Children With Diabetes, Things To Know
Pediatric diabetes (diabetes mellitus) is an uncommon endocrine disease like adults. About 90% of diabetes is type 1, the rest is type 2 diabetes, commonly seen in overweight and obese children or in other obesity syndromes such as HC Prader-Willi, Laurence –Moonbiedl ...
The cause of diabetes in children is often due to genetic factors and autoimmune inflammation destroy the structure of pancreatic cells, reducing insulin production, causing chronic hyperglycemia (DH).
Therefore, insulin replacement therapy is required and as soon as the diagnosis of diabetes is diagnosed as soon as possible.
Diabetes patients are not allowed to take traditional medicine or traditional remedies of adults, if not treated with insulin, children will suffer from blindness, kidney failure or ketoacidosis leading to death.
How to know if a child has diabetes?
To confirm whether a child has diabetes, accurate tests and diagnoses are needed to avoid wrong treatment
At the early stage, there is no clinical manifestation: Because there is no clinical manifestation, the disease can only be detected during examination and doing tests to diagnose and prevent the disease in the future.
Diabetic stage: This is the period when the symptoms have two clinical features are:
Sudden onset and acute: severe urination, excessive drinking, dehydration, Kussmaul breathing disorders, ketoacidosis and coma.
Start slowly: urinate a lot, drink a lot, eat a lot and lose weight over a few weeks or months. Accompanied by other symptoms such as persistent bedwetting, abdominal pain, vomiting, recurrent genital infections and skin, fatigue, decreased concentration during school.
Children should be tested for blood glucose & urine to detect diabetes when having diabetes, drinking a lot and losing weight.
Stage of partial "honeymoon" remission: Patients do not need exogenous insulin because of blood glucose, normal HbA1C, low insulin requirement <0.5 u / kg / day. About 30-60% of children have a remission period after 1-6 months of starting insulin therapy
In the period of permanent diabetes, all beta cells are destroyed, total insulin deficiency: Excessive urination, drinking a lot, eating a lot, losing weight, tiredness, vision loss, dehydration and possibly diabetic ketoacidosis. Characteristics: uncommon in children under 1 year of age, the incidence increases with age and often has diabetes when puberty is 10-14 years old.
The goal to be achieved when treating insulin in children is to ensure that the University is stable within the permissible limits of 4-7 mmol / l during the day and 4-9 mmol / l at night. HbA1C <7%; children gain weight to go to school; normal physical and sexual development; Limiting complications that occur during treatment. Therefore, it is necessary to have very strict medical examination and treatment plans for children. Diet for children with diabetes The diet of children with diabetes is not strictly controlled as adults, because the developing young body needs to eat enough food to ensure growth and growth during puberty and adolescence, but glucose control is required. Stable blood..
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