Throughout the world, incidences of diabetes are on the rise, and consequently so is diabetes amongst children. Most children are affected by Type 1 Diabetes, although the number of children and young adults affected by Type 2 Diabetes is beginning to rise, particularly in America. Approximately 90 per cent of young people with diabetes suffer from type 1 and the number of patients who are children varies from place to place.
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A figure of 17 per 100,000 children developing diabetes each year has been reported. As metabolic syndrome, obesity and bad diets spread, so too have the first incidences of type 2 diabetes, previously incredibly rare.
Type 2 diabetes amongst children is usually caused by an extremely bad diet from a very young age, coupled with a sedentary lifestyle without exercise.
The actual causes of the diabetic condition are little understood, in both children and adults. It is widely speculated that diabetes occurred when inherited genetic characteristics are triggered by environmental factors such as diet or exercise. Many type 1 diabetic children do not have diabetes in their families however, so the exact cause remains a mystery.
After diagnosis, a child will usually be referred to a regional diabetes specialist. Most children with diabetes are cared for by their hospital as opposed to their GP. Because type 1 typically means that the vast majority of islet cells have been destroyed and insufficient or zero insulin can be produced, the only certain method of treating diabetes in children is insulin treatment. Usually a diabetes care team will plan an insulin regimen suited to individual requirements and habits of the child.
Fast-acting insulin will generally be administered during the day, and nocturnal levels will be controlled by a slow-acting dose. Insulin pumps are also common amongst children. Sometimes, in the initial period following diagnosis, small children will only need a very small dose of insulin, but this will unfortunately change as they grow older and larger. Good glucose control is essential in the management of all diabetics’ conditions.
Treating type 2 diabetes in children depends entirely on how far their condition has developed. At an early stage, it may be possible to treat the condition with an abrupt lifestyle change incorporating a healthier diet and exercise. |