Diabetes Treatments

Diabetes Center for its assistance in bringing you this booklet. time to understand the medical needs of children with diabetes. …

Hooray for Health

PHOtO: 2006 Kat Hy ta ra n tO

l a /J
O s l in Dia

bet

es
Cen

Reviewed the Amer by ican D i a b e te s Associati on
boston ced by WGbH artHur is produ nment, inc ie Jar entertai and Cook

2006 WGBH Underlying TM/ Marc Brown All rights reserved Funding for ArTHUr outreach is provided by the Corporation for Public Broadcasting Funding for ArTHUr is provided by public television viewers Corporate funding is provided by Chuck E Cheeses and Dannon Danimals Special thanks to Joslin Diabetes Center for its assistance in bringing you this booklet All third party trademarks are the property of their respective owners Used with permission

pbskidsgoorg/arthur

ter

a

Dear Educators,
Just like it takes schooling and practice to learn the multiplication tables, it takes education and time to understand the medical needs of children with diabetes i am really excited to be working with arthur and his friends to help teachers and students learn more about diabetes in children

What is diabetes?
Diabetes is a chronic condition in which the body either does not make enough insulin or is unable to use insulin effectively Insulin is a hormone produced by special cells in the
pancreas called beta cells Insulin allows the body to use sugar, or glucose, contained in the foods we eat Without both insulin and glucose, the body does not have an energy source for growth and daily activity There are two main types of diabetes: type 1 and type 2 In type 1 diabetes, the bodys immune system destroys the beta cells, leaving the body without any insulin People with type 1 diabetes need to inject insulin to live Type 2 diabetes can develop from a combination of factors, such as obesity, inactivity, and aging People with type 2 diabetes may also require insulin but can often be treated with careful attention to diet and exercise, as well as with diabetes pills About 90 of children with diabetes have type 1 diabetes However, the epidemic of childhood obesity has led to increasing numbers of children with type 2 diabetes

Caring for diabetes
Successful diabetes management includes: The school Food planning with a balanced, healthy combination of meals and snacks is a vital part Carbohydrate counting is a tool that many families find useful of the Physical activity and exercise Diabetes Team Monitoring for symptoms of high or low blood glucose High blood glucose can
cause increased urination and thirst Low blood glucose can lead to shakiness, hunger, irritability, confusion, or even loss of consciousness Drinking a sugary liquid, like juice, treats a low blood glucose Checking blood glucose levels and taking insulin or other diabetes medication as needed Education from the healthcare team and support from family members, schools, and the community

supporting children with diabetes in school
Diabetes is not a do-it-yourself condition at any age, but especially not for children Successful management involves the family and school working together with the healthcare team While it takes a village to raise a child, it takes a team to help care for a child with diabetes With education and support, teachers, school nurses, and other school personnel can learn to recognize possible symptoms of diabetes and help make school a safe, inclusive environment for students with diabetes and their families The Diabetes Resources listed in the sidebar on page 3 offer important basic information I encourage you to make use of these resources and share them with your colleagues

sincerely,

lori laffel, MD, MPH Chief, Pediatric and adolescent section
617-732-2603

One Joslin Place, boston Ma 02215 wwwjoslinorg/kids

Dealing with Diabetes

Activities
What is diabetes? How do children with diabetes manage their illness and live healthy, active lives? to introduce this topic, show the artHur episode Desert island Dish and the video featuring Corinne, a girl who has type 1 diabetes then do the activities below

Diabetes Resources
Web sites
american Diabetes association wwwdiabetesorg Excellent resources in the section For Parents Kids Go to the subsection For Schools to download Helping the Student with Diabetes Succeed: A Guide for School Personnel Children with Diabetes wwwchildrenwithdiabetescom Great online community Joslin Diabetes Center wwwjoslinorg/beginners_guide basic information clearly presented in English and Spanish

Watch and discuss the episode Have children work in groups,
just like Arthur and his friends, to create a balanced diet with foods from each of the five food groups: grains, fruits and vegetables, dairy, protein, and healthy fats

talk about the video Watch the video about Corinne You can
find this on the ARTHuR Web site at pbskidsgoorg/arthur/diabetes Ask children: What does Corinne do to manage her
diabetes and keep herself healthy? Share information about diabetes, using the picture books and online resources listed in the sidebar

PiCture bOOKs
Even Little Kids Get Diabetes by Connie White Pirner Im Tougher Than Diabetes by Alden R Carter My Sister Rose Has Diabetes by Monica Driscoll beatty

arthurs report Copy, distribute, and discuss pages 4 and 5 English
and Spanish Arthurs report is based on his interview of Corinne and her family Encourage students to take the information sheet home to share with their families

