Say ni Dok | Alamin: Ano nga ba ang tinatawag na juvenile diabetes? - video Dailymotion

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Transcript

00:00Halloween is just around the corner, and trick-or-treat is a thing of the past.

00:04Did you do that when you were kids?

00:05Yes, I did that when I was a kid.

00:07But now, when we get older, it's Halloween parties.

00:11But when we were kids in the province, trick-or-treat was a thing of the past.

00:15Oh, it was a thing of the past.

00:16Yes, it was a thing of the past in the western practice.

00:19But for the parents out there, let's just remind them

00:22that the number of kids with juvenile diabetes is increasing.

00:28Kids and teens can have both type 1 and type 2 diabetes.

00:33That's why it's important to get it as early as possible

00:36so that we can talk more about juvenile diabetes

00:39and how we can prevent it.

00:41We will interview Dr. Maria Cristina Alberto, a pediatrician.

00:46Doc, good morning.

00:47Welcome to Rise and Shine Philippines.

00:49Good morning, Doc.

00:51Hi, good morning, Audrey and Meiji.

00:53Nice to be back here.

00:56First, Doctor, let's talk about what we call juvenile diabetes.

01:01What is it that triggers this disease?

01:03Especially when it comes to teens.

01:06Okay, so juvenile diabetes mellitus is also what we call type 1 diabetes

01:12or insulin diabetes mellitus.

01:15Insulin dependence, sorry, diabetes mellitus.

01:17So, what is the difference between type 2?

01:20Type 1 diabetes, Audrey, unfortunately,

01:23we still don't know why this happens.

01:26This is usually triggered by an autoimmune response.

01:29It means that our own immune system

01:32is destroying our insulin,

01:35the cells in the pancreas that produce insulin.

01:38That's why kids' blood sugar is increasing.

01:41This usually happens to those who have a family history

01:45of type 1 diabetes mellitus.

01:47So, that's how it is, Sir Audrey.

01:50Yes, Doc.

01:51This type of diabetes in kids and teens,

01:54does it also affect eating too much sweets?

01:58Because usually, when you're a kid,

02:00you have a trick-or-treat, right?

02:03Or sometimes, you give them that

02:05so that they'll come to you.

02:08Does this affect diabetes?

02:13Yes, eating too much sweets affects it.

02:16For example, this Halloween,

02:18we don't want our kids to eat too much sweets.

02:21But particularly for type 2 diabetes mellitus,

02:24the biggest risk factor is eating sweets

02:27and obesity in kids.

02:29For type 1 diabetes, usually,

02:31there's a family history

02:34that triggers type 1 diabetes mellitus.

02:38But for both type 1 and type 2 diabetes mellitus,

02:41it's important to avoid sweets

02:45and to follow a proper diet.

02:46At the same time,

02:47it's also a good exercise for kids.

02:50Okay, but Doc, just to be clear,

02:52those who have diabetes

02:54are not totally prohibited from eating sweets.

02:56Is that right?

02:58Those who have type 1 diabetes, Sir Audrey,

03:01they're also prohibited from eating sweets.

03:03Oh, they're really prohibited?

03:04Yes.

03:06Type 1 diabetes is hereditary, right?

03:10Yes, Ma'am.

03:11Type 1 diabetes is hereditary.

03:14Yes, type 1 diabetes is hereditary.

03:16And usually, there are no known triggers.

03:19It just happens all of a sudden.

03:20So usually, when they come to us,

03:22they're in a medical emergency

03:24because parents don't expect their kids

03:27to have type 1 diabetes mellitus

03:29when they're 7 years old.

03:32Doc, are there any symptoms

03:34or signs that you have diabetes

03:37or juvenile diabetes?

03:40Okay, for parents,

03:41first of all, we should be alert

03:43to the signs of type 1 diabetes.

03:45What we call three Ps,

03:47polyuria, polydipsia, and polyphagia.

03:50What does that mean?

03:51The kids suddenly start eating

03:53when they're hungry

03:55because our body is looking for sugar.

03:57Second, of course,

03:58because the sugar level is rising,

04:00the tendency is for the kids to be

04:02always hungry.

04:03And third, because the sugar level is high,

04:06they're always sneezing.

04:08But sometimes, with type 1 diabetes,

04:10they come to us as a medical emergency.

04:12The kid is always sleeping.

04:14The sensory system is changing.

04:15It's like he's always dizzy.

04:17His head hurts.

04:18Then, he suddenly sneezes.

04:20Sometimes, he convulses.

04:21Then, he loses consciousness.

04:23That's when his blood sugar is too high.

04:26So, for parents,

04:28we should be alert to these symptoms.

04:31Again, for parents,

04:33what are the complications

04:36that diabetes can usually cause?

04:39Let's start with the body of the kids.

04:42Okay.

04:43So, for the body of the kids,

04:44if we neglect diabetes,

04:46we don't know that the kids are already diabetic.

04:49Suddenly, there's a sudden weight loss.

04:51Our obese children,

04:52who are 70 kilos,

04:53suddenly drop to 50 kilos.

04:55Right?

04:56After that, there are a lot of complications

04:58with diabetes.

04:59It's not just a simple increase in blood sugar.

05:01As we said,

05:02it can affect from the head to the feet.

05:05First of all,

05:06kids are more prone to stroke

05:08if we have diabetes early.

05:11They are also prone to cardiovascular diseases

05:14such as heart disease.

