Good control means good health

We try to keep diabetes in good control for a number of reasons. The most important ones are as follows:

1.     With good control of diabetes a person feels well and can enjoy life to the full.

2.     With good control a child grows normally and puts on weight appropriately, neither becoming fat nor getting thin.

3.     With good control the body overcomes infections quickly, wounds and sores heal well and certain other infections are avoided.

4.     With good control a child can do any sport and succeed as well as if she didn’t have diabetes.

5.     With good control a person can have a driving license.

6.     With good control a person can carry out almost any career and hold almost any job with confidence.

7.     Good control minimizes – perhaps prevents – the chance of late complications of diabetes.

This last reason is perhaps the most important reason to attempt good control of diabetes. It is often possible to feel well and to grow adequately and lead a full life as a young person even though diabetic control is not perfect. It seems that for the prevention of the long-term medical problems of diabetes control has to be really quite good.

Good control can be difficult at times

Sometimes good control is very hard to achieve, even with the best advice and the best intention on everyone’s part. Some children are more unstable than others through no fault of their own. Some children find it almost impossible to keep to all the restrictions of a regimen for diabetes. Emotional and social upsets will upset diabetic control, and for some children these upsets may make stable control quite unattainable for a long while.

Most people however can keep good control. For others it may take time but will happen eventually. It is always worth trying, and you shouldn’t become discouraged and give up. Situations change and a new adjustment to the diabetic regimen may be all that is needed.

Your doctor will evaluate the quality of control

We can tell whether diabetic control is satisfactory in a number of ways, all of which contribute to an assessment. This is one of the objects of a consultation with a physician.

Perhaps the first consideration is how your child feels and whether she has any symptoms of diabetes. The next is how growth in height and weight is progressing. Then there are a number of observations the doctor can make on examination.

Your record of blood tests at home will be helpful in evaluating overall control, but you will realize that blood tests can only tell you what is happening at certain times of the day and not at others.

There are a number of laboratory tests that may be helpful, such as the levels of fats in the blood. The most useful test of all however is a test called the glycosylated hemoglobin test.

As a result of all these observations and tests the physician will probably be able to reassure you that control is satisfactory. If not he will be able to let you know and discuss ways to improve control.


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