Patient's question:
Patient: Male, 12 years old, weight 42Kg at the time of onset.Family history: Grandmother has congenital deafness. She was found to have high blood sugar at the age of 65 and was given oral hypoglycemic drugs.
Grandfather was also found to have high blood sugar at the age of 69 and was given oral hypoglycemic drugs.
Doctor's answer:
1. It is necessary to clarify the type of diabetes the child has and whether this type of diabetes is hereditary?Yes, the child is an I (Type 1 diabetic). This type of diabetes is hereditary.
2. Is the current treatment plan correct? What are the main complications? What should be paid attention to in diet now?
Recommended plan: Insulin pump intensive therapy, using Humalog insulin in the pump.
If the financial condition permits, the child can continue pump therapy after discharge. Alternatively, they can use basal insulin Lantus three times a day + rapid-acting insulin Humalog.
Complications: If blood sugar control is poor, the following complications may occur:
Acute: Diabetic ketoacidosis, hyperosmolar nonketotic diabetic coma, diabetic lactic acidosis, hypoglycemic coma
Chronic: If blood sugar control is poor over the long term, the following complications may develop:
Macrovascular disease (e.g., cardiovascular disease, peripheral vascular disease), microvascular disease (e.g., diabetic nephropathy, retinopathy), diabetic foot, etc.
Therefore, early intensive blood sugar control is very necessary.