Understanding Children's Diabetes Beware of 'Three Mores and One Less'

"After reading the "Healthy All the Way" Children's Walk, Pediatric Experts Small Classroom column published by our newspaper, I feel that I have benefited a lot. I want to know the relevant knowledge of childhood diabetes, and I hope the reporter can help and consult relevant experts." Recently, a citizen called this book. Report to the news hotline and consult the relevant knowledge of childhood diabetes. On June 17, the reporter interviewed Feng Limei, deputy director of the Pediatrics Department of Zibo Maternal and Child Health Hospital.

The "incentive" of childhood diabetes is complicated and difficult to determine

"Although the incidence of childhood diabetes is relatively low, the onset patients are distributed in all age groups, and the disease is accompanied by life-long diseases. It is still difficult to cure." Feng Limei said that childhood diabetes is an endocrine and metabolic disease caused by insufficient insulin secretion. Clinical symptoms Manifested as polydipsia, polyphagia, polyuria and weight loss.

The interaction between genetic factors, immune function or external environment may also be an important factor in the induction of diabetes in children. For example, if a parent has diabetes, the child may carry a genetic susceptibility gene. If the autoimmunity is low, the islet cells are damaged, and once infected by a virus in the external environment, it is more likely to induce diabetes. If a child unfortunately suffers from diabetes, if they cannot seek medical treatment in time, the blood sugar will remain high in mild cases; in severe cases, long-term complications may occur, such as eye disease and kidney disease caused by diabetes, and in more serious cases threaten the life of the patient.

Childhood diabetes treatment Stabilizing blood sugar is key

“Most of the children’s diabetes is type 1 diabetes (aka insulin-dependent diabetes or juvenile diabetes), and they are prone to diabetic ketoacidosis. Because children develop more quickly than adults, they should be more vigilant. When there are symptoms of polydipsia, polyphagia, polyuria, weight loss, 'three more and one less' symptoms, as well as lack of energy, vomiting and other symptoms, parents should take their children to the hospital for medical treatment in time." Feng Limei said that although children with diabetes are currently "to a certain extent" It is preventable and controllable”, but in the medical community, its pathogenesis is still unclear.

"To treat diabetes in children, controlling blood sugar is the key." Talking about the treatment method, Feng Limei said: "The specific treatment method of diabetes needs to be determined according to the severity of the disease. If the child is diagnosed with severe ketoacidosis, immediate rescue is required. If there is no poisoning or the condition is mild, insulin can be used to further control blood sugar." The reporter learned from Zibo Maternal and Child Health Hospital that the current insulin therapy used in the hospital has been "improved". In addition to using fast-acting and long-acting insulin, it also The patient was treated with an advanced insulin pump.

The pediatrician of Zibo Maternal and Child Health Hospital is on rounds.

Children's diabetes prevention and control cooperate with each other to protect growth

Although childhood diabetes cannot be completely cured, scientific prevention and control can still reduce the risk of the disease.

Feng Limei suggested: "Injecting insulin, monitoring blood sugar regularly, controlling diet reasonably and ensuring appropriate exercise can have a certain effect on the prevention and treatment of diabetes in children." The normal blood sugar content of healthy children should not exceed 7mmol/L on an empty stomach and should not exceed 7 mmol/L after meals. 11.1mmol/L, if the blood sugar value has been high after multiple measurements, it may be diabetic. If the child unfortunately already suffers from diabetes, in addition to regular insulin treatment, parents should pay more attention to the child's daily diet. "It is necessary to supervise children to develop a good habit of not eating snacks. Usually, they can also bring sugar cubes or sugar-free biscuits. If children suddenly experience low blood sugar, they should also add appropriate sugar in time." Feng Limei said.

This newspaper appeals that parents should be vigilant about their children's daily performance. If their children have symptoms such as "three more and one less", they should go to the hospital as soon as possible to test urine and blood sugar, and take the right medicine for timely treatment.

(Dazhong Daily Zibo Rong Media Center reporter Wang Lili correspondent Song Tianyin Zhang Gefan)