We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
TIP 1 ŠEĆERNA BOLEST U DJECE I ADOLESCENATA.
- Authors
STIPANČIĆ, GORDANA; ŠEPEC, MARIJA POŽGAJ; SABOLIĆ, LAVINIA LA GRASTA
- Abstract
In children and adolescents diagnosis of type 1 diabetes mellitus should be set as early as possible to avoid the development of diabetic ketoacidosis, provide faster recovery and better disease prognosis. Therefore, it is necessary to think about it in case of the characteristic symptoms of polyuria, polydipsia and weight loss, but also in every severely ill child in which the cause of his deranged general state is not clear. Life-long treatment with insulin, healthy and balanced diet, long-term glycemic control with physical activity and psychological support should ensure glycemic control close to normal values, which will prevent or at least delay the development of chronic complications. More effective insulin preparations and significant technological advances in insulin delivery and glycemic control make target goals more accessible at a lower risk of acute complications, primarily hypoglycemia. The moment when an artificial pancreas composed of insulin pumps and sensors for continuous monitoring of glucose in the intercellular fluid will completely exclude the influence of patients on the treatment process is not far away and this will make their life's immensely easier. Until then, each patient should be given a therapy that achieves the best results but at the same time is acceptable to him and his family. Each pediatrician must have enough knowledge to recognize the disease at an early stage, provide initial care and, without delay, refer the patient to an institution where a diabetes team will continue his long-term care. This review article is based on data obtained through selective search of literature with special emphasis on the International Pediatric and Adolescent Diabetes Association guidelines published in 2018.
- Subjects
TYPE 1 diabetes; GLYCEMIC control; ADOLESCENCE; ARTIFICIAL pancreases; THERAPEUTICS; POLYDIPSIA; POLYURIA
- Publication
Paediatria Croatica, Supplement, 2019, Vol 63, p21
- ISSN
1330-724X
- Publication type
Article