Posts for: November, 2021
By Belkis R. Cepero, MD
November 17, 2021
Diabetes is on the rise, and not just in adults. More and more children in the US are being diagnosed with type 2 diabetes. Type 2 diabetes used to be referred to as adult-onset diabetes, but today children are more at risk for prediabetes and types 2 diabetes than ever before. Fortunately, there are ways to prevent your child from developing diabetes.
Why is prediabetes a concern?
Okay, so prediabetes isn’t considered full-blown diabetes, so why should parents be worried? Well, being prediabetic will eventually lead to diabetes if the issue isn’t addressed by a pediatrician. A pediatrician will be able to spot prediabetes through a simple blood test to check blood sugar levels. After all, blood sugar levels will be elevated even before your child develops type 2 diabetes. By catching elevated blood sugar levels early, your pediatrician can provide you and your child with simple lifestyle changes to see if that lowers their blood glucose naturally.
Are there warning signs?
The problem is that elevated blood sugar often doesn’t cause symptoms until a child develops type 2 diabetes. So, your child could be prediabetic and not even know it. That’s why it’s a good idea to speak with your pediatrician if your child has risk factors. Your pediatrician will decide if blood tests are necessary to check glucose levels. If prediabetes isn’t checked and your child develops type 2 diabetes you may begin to notice these symptoms,
- Wounds and injuries that are slow to heal
- Blurry vision
- Frequent urination
- Increased hunger or thirst
What are the risk factors?
It’s important to recognize whether your child may be at risk for prediabetes. Some risk factors include,
- A family history of type 2 diabetes
- Eating an ultra-processed diet
- A sedentary lifestyle/lack of exercise (children should get at least one hour of aerobic exercise a day)
- Obesity or being overweight
- A mother with gestational diabetes (diabetes that develops during pregnancy)
If you are concerned about your child’s risk for prediabetes or developing type 2 diabetes, it’s important that you speak to your pediatrician. A pediatrician will be able to provide screening tools to monitor your child’s blood glucose, as well as lifestyle recommendations
By Belkis R. Cepero, MD
November 08, 2021
A concussion is a traumatic brain injury that occurs as a result of a blow to the head. Since concussions can be serious, it’s important that you’re able to recognize the telltale signs of a concussion so you can seek immediate treatment. While your pediatrician may be able to provide you with immediate treatment, any serious symptoms should be addressed right away at your nearest emergency room.
What can cause a concussion?
The majority of concussions in children occur while playing sports; however, a traumatic injury or accident such as a car accident or bad fall can also leave your child dealing with a head injury. Some concussions may lead to a loss of consciousness, but most of the time this isn’t the case.
What are the warning signs?
Some of the most common symptoms of a concussion include:
- Tinnitus (ringing in the ears)
- Nausea and vomiting
- Dizziness or lightheadedness
- Loss of balance or unsteadiness
- Trouble with cognition, particularly attention, focus, and memory
A child may look dazed or slur their speech. They may also be more irritable and fussy, as well as sensitive to certain lights or noises.
If your child is alert and responds and acts normally these are often signs that the head injury is mild and probably won’t require emergency care; however, even if your child doesn’t require urgent care you should schedule an appointment to see your child’s pediatrician within the next 48 hours.
When is a concussion considered an emergency?
You should take your child to the ER right away if they develop these symptoms after a head injury:
- Persistent nausea or vomiting
- Loss of consciousness for more than 30 seconds
- A worsening headache
- Fluid draining from the eyes or ears
- Vision problems including dilated pupils
- Persistent tinnitus
- Weakness in the arms or legs
- Changes in behavior
- Slurred speech
- Trouble with coordination such as stumbling or falling
- Persistent dizziness or lightheadedness
If your child is showing signs of a concussion, we understand how scary this can be. Don’t hesitate to call your pediatrician right away, who can advise you as to what next steps to take.