act more quickly, but as I said it stung horribly for me and some others on here.

I just wondered whether your son is reacting to whatever he is using.



My son is on Humalog and abasaglar but think you and bronco billy could be right with the stinging as my son seems to start going ouch once the button is pressed. I noticed people were all on different things or had been on different things through the years and wondered if the two he’s on are going to be the two he stays on forever
 
My son is on Humalog and abasaglar but think you and bronco billy could be right with the stinging as my son seems to start going ouch once the button is pressed. I noticed people were all on different things or had been on different things through the years and wondered if the two he’s on are going to be the two he stays on forever
I think that it could be useful to ask the DSN if he could try a different quick acting insulin and see if that helps. I tried to stick with FIASP because it had other benefits, but it really hurt. Easier for me to make the decision to switch and say why. You have observed the discomfort your son has and I can’t think why they would be concerned about changing to an alternative.
 
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