Childhood Diabetes

1
Childhood Diabetes

• World diabetes day 2008
• Theme
• diabetes in children and adolescents

2
Paediatric DM

• Type I (T1DM) was the main type of DM that seen
  in children
• 2 age group peaks occur
• 5-7 years
• ? exposure to infection during beginning of
  schooling
• Pubertal age group
• ? gonadal steroids and growth hormone
• Emotional stress

3

• 70,000 children develop type 1 diabetes annually
• 3 a year rise of diabetes in children
• - South-East Asia has the highest number of
  children living with Type 1 diabetes

4

• However Type II DM among children and adolescents
  are on the rise
• Changes in behaviour patterns have affected this
  shift

5

• Once considered a disease of the elderly, type 2
  diabetes (T2DM) has shifted down a generation,
  particularly in developing countries, with
  adverse economic impact.
• In the last 20 years T2DM has doubled in
  children.

6

• Certain ethnic groups are at a higher risk of
  developing T2DM
• In USA of children with T2DM
• European origin lt5
• African, Asian, Native Americans gt80
• Asian children with affluent lifestyles are at
  more risk of developing T2DM.
• Asian children are more susceptible to develop
  T2DM than white Caucasians.
• Asian children in UK have 14 times higher risk of
  developing T2DM than Caucasians.

7

• Although T2DM appear as a milder illness its
  complications in children are severe
• Hypertension (high blood pressure)
• Dyslipidaemia (abnormal blood fat levels)
• Cardiovascular disease
• Polycystic ovarian disease
• Metabolic syndrome

8
What you I can do to prevent Childhood
Diabetes?
9
Need to prevent and treat Childhood Obesity
10
How to reduce obesity

• Behaviour modification
• Proper feeding habits
• Reduce High starch, high fat diets
• Reduce Sweetened soft drinks
• Increase duration of Breast feeding
• Increase physical activity
• Reduce sedentary behaviour

11

• It is our responsibility to disseminate this
  message to as many people as possible
• Especially target children and adolescents and
  encourage them to develop a healthy life style