Watch for children with diabetes

Suddenly drinking a lot, eating a lot, urinating a lot, losing weight may be a sign that your child has diabetes. In the South, children often have type 1 diabetes, but in the North there are a few cases of type 2 diabetes - a common disease in obese adults.

Any age is available

Patients Phan Thi Thanh Hai suffered from diabetes for 11 years (Photo: L.TH.H) In mid-April, at the Department of Kidney Hospital (BV) of Ho Chi Minh City, there were three patients (patients) with diabetes. Type 1 sugar is being treated. BN Phan Thi Thanh Hai (born in 1992, Binh Duong) was ill for 11 years, and treatment was irregular, so she was at a stage of complications. The child is small and weak like children 7-8 years old. Every 10 to 15 minutes, she pulls her urinals again.

Thanh Hai younger sister Phan Thi Thanh Hong (1996) also has diabetes who is treated at home. At the hospital, two patients were newly sick, hospitalized for treatment in early April. Parents of these patients said that when they first got sick, they all suddenly ate like being "haunted", asked to drink continuously and urinate about 15-20 times / day.

Dr. Nguyen Thi Thuy An said that diabetes is a metabolic form, consisting of two types: type 2 diabetes - non-insulin dependent, insulin-resistant status, common in well-behaved adults obesity, dyslipidemia, or atherosclerosis, very rare in children. Type in children is type 1 diabetes - insulin dependent.

About 50% of children with type 1 diabetes start before age 20. The disease occurs at any age, but the onset of disease is usually around 5-7 years of age or puberty. Type 1 diabetes in children is on the rise. In 2004, the renal department received 25 turns of patients admitted to hospital, and by 2005, there were 38 patients. Currently, the department is managing and treating 58 patients for regular re-examination.

When the disease starts, children often show signs of heavy drinking, excessive urination during the day, from thin children, weight loss, fatigue. Many children suddenly urinate, or not urinate tonight, many times. When the test shows, the blood sugar is high, there is sugar in the urine. There are patients who develop a disease that occurs faster, accompanied by complications because the body has an infection or injury .

At that time, children may have abdominal pain, vomiting, signs of mild to severe dehydration. More severe than children can suffer from cardiovascular collapse, respiratory disorders, exhalation with acetone, if not treated promptly can lead to coma and death. Sometimes manifestations may be other chronic complications such as susceptibility to infection, fungal infection, long-term healing or cataract.

Patient treatment

According to Dr Thuy An, although current medicine has not completely cured type 1 diabetes, if it is able to control blood sugar stably, patients can still live, study or exercise sports. However, if it is not easy to monitor and control the disease, there are complications: retinopathy, proteinuria and slowly lead to kidney damage, high blood pressure, lipid disorders, vascular disease, pathology. nerve.

Depending on the duration of the disease, the doctor will give an eye examination, urine test, electrocardiogram, blood fat test . to detect and monitor complications. Patients should not quit treatment but should follow the doctor's instructions, monitor blood sugar at home. Blood sugar should be tested more often when children are sick to avoid more serious complications.

Doctor Nguyen Thi Hoa - Head of Nutrition Department, Children's Hospital 1 - said obesity in children also increased. In addition to the current complications, obese children will later become obese adults along with its complications. At Children's Hospital 1, 786 times in 2000, the patients came to obesity examination, last year there were 2,202 times. Many studies show that type 2 diabetes in children increases in parallel with obesity.

Some studies in foreign countries and in the country show that obese children have higher insulin levels than normal children. This means that when children enter adulthood there is a higher risk of type 2 diabetes. Research on 330 obese children to treat at Children's Hospital 1 also showed that 18.3% of patients with blood sugar disorders, of which 12.2% of children have high blood sugar levels.

To prevent type 2 diabetes in adulthood, right from childhood, being obese, the family needs to keep the following eating principles for children: absolutely not fasting; drink a glass of water, eat soup or a vegetable plate before meals; should eat more in the morning, eat slowly chew, eat plenty of fiber (vegetables, fruits .); restricting dinner, eating fried and roasted dishes .; walking, jogging; playing sports, aerobics; need to practice more regularly 3-4 times / week, the intensity increases from slow to fast, from less to more, slowing down slowly at the end of the training session, the training time is 20-30 minutes / time.

LE THANH HA

More than 10 years of age have had type 2 diabetes

Director of the Central Hospital of Endocrinology Nguyen Van Binh said: "In European countries, 80-90% of people with type 2 diabetes are related to obesity. In Vietnam, there is no specific investigation yet but they are I have discovered an 11-year-old obese patient leading to type 2 diabetes. Currently, Vietnamese people with obesity are lower than rates in many countries around the world, but the next period will be different. This is due to inappropriate diet and exercise leading to excess energy, then quality of food hygiene and safety (Vietnamese people eat a lot of fried dishes, then fry over .) While Obesity not only leads to diabetes but also to cardiovascular disease ".

Meanwhile, Ms. Nguyen Thi Hoan - head of the Department of Endocrinology, Genetics and Metabolic Disorders (Hospital of Pediatrics) - said that at present, the Children's Hospital is treating three pediatric patients more than 10 years old. According to Hoan, many countries around the world have found obese children with type 2 diabetes at the age of 8 years, and cases detected at the National Hospital of Pediatrics over 10 years old.

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