On the rise in children, type 1 diabetes, previously known as insulin-dependent diabetes, is still often diagnosed too late, when the young patient suffers from Ketoacidosis which can have fatal consequences. To educate parents about the urgency of the support, the campaign diabetes child and Adolescent is on November 14, 2010, at the World Diabetes Day.
Your child starts to drink heavily, without thirst seems quenched? He often goes to the toilet and reset itself to ‘pee in the bed’? May suffer from type 1 diabetes, as 15,000 other children less than 15 years. To remove the doubt, promptly see a doctor who will conduct a screening of sugar in his urine. With this simple test, you will avoid your child to potentially serious complications.
15,000 young diabetics
The child and adolescent diabetes is an autoimmune disease in which the cells β of the pancreas produce more insulin. This insulin deficiency causes the accumulation of sugar in the blood. Above a certain threshold, and in the absence of treatment, high blood sugar 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. He especially life-threatening of the child.
Today, it is estimated that 15,000 young French of less than 15 years old are suffering from diabetes, for the vast majority of type 1 (95%). Each year, it tracks 1,700 new cases, but most worrying in the eyes of the experts is that this impact is growing particularly rapidly in toddlers, in which it is two times higher than the average (+ 7.59% per year, compared with 3.34%). In total, less than 4 years are of diabetes of the child and the adolescent, the 5-9 years 33% and 10-14 years 37%.
Several hypotheses have been advanced to explain this increase in the number of cases, the stronger is the infectious hypothesis, explains Dr. Myriam Rosilio, Medical Director of Lilly diabetes France. “The aggression by a pathogen would induce an over-reaction of the defense mechanisms and the development of autoantibodies. In the countries of the North, where high prevalence of type 1 diabetes, researchers have established a link between the frequency of enterovirus infections and diabetes”.
40% of children arrive at the hospital in Ketoacidosis
If we can not prevent type 1 diabetes, can however prevent the complications of hyperglycemia by a vigilance with respect to its first manifestations. According to the National Diabetes Observatory, of which the results are based on data from 139 pediatric services, the two tell-tale signs of diabetes are polyuria (frequent urge to urinate) and polydipsia (intense thirst) in 98% of cases. Enuresis (“bedwetting”) only occurs in 40% of cases and is not typical in small children, while fatigue and weight loss occur later, says Carine Choleau, responsible for scientific missions using the young diabetics (AJD).
However, in 40% of cases, the child was taken to emergency while it already has with Ketoacidosis. This serious complication of diabetes, which can lead to a coma or even death, is even faster than the child is young, occurring sometimes within a few hours. “The Ketoacidosis is more important in children aged 0-4 years, who spend more quickly from the stage of Ketoacidosis hyperglycemia. On the other hand, severe cases are more frequent among 10-14 year-olds, in which symptoms little alarmed parents”, said Chouhan Choleau.
Diabetes child teen 2010 – 2011 campaign
With this observation, assist the young diabetics (AJD) decided to launch a national campaign of information 2010-2011 “to prevent Ketoacidosis during the diagnosis of diabetes in children and adolescents”. As more the diagnosis of diabetes is made early, it is easy to initiate support and treatment with insulin in good conditions, outside of the context of vital emergency, extremely stressful for the parents.
Entitled “Campaign diabetes child and young person”, it is supported by the ministries of health and Education, as well as the Federation of the French mutuality, the orders of doctors, pharmacists and nurses. It is addressed both to the parents, who do not have sufficient awareness of the urgency of support, but also to physicians, pediatricians and health education professionals, so they react quickly with a measure of glycosuria and blood sugar levels, and by immediately directing families to hospitals.