Diabetes is stressful for both children and their families. Parents should be alert for signs of depression or eating disorders or insulin omission to lose weight and seek appropriate treatment. While all parents should talk to their children about avoiding tobacco, alcohol, and other drugs, this is particularly important for children with diabetes. People with diabetes who smoke have a greatly increased risk of heart disease and circulatory problems. Binge drinking can cause Page 314 | Top of Articlehyperglycemia acutely, followed by an increased risk of hypoglycemia. The symptoms of intoxication are very similar to the symptoms of hypoglycemia and thus may result in delay of treatment of hypoglycemia with potentially disastrous consequences.