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  LiveWire / Teen Forums / Teen Depression & Emotional Imbalance / Viewing Topic

How do I help a young girl..
Replies: 25Last Post Sep. 4 9:35am by shen10200
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Web Resources: Suicide Myths Dispelled, Suicide Information
USA Suicide Hotline: 1-800-SUICIDE (1-800-784-2433)
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USA Drug Abuse Hotline: 1-800-662-4357
( muphnplutonic )


Dairy Product Addict
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Fourteen years of age.
Who wants to kill herself due to her finding out she has type 1 diabetes today..

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'Coz if you're not really there, then the stars don't even matter.

4:44 am on Sep. 4, 2008 | Joined Mar. 2008 | 105 Days Active
Join to learn more about muphnplutonic Australia | Straight Female | 482 Posts | 1727 Points
JC


Visionary

Patron
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wow... im sure the hospital has some sort of grief counselling service, put her onto them

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4:45 am on Sep. 4, 2008 | Joined Nov. 2005 | 458 Days Active
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Taylor636Baker


Omnipotent One

Patron
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WTF
So many people have diabetes now days
Tell her to chill the fuck out

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4:46 am on Sep. 4, 2008 | Joined Aug. 2007 | 343 Days Active
Join to learn more about Taylor636Baker Texas, United States | Bisexual Female | 10678 Posts | 17719 Points
( muphnplutonic )


Dairy Product Addict
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Quote: from Taylor636Baker at 4:46 am on Sep. 4, 2008

WTF
So many people have diabetes now days
Tell her to chill the fuck out

Oi support forum yeah?
That's what I thought.
It's not gonna help her, me telling her that.

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'Coz if you're not really there, then the stars don't even matter.


4:49 am on Sep. 4, 2008 | Joined Mar. 2008 | 105 Days Active
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Phoenix 2008


Dairy Product Addict
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at least she doesnt have type 2 that is what can kill

4:56 am on Sep. 4, 2008 | Joined Aug. 2008 | 45 Days Active
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aGIRLunknown


Connoisseur
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Quote: from muphnplutonic at 7:49 am on Sep. 4, 2008

Quote: from Taylor636Baker at 4:46 am on Sep. 4, 2008

WTF  
 So many people have diabetes now days  
 Tell her to chill the fuck out

Oi support forum yeah?
That's what I thought.
It's not gonna help her, me telling her that.


Oh but u will... Yeah its hard to understand what diabetes is if u don't fucken have it.

PUT yourself into her position.  What would u want someone to tell you if u where her?

You would want to be told that things will be alright that a lot of ppl are diabetic and there are meds for them. Basically what was said by Taylor636Baker is basically what someone needs to be told... just NOT in those words........Maybe you just have to explain Diabetes to her....Explain that there is insulin if her's is that bad.

I am going to be a hypocrite right now but Suicide for her isn't the answer.... Its more of a solution for her fear then it is a fix.

explain that to her....

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4:57 am on Sep. 4, 2008 | Joined Mar. 2007 | 218 Days Active
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aGIRLunknown


Connoisseur
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Quote: from Phoenix 2008 at 7:56 am on Sep. 4, 2008

at least she doesnt have type 2 that is what can kill

THEY BOTH CAN KILL FUCKTARD! WOW ppl r fucken stupid read up on ur fucken facts b4 u fucken speak

Diabetes Symptoms

Symptoms of type 1 diabetes are often dramatic and come on very suddenly.

* Type 1 diabetes is usually recognized in childhood or early adolescence, often in association with an illness (such as a virus or urinary tract infection) or injury.

* The extra stress can cause diabetic ketoacidosis.

* Symptoms of ketoacidosis include nausea and vomiting. Dehydration and often-serious disturbances in blood levels of potassium follow.

* Without treatment, ketoacidosis can lead to coma and death.


Symptoms of type 2 diabetes are often subtle and may be attributed to aging or obesity.