Visiting experts Invite the school nurse, a certified diabetes
educator CDE, or a knowledgeable family member to share information with the class Your local American Diabetes Association office may be able to provide a speaker Call 1-888-DIAbETES for information Note that while some students with diabetes may enjoy being part of the presentation, others may not

Desert Island Dish
Arthur and his friends have to find the perfect food for surviving on a desert island by working together, they create a balanced diet, and pass the test Next, Corinne–a young girl with diabetes–demonstrates how eating sensibly and keeping active helps her stay healthy and fit
Record Desert Island Dish off the air to share with your class, or download it from iTunes or videogooglecom The video starring Corinne can also be seen on the ARTHuR Web site pbskidsgoorg/arthur/diabetes

Healthy snacks Children with type 1 diabetes may need to eat
several snacks a day to maintain a balance between food, insulin, and exercise Consider instituting a snack time for all students brainstorm a list of nutritious snacks Copy and distribute pages 6 and 7 English and Spanish, and invite children to invent and draw an original healthy snack Share the recipes

lets exercise Exercise should be fun Each day, let a different student
suggest a way for the class to get 1015 minutes of vigorous exercise Play a game of tag or follow-the-leader, create an obstacle course, or turn on music and dance If appropriate, talk about special things classmates with diabetes may need to do before and after vigorous exercise Copy and distribute page 8, a take-home activity sheet encouraging families to think about ways to include more fun exercise in their lives
This guide was produced by the Educational Outreach department of the WGbH Educational Foundation
Me D iC al aDV is O r
COnsultants

eileen Hughes, Educator suzanne Kaminski, Parent Michelle l Knight, Youth Initiatives, American
Diabetes Association

lori laffel, MD, MPH
Chief, Pediatric and Adolescent Section Joslin Diabetes Center, Harvard Medical School

Margie lawlor, MS, CDE, Joslin Diabetes Center Cindy Pasquarello, RN, CDE, Joslin Diabetes Center

pbskidsgoorg/arthur

4

I interviewed Corinne and her family Heres what I learned about diabetes

Dealing with Diabetes
by Arthur
Kids with diabetes can be healthy a nd strong They can do everything kids without diabetes can do It just takes a little more time and planning You cant catch diabetes from a friend Having diabetes means that a part of your body, your pancreas, isnt working the way it should Kids with type 1 diabetes, like Corinne, need to take a medicine called insulin in order to help their bodies work right

1 4

2006 KatHy tarantOla/JOs

To manage her diabetes, Corinne pays attention to what she eats, checks her blood sugar, and takes insulin Playing soccer and basketball also keeps her healthy and fit
Corinnes mom says that eati ng well and staying ac tive is import ant for everyone–no t just kids w ith diabetes

lin Diabetes
Center

pbskidsgoorg/arthur/diabetes

2006 WGbH underlying tM/ Marc brown all rights reserved Permission is granted for reproduction of this printed material for educational use only artHur is produced by WGbH boston and Cookie Jar entertainment, inc Funding for artHur outreach is provided by the Corporation for Public broadcasting Funding for artHur is provided by public television viewers Corporate funding is provided by Chuck e Cheeses and Dannon Danimals special thanks to Joslin Diabetes Center for its assistance in bringing you this booklet

Entrevisté a Corinne y a su familia Aprendí esto sobre la diabetes

Cómo manejar la diabetes
por Arthur
Los niños con diabetes pueden ser fuertes y saludables Pueden hacer todo lo que hacen los niños que no tienen diabetes Solo necesitan más tiempo y planificación La diabetes no es contagiosa No te la pueden pasar Tener diabetes significa que una parte de tu cuerpo, el páncreas, no funciona como debiera Los niños con diabetes tipo 1, como Corinne, tienen que tomar un medicamento llamado insulina para lograr que el cuerpo haga lo que debe hacer

1 4

2006 KatHy tarantOla/JOs

Para manejar la diabetes, Corinne presta atención a lo que
come, se revisa el nivel de azúcar en la sangre, y usa insulina Juega balompié y baloncesto, y así se mantiene en buen estado físico y gozando de buena salud

pbskidsgoorg/arthur/diabetes

lin Diabetes Center

2006 WGbH la tM/ subyacente es de Marc brown Derechos reservados se autoriza la reproducción de este impreso exclusivamente para usos educativos artHur es una producción de WGbH boston y Cookie Jar entertainment, inc los fondos para las actividades de extensión de artHur provienen de la Corporation for Public broadcasting los fondos para artHur provienen de los televidentes de la cadena de televisión pública los fondos empresariales son donación de Chuck e Cheeses y Dannon Danimals un agradecimiento especial al Joslin Diabetes Center por la asistencia brindada para hacerle llegar a usted este folleto

