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may have the mental capacity to test her own blood glucose levels, but lack the fine motor skills to do the job. However, even the smallest child can be empowered to take part in her diabetes care by reading a blood glucose monitor screen, unzipping a supply case, or choose an injection or testing site.

individual

emotional

physical

You know your child best, so use that knowledge to gradually introduce her to the different aspects of diabetes self-management at the appropriate time. It’s important to remember that children

children

at age four

Program. Overview of Diabetes in Children. (Accessed 2/19/08). Reviewed by Francine Kaufman

important part of the digestive system is the small intestine, which is lined with villi (say: vil-eye).

celiac (say: see-lee-ak)

someone with celiac disease, the body starts damaging and destroying the villi. Without villi, the body can't absorb vitamins

and nutrients from food.

Gluten

Many kids are diagnosed with it when they're between 6 months and 2 years old. It makes sense because, at this time kids are getting their first taste of gluten in foods. For some people, the problems occur gradually and the symptoms may be terrible one week and not as bad the next. Because of this, some people aren't diagnosed with celiac disease until they're older. The problem is chronic, which means that although symptoms may come and go, people who have celiac disease will always have it. Someone with celiac disease may feel tired and could be irritable. Some also have skin rashes and mouth sores. The problem is sometimes mistaken for other digestive problems called inflammatory bowel disease or lactose intolerance. And in some cases, a kid won't have any symptoms and then will all of a sudden start having problems during a time of stress, such as after an injury.