* A person may have type 2 diabetes for many years without knowing it.

* People with type 2 diabetes can develop hyperglycemic hyperosmolar nonketotic syndrome.

* Type 2 diabetes can be precipitated by steroids and stress.

* If not properly treated, type 2 diabetes can lead to complications like blindness, kidney failure, heart disease, and nerve damage.


http://www.emedicinehealth.com/diabetes/page3_em.htm

Post edited at 5:03 am on Sep. 4, 2008 by aGIRLunknown

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4:58 am on Sep. 4, 2008 | Joined Mar. 2007 | 218 Days Active
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aGIRLunknown


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Self-Care at Home

If you or someone you know has diabetes, they would be wise to make healthful lifestyle choices in diet, exercise, and other health habits. These will help to improve glycemic (blood sugar) control and prevent or minimize complications of diabetes.

Diet: A healthy diet is key to controlling blood sugar levels and preventing diabetes complications.

   * If the patient is obese and has had difficulty losing weight on their own, talk to a healthcare provider. He or she can recommend a dietitian or a weight modification program to help the patient reach a goal.

   * Eat a consistent, well-balanced diet that is high in fiber, low in saturated fat, and low in concentrated sweets.

   * A consistent diet that includes roughly the same number of calories at about the same times of day helps the healthcare provider prescribe the correct dose of medication or insulin.

   * It will also help to keep blood sugar at a relatively even level and avoid excessively low or high blood sugar levels, which can be dangerous and even life-threatening.

Exercise: Regular exercise, in any form, can help reduce the risk of developing diabetes. Activity can also reduce the risk of developing complications of diabetes such as heart disease, stroke, kidney failure, blindness, and leg ulcers.

   * As little as 20 minutes of walking three times a week has a proven beneficial effect. Any exercise is beneficial; no matter how light or how long, some exercise is better than no exercise.

   * If the patient has complications of diabetes (eye, kidney, or nerve problems), they may be limited both in type of exercise and amount of exercise they can safely do without worsening their condition. Consult with your health care provider before starting any exercise program.

Alcohol use: Moderate or eliminate consumption of alcohol. Try to have no more than seven alcoholic drinks in a week and never more than two or three in an evening. One drink is considered 1.5 ounces of liquor, 6 ounces of wine, or 12 ounces of beer. Excessive alcohol use is a known risk factor for type 2 diabetes. Alcohol consumption can cause low or high blood sugar levels, nerve pain called neuritis, and increase in triglycerides, which is a type of fat in our blood.

Smoking: If the patient has diabetes, and you smoke cigarettes or use any other form of tobacco, they are raising the risks markedly for nearly all of the complications of diabetes. Smoking damages blood vessels and contributes to heart disease, stroke, and poor circulation in the limbs. If someone needs help quitting, talk to a healthcare provider.

Self-monitored blood glucose: Check blood sugar levels frequently, at least before meals and at bedtime, and record the results in a logbook.

   * This log should also include insulin or oral medication doses and times, when and what the patient ate, when and for how long they exercised, and any significant events of the day such as high or low blood sugar levels and how they treated the problem.

   * Better equipment now available makes testing blood sugar levels less painful and less complicated than ever. A daily blood sugar diary is invaluable to the healthcare provider in seeing how the patient is responding to medications, diet, and exercise in the treatment of diabetes.

   * Medicare now pays for diabetic testing supplies, as do many private insurers and Medicaid.


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5:05 am on Sep. 4, 2008 | Joined Mar. 2007 | 218 Days Active
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aGIRLunknown


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Type 1 diabetes

Treatment of diabetes almost always involves the daily injection of insulin, usually a combination of short-acting insulin [for example, lispro (Humalog) or aspart (NovoLog)] and a longer acting insulin [for example,  NPH, Lente, glargine (Lantus), detemir, or ultralente].

   * Insulin must be given as an injection. If taken by mouth, insulin would be destroyed in the stomach before it could get into the blood where it is needed.

