[Previous Months][Date Index][Thread Index][Join - Register][Login]
[Message Prev][Message Next][Thread Prev][Thread Next]
Re: [IP] check-ups
The guidelines I published can be modified for children. Certainly the timing
for HgbA1C, blood tests (lipid, chemistry, urine), and eye exam should be the
same. They probably check her B/P and other basic vital signs at each visit.
There are many pediatricians who favor checking lipid profiles in children
who are obese, or with a strong family history of heart disease, even if they
do not have D. If a child has D it makes sense to check them for possible
complications at the same timing intervals, (although their youth probably
does offer some protection for a longer period than an adult).
As for the feet, I try to remind my daughter to check her feet every day to
get her in the habit now. If a person with Diabetes has full feeling in
his/her feet, then chances of a sore or infection getting overlooked are low.
The doctor/nurse should do a thorough foot exam once a year which includes
testing for loss of feeling. The foot inspection I listed every visit is
really a visual check for sores or infections, etc.
I would be sure to try to at least get a baseline dilated eye exam, with
retinal photos, and a lipid profile by the time of her 5th anniversary date
My daughter, 14 and diagnosis 3/97, just had her 1st eye exam and she has
tortuous vessels in her retina already. Although this may be a normal variant
(the opthamologist said "we see that in diabetics and some people without
diabetes"),as a medical professional I am aware that it is also associated
with "older" blood vessels.
I was certainly glad my insurance allowed us to get this exam even though she
had not reached her 5 year mark yet. I wish I had a baseline retinal photo
though to compare.
Sorry I got carried away with the answer. Just a mom to mom concerned about
our children answer.
So yes, I would push the insurance company.
Joann (mom to Cara age 14)
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
send a DONATION http://www.Insulin-Pumpers.org/donate.shtml