La ma má de C or in ne di ce qu e es im po rt an qu e to do s n o te so lo lo s ni ño s co n di ab et es co ma mo s bi en y no s ma nt en ga mo s ac ti vo s

Dip, Wrap, or Stack a Snack
1 2

Start with a piece of fruit or vegetable Dip it in something nutritious, like yogurt or cottage cheese
–or–

Wrap it in something yummy Try lettuce, a whole wheat tortilla, or a slice
of turkey
–or–

Stack it on a toothpick with other good things
3 4 5

Draw a picture of your healthy snack on the recipe card Label the ingredients Give your recipe a name If you have diabetes, count the carbs with a grown-up and write the number in the box
cheese

grape strawberry

Recipe name Created by

CARboHyDRAte Count

Dealing with Diabetes

2006 WGbH underlying tM/ Marc brown all rights reserved Permission is granted for reproduction of this printed material for educational use only artHur is produced by WGbH boston and Cookie Jar entertainment, inc Funding for artHur outreach is provided by the Corporation for Public broadcasting Funding for artHur is provided by public television viewers Corporate funding is provided by Chuck e Cheeses and Dannon Danimals special thanks to Joslin Diabetes Center for its assistance in bringing you this booklet

Crear, construir y comer
1 2

Comienza con un trozo de una fruta o verdura Úntala con algo nutritivo, como yogur o requesón
–o–

Envuélvela en algo exquisito Podría ser lechuga, una tortilla o una tajada de pavo
–o bIEn–

Haz una torre con un mondadientes agrégale otras cosas ricas
3 4 5

Haz un dibujo de tu comida saludable
en la tarjeta de receta Marca los ingredientes Dale un nombre a tu receta Si tienes diabetes, cuenta los carbohidratos con un adulto y anota el número en la casilla
queso

uva fresa

nombre de la receta Creada por

númeRo De CARboHIDRAtoS

Cømo manejar la diabetes
2006 WGbH la tM/ subyacente es de Marc brown Derechos reservados se autoriza la reproducción de este impreso exclusivamente para usos educativos artHur es una producción de WGbH boston y Cookie Jar entertainment, inc los fondos para las actividades de extensión de artHur provienen de la Corporation for Public broadcasting los fondos para artHur provienen de los televidentes de la cadena de televisión pública los fondos empresariales son donación de Chuck e Cheeses y Dannon Danimals un agradecimiento especial al Joslin Diabetes Center por la asistencia brindada para hacerle llegar a usted este folleto

il ie s Tips for Fa m

Families on the Move
Keeping active is important for everyones health For kids with diabetes, daily exercise can help control blood sugar levels Plan some active fun with your family Check off the ideas you like Add other ideas of your own Then put your plan in action q Play tag, TwisterTM, or
follow-the-leader Do the Hokey Pokey q Turn on music and dance to it q Keep a balloon up in the air, using your hands, head, and knees q Go to a park or playground Toss a ball or a Frisbee q Take a family walk q Make up your own

2006 WGbH underlying tM/ Marc brown all rights reserved Permission is granted for reproduction of this printed material for educational use only artHur is produced by WGbH boston and Cookie Jar entertainment, inc Funding for artHur outreach is provided by the Corporation for Public broadcasting Funding for artHur is provided by public television viewers Corporate funding is provided by Chuck e Cheeses and Dannon Danimals special thanks to Joslin Diabetes Center for its assistance in bringing you this booklet

Consejos para las familias

La familia en plan de acción
Es importante para la salud que todos nos mantengamos activos Para los niños con diabetes, el ejercicio diario les puede ayudar a controlar los niveles de azúcar en la sangre Planeen diversiones activas para la familia En la lista que sigue, marquen las ideas que les parezcan buenas y añadan otras Luego, pongan el plan en práctica y a divertirse q Jugar al escondite, jugar TwisterTM o jugar
copietas panderetas Bailar el Hokey Pokey q Subirle el volumen a la música y a mover el esqueleto q No dejar que el globo caiga al suelo Se usan las manos, la cabeza y las rodillas q Ir al parque Jugar pelota o lanzarse un Frisbee q Hacer una caminata en familia q Invéntense una ustedes

2006 WGbH la tM/ subyacente es de Marc brown Derechos reservados se autoriza la reproducción de este impreso exclusivamente para usos educativos artHur es una producción de WGbH boston y Cookie Jar entertainment, inc los fondos para las actividades de extensión de artHur provienen de la Corporation for Public broadcasting los fondos para artHur provienen de los televidentes de la cadena de televisión pública los fondos empresariales son donación de Chuck e Cheeses y Dannon Danimals un agradecimiento especial al Joslin Diabetes Center por la asistencia brindada para hacerle llegar a usted este folleto

pbskidsgoorg/arthur

0608046

Source:diabetes.ca