Juvenile Diabetes rising in India

Diabetes means "flowing through "and mellitus means "sweet as honey".

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Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin, a hormone needed to convert sugar (glucose) into energy. Although type 1 diabetes can develop at any age, it typically appears during childhood or adolescence.

Type 1 diabetes has no cure. But advances in blood sugar monitoring and insulin delivery have simplified the daily routine of managing type 1 diabetes. With proper treatment, people who have type 1 diabetes can expect to live long, healthy lives.
Progress of the childhood diabetes:
Diabetes in children progresses through certain definite stages: In the first stage: The disease may appear at the very early age. It deteriorates very rapidly and may be admitted in comatose state. Five years old girl was admitted in coma when it was diagnosed as diabetic ketoacidosis with plasma glucose level over 600mg%. At the discharge, the child is stabilized to the extent, that he is outwardly free from his symptoms of polyurea, polydipsia and lethargy.
In the second stage: There is a period when the child's insulin requirement is less than dose prescribed at the time of discharge from the hospital. This is called "honey-moon period" or "remission period". This stage means that his beta cells are still producing some insulin, but is not sufficient enough to keep the child free from diabetes. Only one dose insulin in the morning is sufficient to lower the blood glucose level under control for the whole day. This period lasts for months or years.
In the third stage: Beta cells stop secreting insulin. The blood sugar control is totally dependent on exogenous insulin and the insulin requirement rises. Fourth stage is puberty: To control of diabetes at this stage is very difficult for a number of both physiological and emotional reasons. The more problems are faced with girls. Insulin requirement is more in adolescence.
Usually if diabetes appear at the age of ten or eleven, there may not be the stage of stage of "honey - moon period". Third and fourth stage comes very quickly. Some children never show a clear " honey-moon period"
LONG TERM VIEWS OF THE CHILDHOOD DIABETES
School performance:- Intellectual performance of the diabetic child is normal or slightly. Probably, the disease makes him more conscious than others. Usually the good school performance is not observed with the depressed children may be because of lack of family supports .
Sports & Occupation
The diabetic child can join any kind of sport provided they are properly educated, such as taking a little extra carbohydrate before participating any sport. They should join the armed forces or drive any vehicle including plane where lives of so many people are at risk. Professional careers are suitable for the diabetic children.
Marriage
There is no bar to marriage. The diabetic should not choose another diabetic as his life partner where chances of diabetic offspring are more than the non-diabetics .

Juvenile DiabetesType 1

Juvenile DiabetesType 1

Sunday, July 27, 2008


















HYPOGLYCEMIC ATTACKS
An insulin reaction (hypoglycemia) is a potentially serious side effect of diabetes management. It results when the level of glucose in the blood falls to an abnormally low level. When hypoglycemia is mild, the person with diabetes is able to recognize the symptoms of a falling blood glucose level and treat it. More severe hypoglycemia can occur suddenly and may result in the patient losing consciousness or having a seizure. This type of hypoglycemia is a medical emergency.
The following signs and symptoms often accompany mild hypoglycemia:

  • Anxiety
  • Tremors or shaky feelings
  • Sweating or warm feeling inside
  • Hunger
  • Nausea
  • Rapidly beating heart
  • Mental confusion or difficulty concentrating
  • Dizziness
  • Headache
The following signs and symptoms often accompany more severe hypoglycemia:

  • Slurred speech
  • Disorientation
  • Confusion and irrational behavior
  • Loss of consciousness
  • Seizures
The treatment for hypoglycemia is glucose to raise the blood sugar to a normal level. If the patient is awake and alert, food or drink that contains about 15 to 20 grams of carbohydrate can be offered. Good choices include 6 ounces of fruit juice or cola product, about seven Life Saver® candies, 14 ounces of milk, or four glucose tablets. After ingesting one of these foods, it will take about 10 to 15 minutes for the blood glucose level to rise.
Severe hypoglycemia that renders a patient unconscious usually must be treated with injections of glucose. Some people with diabetes carry an injection kit that contains glucagon, which makes the liver release glucose. A family member or friend can give this injection, at home or wherever the reaction occurs. If the person with diabetes does not wake up after the glucagon injection, the paramedics must be called to transport the person to a hospital. If glucagon is not available or does not raise the blood sugar enough, emergency personnel will give an intravenous injection of concentrated glucose to produce a rapid rise in blood sugar.
DCCT has proved that hypoglycaemic attacks are frequent with well controlled diabetic children. In normo-glycaemic state a delayed meal or unexpected exercise will invoke a hypoglycemic attack. On the other hand, frequent severe frequent attacks indicate poor control.
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