The characteristic feature of Children Affected by Diabetes Type I and II as well as How to Take care of him

The characteristic feature of Children Affected by Diabetes Type I and II as well as How to Take care of him


Faiz, 6-year-old boy, looked like other children his age, agile and active. But last year, he had made his parents anxious.

"Initially we thought there was a problem when she started to like to eat and drink often. But, when she still weighs 11 pounds, belly, and began to frequent wetting, but not so long ago, we started to worry, "said M. Novianto Arif, Faiz's father, in a media seminar on early detection of diabetes in children, last week.

Arif Faiz sanctions when doctors diagnose lung disease. Arif half forcing doctors to perform blood tests. "The doctor raised their hands when the blood sugar test results Faiz reached 270 before meals and 450 after meals," said Arif, an event organized Indonesian Pediatric Association (IDAI) and the World Diabetes Foundation. Safe blood sugar levels are 100-140 mg / dl.

"In the large family had blamed each other so called Faiz type I diabetes," says Arif. In fact, according to endocrinologist Dr. Aman Bhakti Pulungan child, SpA (K), guest speaker at the event, type I diabetes mellitus (DM type I) is no longer obey the rules of descent, which only occurs in 10 percent of cases. Metabolic diseases is partly also due to suspected autoimmune diseases, viral infections, pancreatic cells are damaged, or the body can no longer produce enough insulin.

"Even an asymptomatic or why is unknown," said Dr. Aman, who is also caring for Faiz. Safe refers to other patients, Arman Maulana Azhar, 18 years, adolescents living with type I diabetes mellitus who were diagnosed since elementary school class V.

Type I diabetes mellitus is a systemic disorder that occurs due to metabolic disorder characterized by chronic hyperglycemia, which involves damage to the insulin-producing cells in the stomach or pancreas saliva in charge of maintaining the balance of blood sugar.

At one point, according to Dr. Aman, is more important to find a solution how to handle children with diabetes mellitus type I selected this, as well as gained the attention of children with diabetes mellitus type II. "Because, if that type II is still no drug that can be consumed, the type I insulin dependent," said Dr. Aman.

"The government is not without attention to the needs of this type I diabetics. But we also expect no movement from the community to participate in addressing this issue, "said Dr. Ekowati Rahajeng, SKM, M. Kes, Director of the Control of Communicable Diseases, in his speech.

"Tackling chronic disease is severe for developing countries, like Indonesia, because it is also still dealing with the problem of infectious diseases," said Dr. Badriul Hegar, SpA (K), PhD, chairman of Indonesian Pediatric Center. Based on the data collection during 2008-2010 Unit Working Group on Children Endiokrinologi IDAI, a total of 674 children suffering from type I diabetes mellitus in Indonesia.

Regardless of the severity of the costs, Dr. Aman is also concerned about the high number of errors and delays in diagnosis in children with diabetes type I. This occurs because the awareness and knowledge about the society that is still low DM type I. Besides the possibility of hypoglycemia or hyperglycemia, children with type I diabetes may develop diabetic ketoacidosis.

"Like Faiz, Arman also had experienced ketoacidosis should be treated to six times," said Dr. Aman. Ketoacidosis is a condition when blood sugar levels rise uncontrollably, causing the body to form substances ketone byproduct. Ketones cause the blood to become acid that poisons the brain so the patient consciousness disappears. The attack was initially started shortness of breath, vomiting, abdominal pain, kidney damage, cataracts, heart, and coma and death.

A person with type I diabetes must take a "report card" every three months. "During the HbA1C blood tests, can survive under a figure eight can be said they are almost normal," said Aman. "The point is, do not forget to check blood sugar levels."

Utami Widowati
Beware if the child:
-Eat a lot of weight but not increase.
-Frequent thirst.
-Frequent urination. At night all of a sudden incontinence, although previously never again since growing up.
Quick-tired.
Child's breath smelled of acetone-or acid.
-Easy to fungal infection of the skin.
-Blurred vision.
-Vomiting and abdominal pain.

The four pillars of the handling of type I diabetes mellitus in children:
-Insulin by the number of regular and measurable.
-Settings diet, type, and amount.
-Sports.
-Monitoring of routine.
-Education for children, parents, families, and communities in the child's environment.