From Wednesday to Friday, the Silva familys life changed.    Zahmira Silva, then 7, had a teacher question whether frequent    requests to use the restroom could have other explanations than    just a desire to get out of class. Zahmira and her parents Rudy    and Shawn Silva made an appointment to see the doctor on a    Wednesday. The diagnosis: Type 1 diabetes.  
    I went home to search online and just scared myself, said    Shawn.  
    Overnight our world changed, Rudy said.  
    By Friday, Zahmira and her parents were in the hospital for a    five-day crash course of diabetes education and to get her    blood sugar under control.  
    Diabetes is a disease that affects how the body uses glucose,    the main type of sugar in the blood. Typically, bodies    naturally break down food into glucose. When the glucose level    rises, the pancreas makes the hormone insulin and releases it    into the blood. With diabetes, the body doesnt produce insulin    (Type 1) or cant respond to insulin properly (Type 2.) In    either case, with high blood sugar levels remaining in the    body, there can be complications.  
    Type 1 symptoms include increased thirst and urination,    constant hunger, weight loss, and blurred vision. Children also    may feel very tired. Type 2 symptoms are progress slowly and    include Type 1 symptoms but also frequent infections, slow    healing of wounds or sores, yeast infections or burning on    urination due to yeast infection. With extreme elevation of    glucose in the blood, there may be signs of severe dehydration    and coma.  
      The prevalence of diabetes along the U.S. Mexico border is      16.1 percent compared to 8.3 percent in the U.S. population      as a whole.  American Diabetes Association    
    One of the most common disease is school-aged children,    diabetes is still a terrifying diagnoses for a parent to hear    about their child. In 2012, about 208,000 young people in the    U.S. under the age of 20 were diagnosed with diabetes. Many    nationwide look to support groups to help navigate this life    change.  
    They taught us how to survive at the hospital, but having a    support group, thats where we learned how to live with it and    be smart about it, Rudy said.  
    For five years, the Southern New Mexico Diabetes Outreach has    had a support group specifically for children and adolescents    who have been diagnosed with Type 1 or Type 2 diabetes.    Established in 1998 by local health professionals and other    citizens, the organizers were dedicated to helping prevent and    manage diabetes affecting the community. Volunteers like    Beverly Estrada, the coordinator for the group, create a    special connection to the children and parents looking for    someone to talk to and learn from  Estrada herself was    diagnosed at the age of 5 with Type 1 diabetes.  
    The adjustment for the Silva family, who also have three older    sons, was hard, especially at first when they wiped their    pantry clean. However, they later learned through education    through the support group the wide variety of food they could    offer Zahmira.  
    Its not about deprivation, its about eating properly and how    to balance your plate, Estrada said.  
      Id tell them its not too bad because when you get older it      gets easier.  Zahmira Silva, diagnosed with Type 1 diabetes      at age 7    
    In the support group, she teaches parents and children about    counting carbohydrates such as breads, pasta and rice; and how    those can affect blood glucose levels.  
    Its also dealing with emotions, sometimes self-esteem takes a    hit, Estrada explained. No one like changes, because change    is never easy and there is nothing worse to be diagnosed with    something you may know nothing about.  
    She notes that diagnosis and journey that follows for the child    and family is not an easy one.  
      Shawna, Zahmira, 10, and Sabian Silva, at a warm up before      Zahmira's baseball game on May 15. With Zahmira's Type 1      diabetes diagnosis meant not only a lifestyle change for her,      but for her whole family. Support and education is key to      maintaining a healthy environment.      (Photo: Josh Bachman/Sun-News)    
    There (are) a million questions, she said. You might feel    like youre failing as a parent, and youre guessing, but come    out because there are so many in the same shoes walking this    journey. Educate yourself, embrace it and take it on and make    it your best friend.  
    Zahmira suggested a simple measure for other kids like her.  
    Id tell them its not too bad because when you get older it    gets easier, she said.  
    She also thought about how she handled the change in her life,    and admitted that she feels pretty normal.  
    You have two choices: you dont take care of it and the worst    happens, or you jump in with both feet, Rudy said. And I feel    the proudest of her answer, that she does feel normal.  
    Cassie McClure is a freelance writer and may be reached at    cassiemcclure@gmail.com.  
     About 208,000 Americans under age    20 have been diagnosed diabetes, approximately 0.25 percent of    the population.  
     From 2008 to 2009, the annual    incidence of diagnosed diabetes in youth was estimated at    18,436 with type 1 diabetes, 5,089 with type 2 diabetes.  
     According to the Centers for    Disease Control and Prevention, as of 2012, there are 8.1    million people undiagnosed with diabetes.  
     25.8 million: The estimated    number of children and adults that have diabetes which is 8.3    percent of the population  
     79 million: The number of    Americans with prediabetes  
     The prevalence of diabetes along    the U.S. Mexico border is 16.1 percent compared to 8.3 percent    in the U.S. population as a whole.  
     Hispanics are 1.7 times as likely    to have diabetes when compared to non-Hispanic whites.  
    Source: American Diabetes    Association  
     Southern New Mexico    Diabetes Outreach has a support group for elementary-,    middle- and high school-age youths from 6 to 7:30 p.m. the    first Tuesdays of each month at MountainView Senior Circle    Association, 3948 E. Lohman Ave., Suite 1 (behind Walgreens).    Snacks are provided. Parents/guardians are required to attend.    Children under five are also accepted when diagnosed.    Info: 575-522-0289, snmdo.org and snmdo@snmdo.org  
     El Paso Diabetes Association has    two opportunities for children and adolescents with    diabetes:  
    Info: epdiabetes.org,    info@epdiabetes.org and 915-532-6280  
     The American Diabetes    Association has a section just for kids with diabetes    and their parents, including how to have discussions with your    children and strategies for parents together:    Info:www.diabetes.org/living-with-diabetes/parents-and-kids  
     Children with    Diabetes highlights the stories of other children with    diabetes and tips for parents Info:www.childrenwithdiabetes.com  
    Myth: People with    diabetes should eat special diabetic foods.  
    Fact: A healthy    meal plan for people with diabetes is generally the same as a    healthy eating for anyone  low in saturated and trans fat,    moderate in salt and sugar, with meals based on lean protein,    non-starchy vegetables, whole grains, healthy fats and fruit.    "Diabetic" foods generally offer no special benefit. Most of    them still raise blood glucose levels, are usually more    expensive and can also have a laxative effect if they contain    sugar alcohols.  
    Myth: Eating too    much sugar causes diabetes.  
    Fact: The answer    is not so simple. Type 1 diabetes is caused by genetics and    unknown factors that trigger the onset of the disease; Type 2    diabetes is caused by genetics and lifestyle factors.  
    Being overweight does increase your    risk for developing Type 2 diabetes, and a diet high in    calories from any source contributes to weight gain. Research    has shown that drinking sugary drinks is linked to Type 2    diabetes.  
    Myth: People with    diabetes can't eat sweets or chocolate.  
    Fact: If eaten as    part of a healthy meal plan, or combined with exercise, sweets    and desserts can be eaten by people with diabetes. They are no    more "off limits" to people with diabetes than they are to    people without diabetes. The key to sweets is to have a very    small portion and save them for special occasions so you focus    your meal on more healthful foods.  
    Source: American Diabetes    Association  
Excerpt from:
Growing up with diabetes - Las Cruces Sun-News