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GROWING RATE OF DIABETES IN
SCHOOLING AND PRESCHOOLING
CHILDREN
1
WHAT IS DIABETES???
 Heterogeneous group of syndrome.
 Destruction of insulin producing 硫-cells on
pancreas.
 Insulin producing capacity falls below a threshold.
 High level of glucose in the blood stream, not
utilized by cells.
2
PREVALENCE OF DIABETES
 In 2009 CDC revealed that type 1 diabetes
prevalence stands at 1.93 in every 1,000 children
and adolescents.
 Incidence of type 1 diabetes in children aged up to
9 years increased by 21% between 2001 and 2009.
 In Pakistan current 12.8% prevalence rate in
diabetes is likely to double in the next 20 years if
preventive measures are not adopted.
3
ALARMING FIGURE
 WHO ranked Pakistan 7th on diabetes prevalence
list, and it will be 4th largest by the year 2030.
 KEMU Vice Chancellor Prof Dr Asad Aslam says,
Diabetes is gradually becoming an emerging
cause of blindness among people.
 AIMC former principal, Dr Javed Akram says,
Unhealthy lifestyle was a leading cause of diabetes
among the people in Pakistan.
4
AETIOLOGY & RISK FACTORS
 Autoimmunity.
 Genetic predisposition.
 Viral exposure:
 Epstein-Bar virus
 Rubella virus
 Drinking water that contain nitrates.
 Timing of introducing cereals into babys diet.
5
COMPLICATIONS
 Diabetic angiopathy ( retinopathy, nephropathy,
neuropathy )
 Narrowing of blood vessels.
 Damage walls of blood vessels that are nourishing
childs brain.
 Diabetic ketoacidosis.
 Kussmaul respiration
6
HOW TO DIAGNOSE???
 Polyuria.
 Polydispia.
 Polyphagia.
 Weight loss.
 Fatigue.
 Behavioral problems.
 Blurred vision.
 4 Ts ( Toilet, Thirst, Thinner, Tired)
 3 Ps ( Polyuria, Polydispia, Polyphagia)
7
8
HOW TO COPE WITH DIABETES??
 Keep up blood sugar level near to the normal.
 Monitor blood sugar several times a day.
 3 fixed major meals with 2 snacks in between.
 Check pre-prandial and postprandial glucose level
regularly.
 Sugar should make up not more than 10% of total
calorie intake.
 In severe exercise give excess sugar or reduce
insulin dose.
9
CARBOHYDRATE COUNTING
 Carbohydrate counting is important to determine
the insulin dosage.
 A dietitian recommend not more than 67g of
carbohydrates at each meal, a child can eat:
 1 hamburger bun  30g
 2 cookies  15g
 1 apple  20g
 Total= 65g
10
Every 19 second a person is
diagnosed by diabetes.
Every 10 seconds a person dies
from diabetes.
11
IMAGINE A WORLD WITHOUT DIABETES
12
REFERENCES
 http://www.mayoclinic.org/diseases-conditions/type-
1-diabetes-in-children/basics/definition/con-
20029197
 http://www.netdoctor.co.uk/diseases/facts/diabetesc
hildren.htm
 http://www.medicalnewstoday.com/articles/284974.
php
 http://kidshealth.org/kid/diabetes_basics/what/type1
.html
 http://www.aboutkidshealth.ca/en/resourcecentres/d
iabetes/aboutdiabetes/SignsandSymptomsofDiabet
es/Pages/default.aspx
 http://www.nlm.nih.gov/medlineplus/diabetesinchildr
enandteens.html 13
14

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diabetes in schooling and pre-schooling kids

  • 1. GROWING RATE OF DIABETES IN SCHOOLING AND PRESCHOOLING CHILDREN 1
  • 2. WHAT IS DIABETES??? Heterogeneous group of syndrome. Destruction of insulin producing 硫-cells on pancreas. Insulin producing capacity falls below a threshold. High level of glucose in the blood stream, not utilized by cells. 2
  • 3. PREVALENCE OF DIABETES In 2009 CDC revealed that type 1 diabetes prevalence stands at 1.93 in every 1,000 children and adolescents. Incidence of type 1 diabetes in children aged up to 9 years increased by 21% between 2001 and 2009. In Pakistan current 12.8% prevalence rate in diabetes is likely to double in the next 20 years if preventive measures are not adopted. 3
  • 4. ALARMING FIGURE WHO ranked Pakistan 7th on diabetes prevalence list, and it will be 4th largest by the year 2030. KEMU Vice Chancellor Prof Dr Asad Aslam says, Diabetes is gradually becoming an emerging cause of blindness among people. AIMC former principal, Dr Javed Akram says, Unhealthy lifestyle was a leading cause of diabetes among the people in Pakistan. 4
  • 5. AETIOLOGY & RISK FACTORS Autoimmunity. Genetic predisposition. Viral exposure: Epstein-Bar virus Rubella virus Drinking water that contain nitrates. Timing of introducing cereals into babys diet. 5
  • 6. COMPLICATIONS Diabetic angiopathy ( retinopathy, nephropathy, neuropathy ) Narrowing of blood vessels. Damage walls of blood vessels that are nourishing childs brain. Diabetic ketoacidosis. Kussmaul respiration 6
  • 7. HOW TO DIAGNOSE??? Polyuria. Polydispia. Polyphagia. Weight loss. Fatigue. Behavioral problems. Blurred vision. 4 Ts ( Toilet, Thirst, Thinner, Tired) 3 Ps ( Polyuria, Polydispia, Polyphagia) 7
  • 8. 8
  • 9. HOW TO COPE WITH DIABETES?? Keep up blood sugar level near to the normal. Monitor blood sugar several times a day. 3 fixed major meals with 2 snacks in between. Check pre-prandial and postprandial glucose level regularly. Sugar should make up not more than 10% of total calorie intake. In severe exercise give excess sugar or reduce insulin dose. 9
  • 10. CARBOHYDRATE COUNTING Carbohydrate counting is important to determine the insulin dosage. A dietitian recommend not more than 67g of carbohydrates at each meal, a child can eat: 1 hamburger bun 30g 2 cookies 15g 1 apple 20g Total= 65g 10
  • 11. Every 19 second a person is diagnosed by diabetes. Every 10 seconds a person dies from diabetes. 11
  • 12. IMAGINE A WORLD WITHOUT DIABETES 12
  • 13. REFERENCES http://www.mayoclinic.org/diseases-conditions/type- 1-diabetes-in-children/basics/definition/con- 20029197 http://www.netdoctor.co.uk/diseases/facts/diabetesc hildren.htm http://www.medicalnewstoday.com/articles/284974. php http://kidshealth.org/kid/diabetes_basics/what/type1 .html http://www.aboutkidshealth.ca/en/resourcecentres/d iabetes/aboutdiabetes/SignsandSymptomsofDiabet es/Pages/default.aspx http://www.nlm.nih.gov/medlineplus/diabetesinchildr enandteens.html 13
  • 14. 14