Pediatric Diabetology
Pediatric diabetology is a specialty that focuses on diagnosing, treating, and managing diabetes and related metabolic concerns in children, adolescents, and young adults. At TidalHealth, our team provides care for children with type 1, type 2, and less common types of diabetes such as monogenic, neonatal, and syndromic diabetes. We consider each child's unique needs, their growth, development, puberty, and family situation, ensuring they receive personalized and comprehensive care.
Our Care and Services
- Diagnosis and Management: We offer blood glucose monitoring, insulin therapy, and non-insulin treatment options, as well as the use of advanced diabetes technology such as continuous glucose monitoring (CGM), insulin pumps, and telehealth follow-up visits.
- Education and Training: We educate children, parents, and caregivers on insulin administration, carbohydrate counting, sick-day rules, managing low blood sugar, and using devices like insulin pumps and CGMs.
- Diabetes-Related Complications: We provide care for conditions such as diabetic ketoacidosis (DKA) and severe hypoglycemia, and offer routine screenings to prevent long-term complications.
- Nutritional and Behavioral Support: We offer nutritional counseling, guidance on physical activity, and psychosocial support to help children and families manage diabetes in everyday life, including at school and in sports.
- Psychosocial Support: We screen for anxiety, depression, and diabetes distress, and offer support to address any family or social challenges related to diabetes care.
- Transition to Adult Care: We plan and support the transition from pediatric to adult diabetes care, ensuring a smooth and coordinated process.
Our Team Approach
Pediatric diabetology at TidalHealth involves a multidisciplinary team, including pediatric endocrinologists, certified diabetes educators, nurse specialists, dietitians, psychologists or social workers, diabetes technology experts, pharmacists, school nurses, and transition coordinators. We work closely with families, caregivers, and schools to create individualized care plans that support children in leading as normal a childhood as possible.
When to Seek Care
It’s important to seek care if your child exhibits symptoms such as excessive thirst, frequent urination, unexplained weight loss, bedwetting, fatigue, or changes in behavior. Emergency care is necessary if signs of diabetic ketoacidosis (such as rapid breathing, vomiting, abdominal pain, or lethargy) or severe hypoglycemia (such as loss of consciousness or seizures) occur. Early diagnosis and intervention can make a significant difference in your child's health and quality of life.
What is a pediatric diabetologist?
A pediatric diabetologist is a specialist trained in the care of childhood diabetes. Our team diagnoses the type of diabetes, prescribes and adjusts treatments (such as insulin), and works closely with families to provide ongoing support and guidance.
How is diabetes diagnosed in children?
Diabetes is typically diagnosed using blood tests such as fasting glucose, random glucose, oral glucose tolerance test, and hemoglobin A1c. In urgent situations, we may check blood glucose levels and urine ketones immediately. For certain types, such as monogenic diabetes, genetic testing may also be considered.
What are common signs of diabetes in children?
Signs include excessive thirst and urination, weight loss, tiredness, recurring yeast infections, bedwetting after toilet training, and sudden changes in behavior. If symptoms come on suddenly with vomiting or dehydration, this could be an emergency and requires prompt medical attention.
How is type 1 diabetes treated in children?
Type 1 diabetes requires insulin therapy, typically through multiple daily injections or an insulin pump. Children also need to monitor their glucose levels and count carbohydrates. Our team educates families on how to manage the condition and adjust to these routines.
Can children use insulin pumps and CGM?
Yes! Many children benefit from insulin pumps and continuous glucose monitors (CGM), which provide more flexibility and control over diabetes management. We help determine when children are ready for these devices and offer ongoing support.
What about type 2 diabetes in youth?
Type 2 diabetes in children is often managed through lifestyle changes like healthy eating and regular physical activity, along with medications like metformin when necessary. We provide support for the whole family to help foster positive habits and ensure effective monitoring.
How do we manage diabetes at school and during sports?
We work with schools to create tailored plans for your child’s diabetes management at school and during sports. Our team provides training for school staff and helps establish safe practices to keep your child active and healthy.
How is hypoglycemia handled?
Mild hypoglycemia is treated by giving quick sources of sugar, like juice or glucose tablets, followed by a snack with protein or carbs. In more severe cases, we teach families how to use glucagon, including the newer nasal or ready-to-use forms, to reverse low blood sugar.
Do children outgrow type 1 diabetes?
No, type 1 diabetes is a lifelong condition. However, as your child grows, management strategies evolve, and with careful planning, they can transition smoothly into adult care.
When should we begin transition planning to adult care?
Transition planning usually begins in early adolescence, with the transfer to adult care taking place in late teens or young adulthood. We guide families and coordinate with adult providers to ensure a smooth and successful transition.
When should I seek emergency care?
If your child experiences symptoms of diabetic ketoacidosis such as vomiting, stomach pain, rapid breathing, or confusion, or signs of severe hypoglycemia such as fainting or seizures, seek emergency care immediately.
