Management of diabetes in adolescence

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

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Ergenlik çağında diyabet yönetimi

Öz

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

Anahtar Kelimeler

• Ergenlik evresi, diyabet, tanı kriterleri, yönetim

Kaynakça

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