Children and adult diabetes

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Cairo: Dr. Hani Ramzi Awad

The phenomenon of the prevalence of type 2 diabetes, which affects adults, in children is a serious medical issue. Type 2 diabetes is related to the body’s inability to get rid of excess glucose from the body’s need due to an imbalance in the metabolism process itself.
This development has occurred in infecting children in about the last two decades. Given the unprecedented prevalence of obesity among children; Where it was known that the first type of diabetes is the one that affects children most, and it is a result of the absence of insulin from the body or a significant weakness of its secretion, which necessitates getting it from outside the body.
But the second type was not known to children. Even the term itself used to refer to this: “adult diabetes”, because it is restricted to those over the age of youth (maturity onset diabetes).
The latest British study, published at the end of last June in the journal Diabetes Care Today, examined the risks of spreading this type in children. And she indicated that it may begin to appear in children at the age of eight. The scientists analyzed blood samples collected from more than 4000 participants between the ages of 8, 16, 18 and 25 years to find out the early signs of their possibility of developing type 2 diabetes. They explained that the aim of the experiment was to find out how early diabetes signs can appear. These signs can be several years before the actual diagnosis, which paves the way for early prevention in order to prevent the actual occurrence of the disease.
Signs of the disease
Scientists have found a link between deficiency of a specific type of cholesterol, good cholesterol in the body (HDL), and an increased risk of developing diabetes. HDL cholesterol is HDL. So that it is not so small that it can pass through narrow openings in the walls of the arteries, and therefore it does not deposit on them.
Also, scientists found that the level of harmful cholesterol (low density LDL) is high in people genetically predisposed to the occurrence of the disease. This relationship was found at all ages, but it also included children under the age of eight. As people age, other signs appear that increase the likelihood, such as inflammation and an elevation of certain amino acids. These signs began to appear at the ages of 16 and 18. These rates, of course, increase with the passage of time, and the scientists clarified that these signs do not necessarily mean that these children have diabetes or even will inevitably develop it, but they are only eligible for the occurrence of the disease if the health problems leading to this are not addressed.
Obesity and laziness:
Scientists have warned that the high rates of obesity and lack of sporting activity or movement in general among children are among the most important factors leading to the emergence of the second type of disease. As the accumulation of fat cells acts as a “resistance to insulin” and prevents it from breaking down glucose, and thus increases its level in the blood. As a result of the lack of physical activity, glucose is not used to supply the body with the energy needed to complete a certain activity, hence the importance of exercise for children and youth with a change in diet and dependence on fast foods rich in sugars and fats.
It is known that diabetes has an effect that includes all body systems and increases the possibility of heart strokes and stroke, and the more it occurs at an early age, the greater the risk of complications.
The scientists advised the necessity of performing periodic analyzes to detect diabetes in children predisposed to its occurrence who exceed the ideal weight, especially with the presence of a family history; Insulin resistance and high blood glucose do not have symptoms, and it is possible to save the child from the occurrence of the disease in the pre-diabetes stage (prediabetes) (where the blood glucose level is higher than normal, but it has not reached the stage of the actual high occurrence of the disease). And they indicated that the tests do not only include glucose. But it is important to include triglycerides, and to make a “sonar” on the abdomen to find out whether there is a so-called “fatty liver” (as a result of the accumulation of fat on the surface of the liver, it appears shiny and shiny on x-rays).
In the end; Recommendations emphasized combating risk factors; Over from the start in treatment; Meaning that resorting to oral glucose-lowering drugs should be the last step in treatment in the pre-diabetes stage; Unlike adults (adults can start taking sugar-lowering drugs in a preventive measure under the supervision of a doctor), especially since teenage hormones resist the action of insulin, and therefore the judgment on the level of glucose is inaccurate, and these drugs can cause hypoglycemia. The diet and lifestyle of children and adolescents must be changed and encouraged to make physical effort to consume excess glucose in the body to avoid developing high cholesterol and glucose.

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