11 year old boy with diabetes

Doctor Tran Dang Khoa, Head of the Pediatrics Department of Xuyen A General Hospital, Vinh Long, said the patient entered the Emergency Department in a state of vomiting, fatigue, rapid breathing, signs of mild cognitive impairment, and was overweight.

Through examination and paraclinical testing for diagnosis, the results showed that the child was infected with Ketone with a very high sugar index, this is a common complication in children under 16 years old with diabetes.

The patient was immediately transferred to the Pediatrics Department for treatment. The child was prescribed two lines of infusion, one continuous insulin line, one intravenous line, and a temporary fast. After two days of active treatment, the acidosis (also known as acid poisoning) improved, blood sugar gradually stabilized according to the target, so the doctors decided to switch the child to subcutaneous insulin injections, plan a diet, and inject insulin every day.

After 12 days of treatment, blood sugar was gradually controlled, the baby was discharged from the hospital and had regular check-ups according to the doctor's appointment, treated as a diabetic patient.

According to Dr. Khoa, most diabetes in children will fall into type 1, which is when the pancreatic cells do not produce enough insulin to control blood sugar. But there are some cases that will combine type 1 and type 2, which is when the pancreas does not produce enough insulin and has a mechanism of insulin resistance. This patient is a case of both type 1 and type 2.

"Diabetes caused by diet is very rare in people under 16 years old, mainly due to 3 causes: pancreatic damage (trauma), genetic disease, and gene mutation. This boy is likely to have a gene mutation," said Dr. Khoa.

Children with diabetes often have complications of Ketone infection. Doctor Khoa believes that the reason is because parents do not think that their children will have diabetes, so they often go to the hospital when complications have already occurred.

Ketone complications will cause danger such as the child falling into a coma, multiple organ failure, irreversible brain damage and danger to life.

"It seems that recently, the hospital has received more children with diabetes under 16 years old," said Dr. Khoa.

According to Laborer