Diabetes: A child who drinks and urine much must consult

An increase in children, type 1 diabetes, formerly called insulin-dependent, is still often diagnosed too late, when the young patient suffers from a virus infection which can have fatal consequences. To sensitize parents to the urgency of the support, the diabetes child and Adolescent campaign was launched on 14 November 2010, World Diabetes Day.

Your child begins to drink heavily, while thirst seems satisfied? He often went to the bathroom and returned to pee “in bed”? Perhaps suffers from type 1 diabetes, as 15 000 other children less than 15 years. To remove this uncertainty, quickly see a doctor who will conduct a screening of sugar in his urine. With this simple test, you can avoid your child to the potentially serious complications.
15 000 young diabetics in France.


Of the child and the adolescent diabetes is an autoimmune disease in which the cells β of the pancreas make more insulin. This lack of insulin causes the accumulation of sugar in the blood. Beyond a certain threshold, and in the absence of treatment, the hyperglycemia will cause the production of ketone bodies in the liver: this is what is called ketosis. It is manifested by the appearance of nausea, vomiting and abdominal pain.

Ketoacidosis is the acidification of the blood due to the excessive accumulation of these ketone bodies. This condition causes intense fatigue, respiratory disorders and disorders of consciousness. It threatens mainly the prognosis of the child.
To date, it is estimated that 15,000 young French of less than 15 years suffer from diabetes, for the vast majority of type 1 (95%). Each year, it screened 1,700 new cases, but more worryingly in the eyes of specialists, is that this impact grew especially quickly among toddlers, in which she is two times higher than average (+ 7.59% per year, compared with 3.34%). In total, less than 4 years represent quarter diabetes of the child and the adolescent, the 5-9 years 33% and the 10-14 age 37%.

Several hypotheses have been advanced to account for this increase in the number of cases, the stronger is the infectious hypothesis, explains Dr. Myriam Rosilio, Medical Director of Lilly diabetes France. “The attack by a pathogen would incite an overreactions of defence mechanisms and the development of autoantibodies.” “In the countries of the North, where type 1 diabetes prevalence, the researchers have established a link between the frequency of enterovirus infection and diabetes”.

40% of children arrive at the hospital in Ketoacidosis
If it can not prevent type 1 diabetes, can however prevent the complications of hyperglycemia by a vigilance increased its first manifestations. According to the National Observatory of diabetes, of which the results are based on data from 139 pediatric services, two telling signs of diabetes are polyuria (frequent urge to urinate) and polydipsia (intense thirst) in 98% of cases. UI (“pee in the bed”) occurs in 40% of cases and is not typical in small children, whereas fatigue and weight loss occur later, said Carine Choleau, in charge of scientific missions to helping young people with diabetes (AJD).

However, in 40% of cases, the child is led to emergencies while it already presents a Ketoacidosis. This serious complication of diabetes, which can lead to a coma or even death, is even faster that the child is young, occurring sometimes within a few hours. “The Ketoacidosis is most important in children aged 0-4 years, which spend more quickly of the stage of hyperglycemia with Ketoacidosis.” “On the other hand, severe cases are more frequent in the 10-14 years, in which the symptoms just alarmed parents”, said Corine Choleau.

Campaign diabetes child youth 2010 – 2011
Building on this finding, aid to young diabetics (AJD) decided to launch a national campaign of information 2010-2011 “to prevent Ketoacidosis at diagnosis of diabetes in children and adolescents”. Because most the diagnosis of diabetes is made early, it is easy to initiate support and insulin therapy in good conditions, a context of vital emergency, extremely stressful for parents.

Entitled “Campaign diabetes child and Adolescent”, it is supported by the ministries of health and Education, as well as by the Federation of the French mutuality, the orders of doctors, pharmacists and nurses. It is both for parents who do not have sufficient awareness of the urgency of support, but also doctors, paediatricians and health education professionals, so they react quickly in practice a measure of glycosuria and blood glucose, and immediately heading families to hospitals.