Juvenile diabetes is a classic misnomer in that it suggests that only children and the young will suffer from this condition. Although it is true that this condition is diagnosed almost always during childhood, as the patient grows up, the disease will stay with her or him for life. Thus it is wiser to differentiate the different forms of diabetes not as juvenile diabetes and adult onset diabetes, but instead as type-1 and type-2 diabetes.
Juvenile diabetes, or type-1 diabetes, is frequently viewed as the quintessential autoimmune disorder as it actively attacks pancreatic cells charged with the formation of the hormone known as insulin. It cannot be avoided or prevented, and when it is diagnosed, it cannot be cured. They cannot maintain normal blood sugar levels. The best possible outcome is a close management and monitoring of the disease which allows patients to lead largely normal lives and engage in a wide variety of activities without a need for special consideration.
An individual suffering from type-1 diabetes presents with the systemic inability to correctly perform glycogenolysis — the bodily transformation of the carbohydrate known as glucose into the energy used by the cells — and thus the level of blood glucose will rise rather than level off. In a healthy body, the increase in blood glucose would signal to the pancreas the need to produce and secrete insulin which would then serve to control the carbohydrate level buildup and actually metabolize the sugar for safe storage in the liver to be used for the cells' energy needs in between meals.
Stabilizing blood glucose in juvenile diabetes sufferers while at the same time maintaining a healthy lifestyle is achieved via a number of means outlined in their most pertinent functionality:
- Nutritional choices that are sound must be geared toward stabilizing blood glucose in juvenile diabetes sufferers, and thus it is not only the choices themselves that matter but also the timing that the food is ingested.
- Since insulin must be artificially supplemented with the help of injections, the coordination between mealtime and injection time must be timed properly.
- The use of a journal that tracks blood glucose measurements, times of meals, types of meals, and also insulin injection times will provide a thorough understanding of the individual's specific needs with respect to nutritional rules when it comes to stabilizing blood glucose.
For children in particular this is at first a hard regimen to get used to. After all, unlike their counterparts, they cannot simply indulge in the occasional cupcake, slice of pizza, or entire meal at school or at the home of a friend without following up the food with an injection. It is crucial that even at young ages they understand that type-1 diabetes simply means that something is missing — referring to the insulin deficiency — which they have the power to supplement. Although it might not make the notion of administering an injection any more fun and enjoyable, it will give the child back a sense of empowerment which will go a long way to having them adhere to the overall management schedule for the disease.



