- 96.8k views
Management of Type 1 diabetes in children
The prevalence of both type 1 and type 2 diabetes (T1DM and T2DM) is increasing among children. T1DM, however, continues to be the most common type found in pediatricians. To ensure optimal treatment, health care workers must be aware of the different forms of diabetes identified in children, particularly the characteristics that set T1DM and T2DM apart. Lifelong exogenous insulin delivery is essential for survival in people with T1DM in general. However, compared to adults with diabetes, children have quite different demands and difficulties. Treatment, objectives, and age-appropriate needs must all be addressed on an individual basis. Maintaining glucose levels as close to normal as feasible, avoiding acute problems, and preventing long-term issues are the key goals for treating pediatric T1DM.
About the Speaker
Dr Sunil Jatana
Professor Paediatrics at Manipal University College,Malaysia
Upcoming Case Discussions
Clinician’s Approach to Multiple Fractures
A clinician's approach to multiple fractures involves a systematic assessment to prioritize life-threatening injuries and stabilize the patient. This typically includes evaluating the severity and location of fractures, considering any associated complications like hemorrhage or organ injury, and determining the best course for surgical or conservative management. Early intervention, pain management, and multidisciplinary coordination are key to optimizing recovery and preventing long-term disability.
Diabetes Type 2 Early Intervention
Early intervention in Type 2 diabetes focuses on lifestyle changes, such as improved diet and regular physical activity, to prevent or delay the onset of the disease. Timely management, including monitoring blood sugar levels and addressing risk factors, can significantly reduce complications and improve long-term health outcomes.
Thyroid Hormone Imbalances in Women
Thyroid hormone imbalances are common in women and can significantly impact overall health. Conditions like hypothyroidism and hyperthyroidism can cause symptoms such as fatigue, weight changes, mood swings, and menstrual irregularities. Women are especially vulnerable to thyroid issues during hormonal shifts, such as pregnancy, postpartum, and menopause. Untreated thyroid imbalances may lead to complications, including infertility, osteoporosis, or heart problems. Early diagnosis through routine blood tests and effective management with medication, diet, and lifestyle changes are essential to maintaining thyroid health.
Approach to Severe Respiratory Distress in ED
In the emergency department, the approach to severe respiratory distress begins with a rapid assessment to determine the underlying cause, including airway obstruction, pulmonary pathology, or cardiovascular issues. Immediate interventions, such as oxygen supplementation, nebulized bronchodilators, intubation, or non-invasive ventilation, are implemented based on the severity and etiology, with close monitoring for signs of deterioration.
Non Invasive Ventilation in New Borns
Non-invasive ventilation (NIV) is a vital respiratory support method for newborns with breathing difficulties. It provides assistance without the need for intubation, reducing the risks of complications such as ventilator-associated infections. Common methods include Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP). NIV is often used to treat premature infants with respiratory distress syndrome or apnea. This approach promotes better lung development and improves overall neonatal outcomes while minimizing invasiveness.