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BOOK REVIEWS

by Marilyn Helton

 

Greetings Readers! Being the grandmother of a very active five-year-old, I can't help but be hypervigilant about the threat of juvenile diabetes. Taylor has watched me measure my blood glucose hundreds of times, as well as suffered disappointments when my diabetes and/or medications have prevented me from attending some of her preschool and birthday celebrations. It really hit home when she recently drew a picture of me with a huge smile on my face because I was so happy that I didn't have”. . . that darned old diabetes any more. “If a non-diabetic child can be so sensitive to the effects of diabetes, just try imagine what it must be like for a child her age to experience the challenges of coping with type 1 diabetes. I've recently received three excellent books on juvenile diabetes and would like to share the highlights of each with you.

WHEN A CHILD HAS DIABETES, by Denis Daneman, MB, BCh, FRCPC, Marcia Frank, RN, MHSc, CDE, and Kusiel Perlman, MD, FRCPC, the Diabetes Team at Toronto's famous Hospital for Sick Children, is a good read for parents trying to help young children deal with conditions they can't understand, and older children to accept their “difference” and manage it responsibly.

Packed with case histories, useful charts, diagrams, and tips for day-to-day living, When A Child Has Diabetes also shows parents how to know when diabetes is not being managed well and what to do to reduce the risks of complications. Touching on topics such as balancing food intake, activity, insulin and blood glucose control, making meals work, unraveling the mysteries of adjusting insulin doses, along with managing hyperglycemic (highs) and hypoglycemic (lows). Examples are illustrated with actual case history scenarios. Parents and caregivers looking for solutions in terms of day to day living will appreciate this approach. Also included are excellent chapters on emotional factors helping diabetic children adjust to diabetes, growth and development issues from toddlers to teens, and how to put complications in proper perspective.

WHEN A CHILD HAS DIABETES
; 1999; Firefly Books (U.S.), Inc.; $14.95, is an interesting read through the eyes of parents, caregivers and diabetic children themselves.

If you're looking for a book which features the latest advances in diabetes care for children, the American Diabetes Association's GUIDE TO RAISING A CHILD WITH DIABETES, Second Edition by Linda M. Siminerio, RN, PhD CDE, and Jean Betschart, MN, MSN, CPNP, CDE, is filled with the most up-to-date information.

One of the nation's newest concerns is discovering that type 2 diabetes, formerly thought an adult-onset disease, is being diagnosed in large numbers of childhood populations. Lifestyles focused on unhealthy foods served in over-sized portions, along with lack of physical activity, are thought to be the impetus in the development of type 2 diabetes in children. Experts in the medical community are predicting that these children will develop the complications of diabetes at much earlier ages, in their early to mid-thirties, as opposed to the sixties and later.

GUIDE TO RAISING A CHILD WITH DIABETES also addresses practical concerns, such as helping your child accept meal planning in terms of dietary exchanges and carbohydrate counting, holiday parties, eating out with workable solutions. As parents and caregivers become aware of the effects that different foods can have on the diabetic child's blood glucose, they'll learn how to balance the foods with insulin or exercise.

Authors Siminerio and Betschart cover age-wise concerns in raising a diabetic child from infancy to adolescence, including contemporary issues such as diabetes and your child's friends, school situations, participation in organized sports, feelings, dating, driving, and problems such as eating disorders, tobacco, alcohol and illegal drug use. An excellent, easy to understand guide which includes a good resource guide at the back of the book; highly recommended. Published by the American Diabetes Association; 2000; $16.95.

As if parenthood in and of itself isn't enough of a challenge, imagine yourself with two young children, both diagnosed with juvenile diabetes, 16 months apart. LIVING WITH JUVENILE DIABETES, by Victoria Peurrung, is told from a mother's perspective and concerns diabetes and its impact on one family when both of their young children develop the disease. Peurrung's gift of words in the opening chapter, “The Devastating News,” instantly draws the reader into her world through her ability to relate to a parent's emotions when receiving the news that her child is being diagnosed with diabetes. Her experiences, peppered with positive encouragement to parents and caregivers to "hang in there" and not give up, are truly inspirational.

LIVING WITH JUVENILE DIABETES is filled with practical information based on Peurrung's quest to learn as much as she could about the disease, as well as good information on medical devices and resources. She addresses issues such as discrimination in schools and day care centers, the diabetic child's rights in school and children's camps, and finding good childcare providers. There are also good chapters on handling sick days, exercise and nutrition, as well as advice on counting carbohydrates, sample menu plans, reading food labels, using healthy food substitutes and food analysis charts. This is a very practical handbook from a Mom who's “been there and done that.” Author Peurrung has even included a chapter of recipes which are good for the whole family!

I found this book a well written journey of personal experience on a 24/7 basis, and was pleased to find a good resource chapter with website addresses at the end of the book. Highly recommended. Published by Hatherleigh Press; 2001, by Victoria Peurrung; $14.95, US/ $21.99, Can.

There you have it until we meet again with our Spring reviews. In the meantime, I wish you all well. Be sure to live in the present, because each moment is a gift!

Marilyn Helton, a type 2 diabetic since 1993, is the publisher of CINNAMON HEARTS: The Art of Living A Winning Diabetic Lifestyle, a positive-power online E-zine for diabetics and their families. You can find more of Marilyn's book reviews, articles and recipes online at http:diabeticgourmet.com/ and www.fabulousfoods.com/ Visit the Cinnamon Hearts website at http://members.nbci.com/cinnhearts/ for more seasonal and motivational articles, plus dozens of diabetic recipes.

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