The Challenge of Childhood Diabetes: Family Strategies for Raising a Healthy Child Review

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The Challenge of Childhood Diabetes: Family Strategies for Raising a Healthy Child ReviewThis book, I think, is intended for families with children newly diagnosed with type 1 diabetes and their friends. Having a child with Type 1, I have been through many of the ups and downs described in the book. The most valuable part of the book is Plunkett's demonstrating, through her family's story, how unpredictiable, inscrutable, and frustrating managing type 1 diabetes can be. Understanding that you don't just get your doses right and then sail through with even blood glucose is something it took me over a year to realize. This book could make you feel that you're not alone in this aspect of diabetes management. However, much of this book could be alarming to parents trying to manage a newly diagnosed child. For example, she describes at length her efforts to extend the honeymoon period of her son's disease. This part might sow seeds of doubt-- should readers also seek out an acupunturist, do reflexology? Most diabetes health care professionals would probably say no -- there has been no clear medical evidence that such terapies help-- but this book pretty clearly advocates for alternative medicine. Moreover, she conveys a sense that less insulin = good and more insulin = bad. Here's a typical quote: "The day before his first acupuncture treatment, Danny had had three shots and a total of fifteen units of insulin. A week after the treatment, he was on one shot of 6 units!" This is an unhealthy way to view the disease. Finally, most of this book concerns managing a child using multiple daily insulin injections, an approach that fewer families adopt now, as more and more children are using insulin pumps. Management changes considerably with insulin pumps, making many of the lessons learned/ challenges described in this book less valuable to someone looking to glean tips for managing thier own or thier child's condition. In the final chapter, Plunkett even admits that : "Our transition to the pump in the third year of Danny's illness transformed the rhythms of our family in so many ways that its hard to explain why we waited so long." The third part of the book consists of a "Survival Guide for parents", which contains lists very similar to what most health care providers or advocacy group give out for free -- e.g., supplies needed, tips for "self care", and meal suggestions. This might be useful for families who do not have a good medical team, but most of the content will likely already have been given to anyone newly diagnosed.

BOTTOM LINE:
Plunkett's portrays the whirlwind of managing type1 diabetes with honesty and warmth, however, her focus on extending the honeymoon period, using alternative medicine, and reducing the amount of insulin doses could cause even more anxiety in those new to diabetes and its management.The Challenge of Childhood Diabetes: Family Strategies for Raising a Healthy Child Overview

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