Qianjiang Evening News·Hourly News Reporter Tang Xufeng Correspondent Zhang Linxia Chen Dandan
In many people’s impressions, most patients with diabetes are adults. In fact, children with diabetes are not uncommon.
Recently, the Pediatric Department of Ningbo Li Huili Hospital successfully rescued a child suffering from type I diabetic ketoacidosis. After several days of careful treatment, 2-year-old Mengmeng (pseudonym) was finally discharged from the hospital on the morning of June 28.
"She was in very bad spirits and lethargic at the time. Our whole family was frightened. I felt so distressed that I didn't know what to do. I was really helpless at that time..." Mengmeng's mother recalled the scene when her child was sent to the hospital. .
Mengmeng’s mother said that recently, little Mengmeng drinks a lot of water, urinates a lot, and always complains that she is hungry. She eats a lot every day, but her weight does not rise but falls. Her family thinks it is because her gastrointestinal absorption is not good. Who knows? I didn’t expect that there was something wrong with my blood sugar. After measuring blood sugar, it was found that the blood sugar was as high as 22.9mmol/L (normal fasting value is 3.9~6.1mmol/L). He was also in poor spirits, lethargic and short of breath, but had no symptoms such as coughing. Chen Dandan, the pediatrician on duty, initially judged it to be diabetic ketoacidosis . This situation is particularly urgent, and complications such as cerebral edema may occur, affecting the children's lives.
"Carry out rescue immediately, open two veins, complete blood gas analysis , urine routine and other examinations." Everyone performed their duties and became busy. Connected to ECG monitoring , measuring blood pressure, oxygen saturation, oxygen inhalation, continuous micro-blood sugar measurement... Mengmeng's child immediately began to breathe deeply and became confused, and Mengmeng's symptoms worsened.
The doctor actively replenished fluids, supplemented insulin , corrected water and electrolyte imbalances and acidosis and other treatments. After one night of treatment, Mengmeng's condition improved significantly. His pale face turned rosy, and he was able to sit up and smile at the doctors.
"Mengmeng's treatment process was very thrilling. It was really like 'walking away behind closed doors'. Our team of doctors was monitoring indicators and adjusting treatment almost every step of the way." Recalling this experience, Director Shi Hongbo and Dr. Chen Dandan also said The memory is still fresh, "The next step of treatment focus is still on systemic insulin treatment."
The child was eventually diagnosed with type 1 diabetes and will be accompanied by insulin for life. In addition to being heartbroken, parents still have many doubts in their hearts: No one in the family has diabetes, so why would such a young child get such a disease? Shi Hongbo, director of pediatrics at
, said that type 1 diabetes, formerly known as insulin-dependent diabetes , mostly occurs in children and adolescents and can also occur at all ages. The onset is related to various causes such as autoimmune system defects, genetic factors, and viral infections. Not all such patients have a family history. The onset of the disease is relatively sharp, and there is absolutely insufficient insulin in the body, which may easily lead to ketoacidosis . Insulin treatment is required to achieve satisfactory results, otherwise it will be life-threatening. The main causes of the disease are infection, improper diet or treatment, and various stress factors. Childhood diabetes, especially young children with diabetes, is extremely easy to be ignored because the children are young and have atypical clinical manifestations. Those with a family history of diabetes, or those whose mothers have gestational diabetes during pregnancy, should pay close attention to their children's blood sugar. Eating more, drinking more, urinating more, and losing weight ("three more and one less") are typical symptoms of diabetes; symptoms of diabetes in children are often atypical, and some children only show increased nocturia or weight loss, etc. Special attention needs to be paid to timely monitoring of blood sugar, early detection, early diagnosis, and early treatment to avoid serious consequences.
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