Diabetes in childhood and adolescence

被引：0
作者：
T. Kapellen
A. Galler
K. Claus
S. Heger
D. Härtig
W. Kiess
机构：
[1] Universitätsklinik, Poliklinik für Kinder und Jugendliche, Leipzig
[2] Universitätsklinik, Poliklinik für Kinder und Jugendliche, 04317 Leipzig
来源：
Der Diabetologe | 2006年 / 2卷 / 2期
关键词：
Adolescence; Childhood; Complications; Diabetes; Insulin therapy;
D O I：
10.1007/s11428-006-0034-x
中图分类号：
学科分类号：
摘要：
Type 1 diabetes is one of the commonest chronic disorders encountered in children and adolescents. When it first becomes apparent in children, approximately 20% of them have clinical and biochemical signs of ketoacidosis (DKA). In the presence of unusual clinical symptoms it is necessary to consider the possibility of associated conditions, such as coeliac disease, immunothyroiditis and Addison's disease. Children with diabetes must be treated by a multidisciplinary team made up of paediatrician, paediatric diabetes specialist, psychologist, social worker, ophthalmologist, dietitian, nurse and diabetes counsellor, making it essential for them to be treated in regional specialised centres. They are treated in their own psychosocial environment and their families are involved in the therapy. Comprehensive, multidisciplinary treatment strategies have now made it possible for these patients to enjoy normal physical wellbeing and near-normal psychosocial development. Prevention and early treatment of of disturbances associated with diabetes remain an important concern. The fact that type 2 diabetes must now be looked for in overweight children and adolescents is a new aspect of diabetes medicine. © Springer Medizin Verlag 2006.
引用
收藏
页码：167 / 181
页数：14
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