Initiative of the International Diabetes Federation and WHO, is celebrated every November 14 as World Diabetes Day. It marks the birthday of Dr. Frederick Banting who discovered insulin plays: Hormonal treatment of diabetes, which saved many lives.Then you know diabetes in children?

World Health Organization (WHO) estimates, more than 220 million people worldwide have diabetes. The amount may not exceed two times in 2030 without the cooperation. Nearly 80 percent of deaths occurred in patients with diabetic lower middle income countries.

Amid these conditions, the attention of many parties are still largely focused on adult diabetics. In fact, children with diabetes require no less attention and help.

World Diabetes Foundation recommends diabetes suspect that if a child with typical clinical signs, namely 3P and blood sugar levels (GD) high, above 200 mg / dl. GD is high so that the sugar molecules in the urine, which normally contains no sugar, hence formerly called diabetes.

Symptoms of 3P is polifagi (often eating because repeated hunger), polidipsi (often drink because of thirst, repeated), and polyuria (frequent urination, including at night incontinence in children who usually have no incontinence or recurrent urinary leave during the hours of classroom sessions).

Diabetes in children is also called Type 1, the pancreas is damaged and no longer able to produce sufficient amounts of insulin leading to absolute insulin deficiency to produce. In contrast, it is usually type 2 diabetes in adults, ie there is damage to body cells, despite adequate insulin is actually available, that the relative insulin deficiency.

Type 1 diabetes in children is often preceded by symptoms of recurrent abdominal pain and a history of viral infections, such as parotitis (or gondhongen), chickenpox (cangkrangen), acute diarrhea and flu singapore (HMFD), the spread of the virus followed up damage to the pancreas.

Complication
Diabetes complications cause acute (short term) and chronic (long term). Acute complications that can lead to the death of the patient’s hyperglycemia (high GD), as untreated diabetes and hypoglycemia (low GD) caused by excessive handling.

Chronic complications are the main blood vessel abnormalities in the heart and brains of small blood vessels in the eye, kidney, and nerve fibers. Hyperglycaemia can lead to a child is always hungry, frequent urination, dehydration, weakness, seizures, decreased consciousness and died suddenly. Hypoglycemia often makes the child’s emotional, irritable, tired, cold sweats, fainting, and permanent damage to cells that interfere with organ function and process of child development.

Coronary heart disease, kidney failure, blindness, deafness, or death in young adulthood is a chronic complication of diabetes that usually occurs after the child is a teenager.

Complications of acute hyperglycemia is now the entrance to distrust of the doctor of diabetes in children. The existence of shock, dehydration, seizures, coma, and sudden death was probably caused by common diseases such as dengue fever, acute diarrhea, pneumonia, infection of the brains, appendicitis, or other diseases more often.

If not suspect diabetes and GD is not checked, will almost certainly die of pediatric medical errors Board with the final diagnosis is not right.

Treatment
Type 1 diabetes in children treated with insulin injections, as opposed to adults who need more oral anti-diabetic drug (OAD) swallowed. Insulin is given to acute complications to overcome premature death to avoid the risk of chronic complications reduce, and daily activities with colleagues, including optimal growth.

Children with diabetes must be given insulin injections for life, despite ill health, travel, or reside outside the home, in other activities.

Institutions eating and exercise are equally important. However, children do not need to diet or reducing the size of the meal as adult patients, except when the child is overweight (obese).

All children, despite suffering from diabetes, have enough food to support growth. Sports and all forms of the game, including those of effort with colleagues, it must also be done and should not be restricted.

Sport and play together is an activity that should be planned so well that the dose of insulin can be adjusted with high and low GD, due to increased muscle work in sport and play.

World Diabetes Day on November 14 was a reminder of the presence of diabetes in children to be wary. Insulin injection as soon as possible, every day, and a lifetime is an important pillar in the treatment of diabetes in children.