Taking Care of Diabetes

This article originally appeared in Star Chronicle, a newsletter published for the Children's Medical Center.

 
Millie Manning, pictured second to left with members of the Diabetes Clinic team, is a 16-year-old from Northborough with type 1 diabetes. She leads an active life that includes hockey, dancing and singing thanks to an insulin pump.
Millie Manning, a 16-year-old from Northborough, was diagnosed with type 1 diabetes more than six years ago. Her mother noticed Millie having unusual symptoms such as rapid weight loss and excessive urination, so she brought Millie to her pediatrician. The doctor tested her blood sugar and sent Millie to UMass Memorial endocrine team where she has been a patient ever since.

A few years later, Millie, who leads a very active lifestyle, heard of the insulin pump and suggested to her parents and doctor that she have one. "The pump has made my life so much easier," Millie says.

The pediatric endocrinology staff works with hundreds of children who have diabetes or other endocrine disorders. The multidisciplinary Diabetes Clinic is the only American Diabetes Association approved program for children in Central Massachusetts. According to Leslie Soyka, MD, "We offer nutritional, social and psychological support for children in addition to assessing and treating them. We work with each patient so that they can lead as close to a normal lifestyle as possible."

Diabetes in children, even infants and toddlers, is on the rise. Caring for them has its challenges." There is a safety concern, as young children can't express how they are feeling when their blood sugar is too low. We help parents learn how to read subtle signs and recognize how their child looks when the glucose level has dropped," Dr. Soyka says. The other concern is eating. This age group is known for picky eating, so parents may have to count carbohydrates and balance insulin dosages with food intake.

"We are staffed to provide comprehensive care for children," says Mary Lee, MD, director of pediatric endocrinology." Our division is working hard to enhance our services by building new programs, setting up community outreach clinics and engaging in research projects that will help optimize care for children with diabetes and growth problems."

The division has expertise in caring for children not only with diabetes, but also with routine and rare endocrine disorders. It also evaluates children with excessive weight gain for underlying hormonal imbalances or associated problems. In addition, the division collaborates with the Clara Barton Diabetes Center in North Oxford, MA, to provide medical leadership for its camp and educational programs.

According to Dr. Lee, "The UMass Memorial Pediatric Endocrinology Division is a leader in caring for children with endocrine disorders in Central Massachusetts. Since we are a full service clinic, parents can get the excellent care they need for their children close to home."