   * Most people with type 1 diabetes give these injections to themselves. Even if someone else usually gives the patient injections, it is important that the patient knows how to do it in case the other person is unavailable.

   * A trained professional will show the patient how to store and inject the insulin. Usually this is a nurse who works with the healthcare provider or a diabetes educator.

   * Insulin is usually given in two or three injections per day, generally around mealtimes. Dosage is individualized and is tailored to the patient's specific needs by the healthcare provider. Longer acting insulins are typically administered one or two times per day.

   * Some people have their insulin administered by continuous infusion pumps to provide adequate blood glucose control. Supplemental mealtime insulin is programmed into the pump by the individual as recommended by his or her healthcare provider.

   * It is very important to eat if the patient has taken insulin, as the insulin will lower blood sugar regardless of whether they have eaten. If insulin is taken without eating, the result may be hypoglycemia. This is called an insulin reaction.

   * There is an adjustment period while the patient learns how insulin affects them, and how to time meals and exercise with insulin injections to keep blood sugar level as even as possible.

   * Keeping accurate records of blood sugar levels and insulin dosages is crucial for the patient's diabetes management.

   * Eating a consistent, healthy diet appropriate for the patient's size and weight is essential in controlling blood sugar level.

Type 2 diabetes

Depending on how elevated the patient's blood sugar and glycosylated hemoglobin (HbA1c) are at the time of diagnosis, they may be given a chance to lower blood sugar level without medication.

   * The best way to do this is to lose weight if obese and begin an exercise program.

   * This will generally be tried for three to six months, then blood sugar and glycosylated hemoglobin will be rechecked. If they remain high, the patient will be started on an oral medication, usually a sulfonylurea or biguanide [metformin Glucophage)], to help control blood sugar level.

   * Even if the patient is on medication, it is still important to eat a healthy diet, lose weight if they are overweight, and engage in moderate physical activity as often as possible.

   * The healthcare provider will monitor the patient's progress on medication very carefully at first. It is important to get just the right dose of the right medication to get the blood sugar level in the recommended range with the fewest side effects.

   * The doctor may decide to combine two types of medications to get blood sugar level under control.

   * Gradually, even people with type 2 diabetes may require insulin injections to control their blood sugar levels.

   * It is becoming more common for people with type 2 diabetes to take a combination of oral medication and insulin injections to control blood sugar levels.

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5:06 am on Sep. 4, 2008 | Joined Mar. 2007 | 218 Days Active
Join to learn more about aGIRLunknown New York, United States | Straight Female | 5124 Posts | 7593 Points
aGIRLunknown


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Medications

Many different types of medications are available to help lower blood sugar levels in type 2 diabetes. Each type works in a different way. It is very common to combine two or more types to get the best effect with fewest side effects.

   * Sulfonylureas: These drugs stimulate the pancreas to make more insulin.

   * Biguanides: These agents decrease the amount of glucose produced by the liver.

   * Alpha-glucosidase inhibitors: These agents slow absorption of the starches one eats. This slows down glucose production.

   * Thiazolidinediones: These agents increase sensitivity to insulin.

   * Meglitinides: These agents stimulate the pancreas to make more insulin.

   * D-phenylalanine derivatives: These agents stimulate the pancreas to produce more insulin more quickly.

   * Amylin synthetic derivatives: Amylin is a naturally occurring hormone secreted by the pancreas along with insulin. An amylin derivative, such as pramlintide (Symlin), is indicated when blood sugar control is not achieved despite optimal insulin therapy. Pramlintide is administered as a subcutaneous injection along with insulin and helps achieve lower blood sugar levels after meals, helps reduce fluctuation of blood sugar levels throughout the day, and improves hemoglobin A1C levels.

