Jul 11, 2016

Interview Transcript

Dr. Gellner: There are a lot of old wives' tales, or myths and facts, about diabetes out there. Especially when it comes to diabetes and kids. We'll sort out the facts from fiction about diabetes on today's Scope. I'm Dr. Cindy Gellner.

Announcer: Keep your kids healthy and happy. You are now entering "The Healthy Kids Zone" with Dr. Cindy Gellner on The Scope.

Dr. Gellner: Although Dr. Google is full of information on diabetes, not all of it is really true. Yes, even well-meaning family members and friends can give bad information. So let's talk about the myths.

Myth #1: Eating too much sugar causes diabetes. Yes, and no. Type 1 diabetes? Nope, not due to eating too much sugar. That's caused by your child's body attacking the pancreas so it stops making insulin. It has nothing to do with how much sugar your child eats. Type 2, on the other hand, isn't directly caused by eating too many sweets, but an unhealthy diet full of sugar leads to childhood obesity and obesity can increase the risk of type 2 diabetes.

Myth #2: Kids with diabetes can never eat sweets. If you were a kid and your friend had sweets, wouldn't you be jealous and want some, too? Well, luckily, this myth isn't true. Kids with diabetes can eat a certain amount of sugar, they just have to watch how much and make sure they balance the treats with the healthy options, just like we all should.

Myth #3: Kids can outgrow diabetes. Sadly, no, kids do not outgrow type 1 diabetes. Once the pancreas stops making insulin, that's it. No more. Kids with the tendency for type 2 diabetes will always have that tendency, especially if they don't stay active or they become overweight.

Myth #4: Diabetes is contagious. Nope. It runs in families, but you can't spread diabetes like you can spread a cold virus.

Myth #5: Insulin cures diabetes. We wish. Right now, there is no cure, but insulin is the only treatment available for type 1 diabetes. And if type 2 diabetes stays out of control even when on oral medications and trying to control your diet, insulin is needed then as well.

Myth #6: Kids with diabetes don't have to take their insulin or pills when they're sick. Absolutely false. When kids are sick, especially if they're throwing up or not eating much, giving insulin might not seem like the right thing to do. There's nothing in their stomach so you worry about making their sugar levels go too low if you do that. However, it is very important to keep taking insulin during illness. Insulin doses may need to be adjusted during illness, but they can't be skipped altogether. Kids need energy when they're sick to help the body heal themselves. Insulin helps them use that energy properly.

Myth #7: Kids with diabetes can't exercise. Wrong again. Exercise is important for all kids, with or without diabetes. Exercise offers many benefits to kids with diabetes. It helps them manage their weight, helps their hearts stay strong, boosts their mood, relieves stress, and helps with blood sugar control.

Myth #8: Low-carbohydrate diets are good for kids with diabetes because they should avoid all carbs. No. Carbohydrates are the body's preferred source of energy and carbohydrate-containing foods should provide about 50-60% of a person's calories each day. Low-carb diets tend to be overloaded with protein and fat. Kids with diabetes should have a healthy, balanced diet.

Myth #9: There are cures for diabetes, but the doctors and the governments aren't telling anybody. Yeah, despite what you may hear or see on the Internet, there really, truly is no cure for diabetes. Many scientists are working on one, but the only way to manage diabetes now is to take insulin and medications as prescribed, eat a balanced diet, get plenty of physical activity, and check blood sugar levels regularly.

Myth #10: Stinky feet is a sign of diabetes. No, stinky feet is a sign that you child needs to wash their feet. There's no evidence that foot odor has anything to do with diabetes. But foot problems, like diabetic neuropathy, where they can't feel their feet, is a complication of out of control diabetes as they get older.

So if you really want the facts on diabetes, be sure to talk to your child's diabetes specialists. They really are the ones who know best.

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