Management of diabetes in adolescence

Year 2011, Volume: 46 Issue: 11, 79 - 81, 01.03.2011

Rüveyde Bundak

https://doi.org/10.4274/tpa.46.40

Abstract

The most majority of cases of Diabetes Mellitus fall into two broad etiopathogenetic categories Type 1 and Type 2 Diabetes In Type 1 Diabetes the cause is an absolute deficiency of insulin secretion In Type 2 diabetes the cause is a combination of resistance to insulin action and an inadequate compensatory insulin secretory response According to the American Diabetes Association nbsp; Diabetes diagnostic criteria of definition; clinical findings polyuria polydipsia weight loss weakness and any time of day with blood glucose level higher than 200 mg dl nbsp; or hunger blood glucose nbsp; at least 8 hours after starve higher than 126 mg dl During childhood 80 95 of the cases with Diabetes Mellitus are Type 1 Diabetes Treatment goals must be providing normal growth and development and to preventing acute and chronic complications of Diabetes A good metabolic control is required to do this To provide a good metabolic control patient self management should be emphasized and plan should emphasize the involvement of the adolescent and family in problem solving as much as possible Turk Arch Ped nbsp; 2011; 46 Suppl: 79 81

Keywords

-

Ergenlik çağında diyabet yönetimi

Abstract

Diabetes Mellitus etyolojiye göre Tip 1 ve Tip 2 Diyabet olmak üzere iki büyük gruba ayrılmaktadır Tip 1 Diyabet rsquo;de insülin salınımında yetersizlik ve eksiklik vardır Tip 2 Diyabet rsquo;te ise artmış insülin direnci vardır American Diabetes Association rsquo;un tanımlamasına göre diyabetin tanı kriterleri klinik bulgular poliüri polidipsi kilo kaybı halsizlik ile birlikte günün herhangi bir saatinde alınan kan şekeri düzeyinin 200 mg dl ve üzerinde olması veya açlık kan şekerinin en az 8 saatlik açlıktan sonra 126 mg dl ve üzerinde olması ya da OGTT sırasında 2 saatteki kan şekerinin 200 mg dl ve üzerinde olmasıdır Çocukluk çağında ortaya çıkan diyabet olgularının 80 95 rsquo;i Tip1Diyabetlidir Diyabet tedavisinde amaç hiperglisemi ketoasidoz ve hipoglisemi ataklarını engellemek normal büyüme gelişmeyi sağlamak ruh sağlığını korumak birlikte bulunan otoimmun hastalıkları erken belirlemek ve kronik komplikasyonları engellemektir Bunun için de iyi bir metabolik kontrol sağlamak gerekir İyi bir metabolik kontrol sağlamak ergen ve ailesine diyabeti kendi kendilerine yönetebilme yeteneğini kazandıracak kapsamlı ve sürekli bir eğitim ile mümkündür Türk Ped Arş 2011; 46 Özel Sayı: 79 81

Keywords

Ergenlik evresi, diyabet, tanı kriterleri, yönetim

References

• American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2004; 27: 5-10. (Abstract) / (Full Text) / (PDF)
• Morales AE, She J-X, Schatz DA. Pediatric Endocrinology. 1st ed. Lippincott Williams&Wilkins: Philadelphia, 2004: 402-26.
• Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long term complications in insulin dependent diabetes mellitus. N Eng J Med 1993; 329: 977-86. (Full Text) / (PDF)
• Diabetes Control and Complications Trial Research Group: Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial. J Pediatr 1994; 125: 177-88.
• American Diabetes Association: Standards of medical care in diabetes-2010. Diabetes Care 2010; 33: 11-61. (Abstract) / (Full Text) / (PDF)
• Levine BS, Anderson BJ, Butler DA, Antisdel JE, Brackett J, Laffel LM. Predictors of glycemic control and short-term adverse outcomes in youth with type 1 diabetes. J Pediatr 2001; 139: 197-203. (Abstract) / (Full Text) / (PDF)
• Schneider S, Iannotti RJ, Nansel TR, et al. Identification of distinct self-management styles of adolescents with type 1 diabetes. Diabetes Care 2007; 30: 1107-12. (Abstract) / (Full Text) / (PDF)
• Tsalikian E, Mauras N, Beck RW, et al. Impact of exercise on overnight glycemic control in children with type 1 diabetes mellitus. J Pediatr 2005; 147: 528-34. (Abstract) / (Full Text) / (PDF)
• Diabetes Research in Children Network (DirecNet) Study Group, Tsalikian E, Kollman C, et al. Prevention of hypoglycemia during exercise in children with type 1 diabetes by suspending basal insulin. Diabetes Care 2006; 29: 2200-4.
• Anderson B, Ho J, Brackett J, Finkelstein D, Laffel L. Parental involvement in diabetes management tasks: relationships to blood glucose monitoring adherence and metabolic control in young adolescents with insulin-dependent diabetes mellitus. J Pediatr 1997; 130: 257-65. (Abstract) / (Full Text) / (PDF)
• Diabetes education. Consensus Guidelines 2000. ISPAD İnternational Society for Pediatric and Adolescent Diabetes. Medical Forum İnternational 2000; 24-28.
• Chiarelli F, Verrotti A, Catino M, Sabatino G, Pinelli L. Hypoglycemia in children with type 1 diabetes mellitus. Acta Paediatr 1999; 427: 31-4. (Abstract) / (Full Text) / (PDF)
• Krolewski AS, Warram JH, Freire MBS. Epidemiology of late diabetic complications. Endocrinology and Metabolism Clinics of North America 1996; 25: 217-41. (Abstract)
• Delahanty LM, Halford BN. The role of diet behaviors in achieving improved glycemic control in intensively treated patients in the Diabetes Control and Complications Trial. Diabetes Care 1993; 16: 1453-8. (Abstract)