Positive Parenting Tips for Toddlers
With toddlers, it is best to establish a schedule with food and insulin injections. This can be challenging, especially with a child who refuses to eat or is a picky eater. Hypoglycemia is the biggest concern with this age group, and often it is best managed by giving insulin after a meal. Other steps that you can take include the following
Diabetes during the second through fourth years of life continues to have a profound effect on the parent-child relationship. At this developmental period, the toddler's two central psychological tasks are (a) to separate from the parent or primary caregiver and to establish him herself as a separate person, by developing a sense of autonomy, with more clearly defined boundaries between the child and the parent and (b) to develop a sense of mastery over the environment and the confidence that he she can act upon and produce results in the environment, including the people making up his her social environment12'13. The restrictions of diabetes management and parental fear stemming from diabetes stress the normal drive of toddlers to explore and master their environments. The toddler's sense of autonomy can be threatened by over-protective caregivers, who may be unable to let the child out of their sight. Out of fear, the parents may scold toddlers for exploring, which can lead to...
It is essential that health care providers who work in paediatric diabetes appreciate and address the many stresses and demands confronting parents of infants, toddlers and preschoolers with diabetes by promoting the development of clinical services, childcare referral sources, educational materials and support groups for families living with diabetes at these earliest developmental periods. Parents have reported a need for understanding from and collaboration with a health care team16'22. Managing diabetes in young children requires an integrated multi-disciplinary team approach in order to address adequately the complex physiological and psychosocial needs of the children and their families3. Support groups and educational materials targeted towards families of very young children can also help parents feel less alone and can normalize feelings of guilt, anxiety and fear3. The health care team must create a supportive environment by providing 24-hour on-call coverage to help parents...
Kushion W, Salisbury PJ, Seitz KW, Wilson BE. Issues in the care of infants and toddlers with insulin dependent diabetes mellitus. Diabetes Educ 1991 17 107-10 16. Hatton DL, Canam C, Thorne S, Hughes AM. Parents' perceptions of caring for an infant or toddler with diabetes. J Adv Nurs 1995 22 569-77
Just how much you can expect your child to handle with respect to his diabetes care will change as he matures and will depend on his personality. If your child is an infant or toddler when diagnosed, you will be completely responsible for your child's care. But you can and should still keep him involved. You will have to see that your child gets his shots at the right time and you will have to check his blood glucose and evaluate the results, but you can give your child a voice. Let him pick the injection spot or the finger to poke. This is a good way for your child to get used to having a say in his care. It will help him to develop a sense of responsibility so that you can gradually help him assume more and more of his own diabetes care as he grows older.
A 2-year-old child requires a lot less than a 20-year old adult. The recommended serving size of vegetables for a toddler is a tablespoon per year of age. If you want to get your 2-year old to eat five of his servings of vegetables, all you have to do is get him to eat ten tablespoons during the course of the day. That's a lot easier than you thought. If your child wants more, don't stop him
1 The toddler A child at this age may be a picky eater, but he'll probably eat enough to grow normally. It may be necessary to determine the dose and give insulin after the child has eaten so that you know how many grams of carbohydrate have been consumed. Toddlers often don't feel hungry early in the morning, so breakfast may be missed. If glucose is needed for low blood glucose, giving it in a gel form may be better than a tablet because the gel doesn't have to be chewed.
Because type 1 diabetes is relatively rare in infants and toddlers, and symptoms may vary from those commonly seen, young children with diabetes are often misdiagnosed initially14. The child may present with acute vomiting and marked dehydration, which is often attributed to gastroenteritis The diagnosis of type 1 diabetes in infants is often delayed because it is more difficult for parents to detect classic symptoms of diabetes, such as frequent urination, which would signal the need to seek medical attention. Due to such delays and misdiagnoses at diagnosis, infants and toddlers are more likely than older children to be in diabetic ketoacidosis (DKA) and require hospitalization in an intensive care unit. When hospitalized, infants endure disruptions of expected home routines and are often subjected to invasive medical procedures. Once home, the 'trusted' caregivers are required to give injections and perform painful fingersticks on infants who lack the cognitive ability to...
Toddlers between 18 months and 3 years The toddler who is 18 months to 3 years old is at the stage of beginning to test his parents, establishing himself as a separate human being. He's starting to learn to control his environment (by toilet training, for example). With diabetes, he may refuse shots, refuse to eat enough and at the right time, and generally make it difficult for you to manage the disease. You have to set limits and be firm, know when to insist when the item is essential (like taking insulin) and when to give in so that the child can have some victories as well (like allowing the child a piece of birthday cake). Use of very short-acting insulin like lispro (see Chapter 10) is very helpful in toddlers because the child's eating habits tend to be irregular and you can give the insulin just as the child begins to eat. The child between ages 3 and 6 is still home and tests your limitations even more than a toddler. But at last he can tell you when he has symptoms of...
As in adults the glucagon response during hypoglycaemia is lost in children with diabetes (Amiel et al., 1987 Jones et al., 1991 Ross et al., 2005). This is also the case in toddlers, Cortisol, like growth hormone, becomes more important as hypoglycaemia becomes prolonged. Studies of hypoglycaemia in children have shown variable results. Brambilla found no increase in cortisol in either the diabetic or control group of toddlers studied (Brambilla et al., 1987), whereas others have documented an increase in cortisol both in children with and without diabetes (Amiel et al., 1987 Jones et al., 1991).
Whether your child is a toddler or a teen, it is important that you, your child, and those close to him be aware of the signs that could signal an emergency. Severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) are both emergency situations. Hypoglycemia can lead to unconsciousness and coma. Hyperglycemia can lead to DKA, a life- Toddlers and preschoolers (
Where To Download Talking To Toddlers
The legit version of Talking To Toddlers is not distributed through other stores. An email with the special link to download the ebook will be sent to you if you ordered this version.