Under 18?

For Healthcare Professionals

Caring for Teenagers

It is no secret that the teenage years can be difficult. Adding the responsibility of diabetes self-care can present its own challenges. This is an important time for the whole family—your teenager is eager to achieve independence in the world, but they still need your guidance and support.

It is important to understand that this condition can affect anyone at any age. Having diabetes means that you and your child will have additional responsibilities over the years, but that does not and should not diminish your child's quality of life. In fact, the added self-discipline may work in your child's favour.

Even though diabetes can be managed, it is a disease with potentially harmful immediate and long-term complications. It is important that your teenager understands that positive steps today may help make a significant difference in their health as they get older. This can be tough for teenagers to relate to—they may feel like they are living within strict limits and can not see the long term benefits.

To ensure that your child adopts the best possible self-care practices, take advantage of opportunities to educate the whole family. Encourage your teenager to get involved with other people with diabetes his or her own age—and find a parents' group for yourself.

Talking With Your Teenager

As this is an especially sensitive time, you cannot begin to guess what they are thinking, and you cannot expect them to know what is on your mind, so make sure you take every opportunity to talk openly about what is going on in their lives.

This is also the time to start talking to your son or daughter like an adult. You cannot just tell them what to do anymore—you have to negotiate rules and involve them in decisions about their self-care.

Tips for Caring for Teenager

• Choose words carefully. Do not call blood glucose readings "good" or "bad"; instead use “high,” “low” and “normal”
• When blood glucose is high, decide how to address it. Punishment is not appropriate and may lead to them not telling the truth next time. If a high blood glucose reading is the result of overeating, praise your teen for being honest about it. Talk about the benefits of good blood glucose control and create a plan for avoiding the problem in the future
• Do not make everything about diabetes. Remember to ask, "How was school today?" or "How was practice?"—not just "How was your blood glucose today?"
• Never let your teenager use diabetes as an excuse. Explain that if they try to use diabetes as a reason for acting out, it can just as easily be used as a reason to prevent them from doing things they want to do
• Share your concerns about long-term complications, but do not use them as scare tactics. This can backfire—your son or daughter may begin to believe that there is no use in taking care of their diabetes
• Let your teen talk privately with their healthcare professional. Not only will they be able to speak more candidly about issues on their minds, but taking direction directly from the healthcare professional can take some of the pressure off you
• Most important, consistent limits and discipline are essential for your teenager. Sometimes parents feel sorry for a son or daughter with diabetes and try to make up for it by being lenient in other areas. In the long run, this will not help—and may actually make it harder for your teenager to cope in the real world