The first signs seem to be banal: The child drinks a lot at night to use the restroom frequently. It looks increasingly run down and tired, losing weight. The behavior must not mean anything, but it could also speak for type 1 Diabetes.
Parents on the case of a lot of Drinking in the summer, often only once not so, says Martin Holder. He directs at the Klinikum Stuttgart, the training and treatment facility for children and adolescents with type 1 Diabetes. “Often the parents are happy about it.”
The symptoms are recognized too late, this can lead to a dangerous metabolic decompensation: The blood sugar rises considerably, the body acidifies as the result of an insulin deficiency.
In type 1 Diabetes the body’s own immune system attacks the insulin-producing beta cells in the pancreas, to not enough Insulin is produced, the blood sugar level control. The Result Is Hyperglycaemia. In the extreme case, a high-sugar may be deadly. Type 1 diabetics need to inject for the Rest of your life Insulin.
Children’s hospital as a first point of contact
Who feared that his child suffers from the autoimmune disease can be used to obtain a blood or urine test fast clarity. This is positive, meets the chronic illness the family is often hard. “The life changes dramatically,” says Holder.
A half-dozen Times on the day of the blood must be measured sugar in small children and about four times the Insulin is injected. Part of the Small night need to be awakened. Growth, movement, and infections affect the metabolism in unpredictable ways.
Important after the diagnosis, the rapid introduction in a children’s hospital is, therefore, first of all, to the Insulin-supply set. The first few days, it is important to normalize the metabolic conditions.
At some point, everyone struggles with the disease
Then the training of the parents and of the child begins. How do I measure my blood sugar? What do I have to pay attention to when to eat and how I’m doing in the future Sport? All these questions are answered during a two-week inpatient stay. “The goal is that the children and their families can live as normally as possible,” says Holder.
Therapy of type 1 Diabetes is usually by Insulin injection or an Insulin pump. The child is supplied via a pump, it must change according to the age itself, or with the help of the parents every two to three days the catheter. Quickly, the sugar will measure, Estimate the carbs and spraying but Routine.
The initial phase is crucial, says Bernhard Kulzer, specialist psychologist for Diabetes. It is important to overcome the shock together, and to integrate the disease into the family system. “At some point, everyone begins to struggle with the disease,” says Holder. In the clinics of an ongoing psycho-heard this is the reason why social support often with the program.
About 3000 children are diagnosed in Germany each year for type 1 Diabetes. The Rate of children getting a diagnosis, is increasing per year by an average of three to four percent; why is doctors a mystery.
“Most of the members of research whether it is related to similar cases and whether it is hereditary,” says Kulzer. However, despite intensive research was not yet sure how this type of Diabetes develops. Certain structures of the immune system are quite hereditary, so Kulzer, who had, however, many people do not get the disease and then Diabetes. Therefore, parents would not need to be supported and informed to make in the first place, the question of guilt.
Normality in everyday life is crucial
Kulzers biggest tip is normality:. “The fact that the child is suffering chronically, it means that you devote more attention to him.” His Team always advise to take it slow. He recommends parents be open to deal with the disease, and also to let the child open to deal with it.
Especially, it is important that training on the circle of the family to expand. So, for example, the Carers in the nursery are informed, in the Kindergarten or the teacher, to avoid misunderstandings. “This is the best Chance that everything is normalized,” says Kulzer.