   * Incretin mimetics: Incretin mimetics promote insulin secretion by the pancreas and mimic other blood sugar level lowering actions that naturally occur in the body. Exenatide (Byetta) is the first incretin mimetic agent approved in the United States. It is indicated for diabetes mellitus type 2 in addition to metformin or a sulfonylurea when these agents have not attained blood sugar level control alone.

   * Insulins: Human insulin is the only type of insulin available in the United States; it is less likely to cause allergic reactions than animal-derived varieties of insulin. The type of insulin chosen to customize treatment for an individual is based on the goal of providing optimal blood sugar control. Different types of insulin are available and categorized according to their times of action onset and duration. Commercially prepared mixtures of some insulins may also be used to provide constant (basal) control and immediate control.

         o Rapid-acting insulins

               + Regular insulin (Humulin R, Novolin R)

               + Insulin lispro (Humalog)

               + Insulin aspart (Novolog)

               + Insulin glulisine (Apidra)

               + Prompt insulin zinc (Semilente, slightly slower acting)

         o Intermediate-acting insulins

               + Isophane insulin, neutral protamine Hagedorn (NPH) (Humulin N, Novolin N)

               + Insulin zinc (Lente)

         o Long-acting insulins

               + Extended insulin zinc insulin (Ultralente)

               + Insulin glargine (Lantus)

               + Insulin detemir (Levemir)

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5:06 am on Sep. 4, 2008 | Joined Mar. 2007 | 218 Days Active
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GoodFairy13


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Quote: from muphnplutonic at 4:49 am on Sep. 4, 2008

Quote: from Taylor636Baker at 4:46 am on Sep. 4, 2008

WTF  
 So many people have diabetes now days  
 Tell her to chill the fuck out

Oi support forum yeah?
That's what I thought.
It's not gonna help her, me telling her that.


Then don't tell her that...

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Don't be afraid your life will end; be afraid that it will never begin.


5:06 am on Sep. 4, 2008 | Joined Sep. 2007 | 110 Days Active
Join to learn more about GoodFairy13 England, United Kingdom | Straight Female | 2410 Posts | 3680 Points
aGIRLunknown


Connoisseur
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Follow-up

Treatment:

   * Follow the healthcare provider's treatment recommendations. Keep records of blood sugar levels as often as recommended by the healthcare provider, including the times the levels were checked, when and how much insulin or medication was taken, when and what was eaten, and when and for how long the patient exercised. Call the healthcare provider if the patient has any problems with their treatment or symptoms that suggest poor glucose control.

Education:

   * Attend diabetes education classes at the local hospital. The more educated the patient and their family are about the disease, the better they are likely to do.

   * Regular visits to the primary healthcare provider

   * If the patient takes insulin, they should see the healthcare provider about every three months or more often. For other diabetics, every three to six months is generally adequate, unless they are having problems.

   * Recognize low blood sugar levels and know how to treat them

   * The patient and their family should be taught how to recognize the signs and symptoms of low blood sugar levels. The patient should have a clear plan for treating low blood sugar levels and know when to call 911. Mild symptoms include confusion and sweating, moreover, these symptoms can progress to lethargy, agitation (sometimes with violent, jerking motions), or even seizures.


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5:08 am on Sep. 4, 2008 | Joined Mar. 2007 | 218 Days Active
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aGIRLunknown


Connoisseur
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Prevention

We do not yet know of a way to prevent type 1 diabetes. Type 2 diabetes, however, can be prevented in some cases.

   * Control weight to normal or near-normal levels by eating a healthy low-fat, high-fiber diet.

   * Regular exercise is crucial to the prevention of type 2 diabetes.

   * Keep alcohol consumption low.

   * Quit smoking.

   * If you have high blood fat levels (such as high cholesterol) or high blood pressure, take your medication as directed.

   * Lifestyle modification and/or certain medications can be used in people with prediabetes to prevent progression to diabetes. Pre-diabetes can be diagnosed by checking fasting glucose and two hours after ingesting 75 grams of glucose.

