Diabetes Juvenile

Diabetes in juvenile children (Juvenile Diabetes)

> Juvenile diabetes is considered a multi-axial, poorly understood pathological condition with initial symptoms of diabetes mellitus in children and adolescents before puberty, requiring only diet therapy. In this case, the following criteria must be proven:

1. development several weeks (1–2 months) after birth; 2. diagnosed at the age of less than 25 years; 3. patients retain the ability to ketoacidosis; 4.Glucose levels are maintained < 8 ммоль/л; 5. кетоз имеет место или наступает при использовании инсулина.

When the disease develops within six months after birth, the onset of the disease is designated by the terms “neonatal” or “infant”. In those cases where the period of occurrence of childhood and adolescent forms is not determined, but the interval of the disease is designated “during pregnancy”, “1 month postpartum” and the like, the designation “Juvenile” can be used.

Classification

Currently, there are four classifications of JD: - Type I Type I (fulminant diabetes mellitus, juvenile form) - children who needed to take large amounts of insulin to maintain compensation from childhood; - Type II Type II is a difficult to diagnose form of the disease, which develops into latent, erased and other types of diabetes later, in adolescents; - Type III Type III is a form that manifests itself in childhood, but does not transform into an insulin-dependent form in adolescence; - IV type IV type is a group of forms that are nonspecific and rarely present in the practice of a pediatric endocrinologist. This includes false (pseudoidiopathic) diabetes due to liver diseases with high gluconeogenic activity; Sometimes IV forms include the most rare form of JD abroad - inherited diabetes with an autosomal recessive type of inheritance. JUVENILE DIABETES

Juvenile diabetes mellitus is a childhood pathology that is initially observed in the early neonatal period. It is characterized by a short duration (non-severe course and unexpressed symptoms of the disease). These signs are possible both with diabetes mellitus i and subsequent ones. However, diabetic conditions of the first type are characterized by more rapid progression with the involvement of a ketotic reaction. To accurately classify a specific case of disease into one of the listed types, a detailed study of the clinical picture is required.