At the end of last year, the four-year-old Sisi drank too much water, eats more, and urinates. At first, parents thought that their children were in the stage of growing their bodies. Eating more and drinking more was good. At the beginning of the year, Sisi went to our hospital for a health checkup. If you don't know, you will be diagnosed with diabetes. The blood sugar level was as high as 29.5 mmol / L. Fortunately, the blood sugar level was stable after early treatment by the doctor.
When it comes to diabetes, people's first reaction is one of the chronic diseases most commonly suffered by middle-aged and elderly people. However, there is a group that is often overlooked and that is children. According to the survey of relevant data, the overall proportion of children with diabetes in China has risen to 15% -18% in recent years. And this proportion is still rising.
Major symptoms of diabetes in children
Diabetes in children is mainly type 1 diabetes and type 2 diabetes. Most children with type 1 diabetes have acute onset of symptoms such as polyuria, polydipsia, polydipsia and weight loss (ie "three more and one less" in the case). However, it is not easy for children to eat more and drink more. Most parents think that they are not in the stage of growing up. Older children may also have symptoms such as weight loss, lack of energy, and fatigue.
Improper treatment may cause various chronic complications such as delayed growth and development, delayed puberty, and even diabetic retinopathy, diabetic nephropathy, cardiovascular and cerebrovascular disease, neuropathy, and diabetic ketoacidosis, which increase the economic burden on the family and reduce the quality of life.
How to prevent diabetes
In the outpatient clinic, many parents encountered this misunderstanding:
Misunderstanding 1: I feel that the blood glucose control is good recently, so I reduce the drug or even stop it, which may lead to lack of insulin and ketoacidosis. Misunderstanding 2: Some parents of children with diabetes do not want people around them to have a discriminatory or unusual attitude toward their children. They choose to conceal their children's diabetes from the people around them. Dr Yuan, an endocrinologist in our hospital, said: This attitude is wrong. First, concealing the condition has negative psychological implications for the child, and second, in case of sudden illness, such as children with diabetes prone to hypoglycemia, etc., emergency treatment is needed. Because the surrounding people do not understand the condition, they may miss the opportunity for treatment. With serious consequences.
Dr. Yuan of the Department of Endocrinology of our hospital suggested that parents should have a correct understanding of children with diabetes, first face diabetes and face it bravely, and encourage children to adhere to the correct treatment under the guidance of a doctor and live like a normal person. Moreover, a large number of facts have also confirmed that as long as the correct treatment, coupled with diet control and moderate exercise, children with diabetes can not only grow up healthy, but also maintain a good quality of life.
Type I diabetes, which is insulin-dependent diabetes, is mainly caused by genetic genes, viral infections, immune factors, and environmental factors, and some are part of autoimmune diseases. Children with diabetes must be treated with insulin, and the insulin pump is currently the most advanced and ideally controlled drug. It is recommended to monitor blood glucose regularly and follow up regularly, while achieving balanced diet, regular life, and moderate exercise. With the improvement of living standards, the number of children with type 2 diabetes, that is, fat mass, has also increased dramatically. In addition to genetic factors, unreasonable dietary structure, long-term intake of high-fat, high-calorie diets, obesity, and insufficient physical activity are the main causes of type 2 diabetes in children.
Methods of treating children with type 2 diabetes: In addition to cooperating with doctors' medication, the first thing is to develop a good lifestyle and eating habits. Parents should let their children develop a balanced eating habit from childhood. Thickness, vegetarian diet, and less oily High-fat, high-sugar foods, strictly control cholesterol intake, such as animal offal, crab yellow and so on. Do not eat too salty foods, eat more vegetables, cereals and other fiber-rich foods.
In addition, you should actively exercise: especially for children who are overweight, it is recommended that regular participation in appropriate physical activities can reduce weight and enhance cardiovascular function, thereby preventing diabetes and its complications. Experts suggest that diabetes cannot be cured at present. Only by believing in science and persisting in treatment can we stabilize the condition and have a good quality of life. Children need comprehensive treatment according to the needs of individuals and families, including drug therapy, diet therapy, psychopsychiatric treatment, and regular follow-up to detect the condition, screen for complications, and improve quality of life. For children with obesity and family history, it is recommended to have blood glucose check regularly to prevent early treatment and prevent illness.
Introduction to Endocrinology
The Department of Endocrinology of Quanzhou Children's Hospital integrates medical treatment, scientific research, and teaching. There are 7 medical staff with intermediate and senior titles. The backbone of the department are in the pediatric hospital affiliated to Fudan University, the children's hospital affiliated to Capital Medical University, and the children's hospital affiliated to Zhejiang University. There are 17 hospital beds for further study and academic exchange.
For children with chronic diseases, the department has designed a set of complete patient management processes, from admission screening, in-hospital education, and discharge follow-up, to continuously follow up the health status of the children. Establish seamless communication with the children's families to achieve the best treatment results.
Department Phone: 0595-22288933
The Department of Endocrinology conducts the diagnosis and treatment of diabetes, gonadal diseases, growth and development disorders, obesity, metabolic diseases, adrenal diseases (such as hypercortisolism, hyperaldosteronism), and parathyroid disease.
Outpatient location: Room 20 on the second floor of Building 7
Outpatient time: Tuesday, Friday afternoon, Saturday all day, Sunday all day