If you or someone you know already have diabetes, your focus should be on preventing the complications, which can cause serious disabilities such as blindness, kidney failure requiring dialysis, amputation, or even death.

   * Tight glucose control: The single best thing the patient can do is to keep their blood sugar level within the suggested range every day. The only way to do this is through a combination of regular blood sugar checks, a balanced diet low in simple sugars and fat and high in complex carbohydrates and fiber, and appropriate medical treatment. Please consult a nutritionist or check with the doctor with questions in regard to diet.

   * Quit smoking

   * Maintain a healthy weight

   * Increase physical activity levels. Aim for moderately vigorous physical activity for at least 30 minutes every day.

   * Drink an adequate amount of water and avoid taking too much salt.

   * The skin should be taken care of; keep it supple and hydrated to avoid sores and cracks that can become severely infected.

   * Brush and floss the teeth every day. See a dentist regularly to prevent gum disease.

   * The feet should be washed and examined daily, looking for small cuts, sores, or blisters that may cause problems later. The toenails should be filed rather than cut to avoid damaging the surrounding skin. A specialist in foot care (podiatrist) may be necessary to help care for the feet.


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5:09 am on Sep. 4, 2008 | Joined Mar. 2007 | 218 Days Active
Join to learn more about aGIRLunknown New York, United States | Straight Female | 5124 Posts | 7593 Points
aGIRLunknown


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Outlook

Diabetes is a leading cause of death in all industrialized nations. Overall, the risk of premature death of people with diabetes is twice that of people who do not have diabetes. Prognosis depends on the type of diabetes, degree of blood sugar control, and development of complications.

Type 1 diabetes

About 15% of people with type 1 diabetes die before age 40 years, which is about 20 times the rate of that age group in the general population.

   * The most common causes of death in type 1 diabetes are diabetic ketoacidosis, kidney failure, and heart disease.

   * The good news is that prognosis can be improved with good blood sugar control. Maintaining tight blood sugar control has been proven to prevent, slow the progression of, and even improve established complications of type 1 diabetes.

Type 2 diabetes

The life expectancy of people who are diagnosed with type 2 diabetes in their 40s decreases by 5-10 years because of the disease.

   * Heart disease is the leading cause of death for people with type 2 diabetes.

   * Excellent glycemic control, tight blood pressure control, and keeping the "bad" cholesterol (LDL) level at the recommended level of <100 mg/dL (or lower, particularly if other risk factors for cardiovascular disease are present) and the "good" (HDL) cholesterol as high as possible. Use of aspirin when indicated can prevent, slow the progression of, and improve established complications in diabetes.


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5:09 am on Sep. 4, 2008 | Joined Mar. 2007 | 218 Days Active
Join to learn more about aGIRLunknown New York, United States | Straight Female | 5124 Posts | 7593 Points
aGIRLunknown


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Support Groups and Counseling

You may wish to join a support group with other people to share your experiences. The American Diabetes Association and the Juvenile Diabetes Research Foundation are both excellent resources. Your health care provider will have information about local groups in your area. The following groups also provide support:

American Association of Diabetes Educators
100 W Monroe, Suite 400
Chicago, IL 60603
(800) 338-3633

American Diabetes Association
1701 North Beauregard Street
Alexandria, VA 22311
(800) DIABETES (342-2383)
AskADA@diabetes.org

American Dietetic Association
120 South Riverside Plaza, Suite 2000
Chicago, IL 60606-6995
(800) 877-1600

Juvenile Diabetes Research Foundation International
120 Wall Street
New York, NY 10005-4001
(800) 533-CURE (2873)
info@jdrf.org

National Diabetes Education Program
One Diabetes Way
Bethesda, MD 20814-9692
(800) 438-5383
ndep@info.nih.gov

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5:09 am on Sep. 4, 2008 | Joined Mar. 2007 | 218 Days Active
Join to learn more about aGIRLunknown New York, United States | Straight Female | 5124 Posts | 7593 Points
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