While no child’s experience is exactly like another's, below is a general idea of what you will experience when your child has her first appointment in the Type 2 Diabetes Programat Boston Children’s Hospital.
What to bring to your first appointment
Please bring the following items if you have them:
- List of current medications
- Medical records from other institutions including growth charts and any recent laboratory tests
- Any medications (like insulin) or equipment (such as a blood glucose meter) your child currently uses
- Diabetes logbook or diary if your child has one
- Contact information for any providers your child is seeing (physician, dietitian, specialists).
How it works
Your initial appointment at Boston Children’s may include:
Medical evaluation and management
An expert pediatric endocrinologist will evaluate your child to identify any underlying medical conditions (such as a hormone problem) that may be contributing to problems with weight management and insulin resistance, as well as potential complications (including high cholesterol or gastrointestinal disease).
This examination includes:
- A comprehensive personal and family history
- A physical examination
- Laboratory tests
- Diabetes education and management
The purpose of this evaluation is to develop a diabetes treatment or prevention management plan, which may include dietary modification, oral medication or, in some cases injectible insulin[RE1] [CM2] , and to check your child for potential complications (including high cholesterol and gastrointestinal disease).
You and your child will meet with one of our registered dietitians to complete an analysis of your child’s diet. Afterwards, you’ll receive an meal plan made just for your child, advice on how best to start your recommended plan andtips about how to stick to it. We frequently prescribe a “low glycemic index” diet to help stabilize changes in blood sugar after eating, and thereby help control excessive appetite.
It’s also important to focus on increasing your child’s motivation to eat better and get more exercise. In the Boston Children’s Type 2 Diabetes Program, we use a combination of short-term individual and family psychotherapy sessions to help with this. These treatments may also help your child cope with the emotional stress associated with being overweight and/or having type 2 diabetes.
On our For Patients and Families site, you can read all you need to know about:
- Getting to Children’s
- Navigating the hospital experience
- Resources that are available for your family
- Information about insurance and billing