05:17Then, we are also prone to glaucoma,

05:19cataract,

05:20and diabetic retinopathy.

05:22So, even the kids' eyes

05:24that have diabetes

05:25need to be monitored.

05:27They are also prone to hearing loss.

05:30They are also prone to peripheral artery diseases.

05:33That means,

05:34foot ulcers,

05:35foot gangrene,

05:36can also happen.

05:37And of course,

05:38what everyone is afraid of,

05:40diabetic neuropathy,

05:41which is the damage of the stones.

05:44Many kids are dialyzed because of diabetes.

05:47Diabetic neuropathy is also present.

05:49Even our nerves

05:51or the flow of electricity in the body

05:53can be affected by diabetes.

05:55That's why,

05:56the legs and feet of diabetic people

05:58are getting weaker.

06:00Not only the kids,

06:01but also the adults.

06:03There are so many implications

06:05when the blood sugar level rises.

06:08Doc,

06:09I want to know,

06:10what is the specific age

06:12when the signs of diabetes

06:14start to appear in the kids?

06:18What is the age of the kids?

06:21Actually,

06:22there is no age limit

06:23when it comes to diabetes.

06:24From what I have experienced,

06:25I get patients as young as 5

06:27and 7 years old

06:29who are diabetic.

06:30Sometimes,

06:31the first symptoms are

06:33T.I. infection,

06:34which is recurrent.

06:35Then,

06:36you can see that

06:37the infection is not getting better.

06:39The kids are diabetic.

06:41So,

06:42there is no age limit

06:43when it comes to diabetes.

06:44If we suspect that

06:45the kids have diabetes,

06:47we should consult with our doctors.

06:49Doctor,

06:50if a kid has juvenile diabetes,

06:54if he eats something sweet,

06:58does it have an effect on his body?

07:01It's very fast.

07:02Unfortunately,

07:04the medicine for juvenile diabetes

07:06is only insulin.

07:08For adults,

07:09we are used to taking

07:10meds,

07:11for me,

07:12tablets.

07:13Unfortunately,

07:14for juvenile diabetes,

07:15because they are insulin-dependent,

07:16they are insulin-dependent.

07:17Meaning,

07:18we regularly inject

07:19insulin to the kids.

07:21So,

07:22the diet should be controlled.

07:24From the moment

07:25they eat something sweet,

07:27especially this Halloween,

07:28they can shoot up

07:30and their sugar levels

07:32can cause

07:33serious complications

07:35to our kids.

07:36Yes, doc.

07:37You mentioned

07:38the use of insulin

07:39if you have diabetes.

07:41Are there other treatments

07:43that can be used

07:45because this is

07:46a lifelong condition?

07:49That's what I'm saying.

07:51Meiji,

07:52it's very difficult

07:53for the kids

07:54because you need to

07:55instruct them regularly.

07:56Of course,

07:57before we inject,

07:58we should monitor

07:59their sugar levels.

08:01So,

08:02when we inject to the kids,

08:03it's really pitiful.

08:04Of course,

08:05it's also important

08:06that we have

08:07supportive management

08:08for the kids.

08:09It's not just

08:10the insulin,

08:11we should also

08:12inject it.

08:13We should not

08:14give them

08:15sugary foods

08:16or sugary drinks.

08:17Or,

08:18if it's too much carbohydrates,

08:19rice.

08:20Unly rice is not allowed.

08:21Bread is not allowed.

08:22Biscuits and cookies

08:23are not allowed for the kids.

08:24Second,

08:25it's important

08:26to exercise

08:27for the kids

08:28to control

08:29their blood sugar.

08:30So,

08:31it's very important.

08:33Of course,

08:34psychologically,

08:35you also have to

08:36keep the children

08:37from getting depressed

08:38and anxious

08:39because of their illness.

08:40Because anyone

08:41who injects everyday

08:42will have anxiety

08:43and fear

08:44for the kids.

08:46Lastly,

08:47since Doc

08:48mentioned

08:49the psychological effect,

08:50sometimes,

08:51too much sugar

08:52can also

08:53increase

08:54our energy.

08:56So,

08:57what are

08:58the other

08:59effects

09:00that can

09:01be done

09:02by the kids?

09:03Because,

09:04for sure,

09:05it also has

09:06an effect

09:07emotionally,

09:08psychologically.

09:09In that area,

09:10what can

09:11the kids do?

09:13To lower

09:14their blood sugar?

09:15I mean,

09:16the emotional effects,

09:17psychological effects.

09:18Are there

09:19other things

09:20that can be done?

09:21Like,

09:22if the energy

09:23shoots up too much?

09:24Yes, Doc?

09:25When our blood sugar

09:26shoots up,

09:27it's very important

09:28for the kids

09:29that we involve

09:30them in group

09:31exercises.

09:32Usually,

09:33the kids

09:34when they have

09:35a sick diet,

09:36it's really

09:37mellitus.

09:38The others

09:39are really

09:40depressed

09:41or anxious.

09:42So,

09:43it's very important

09:44to involve them

09:45in group activities

09:46and support groups

09:47for the kids

09:48with a similar illness

09:49so that they

09:50understand

09:51how to manage

09:52their illness.

09:53For the parents,

09:54it's important

09:55for the kids

09:56to have a cell phone

09:57or an iPad

09:58and to eat

09:59sugar

10:00and chocolate.

10:01But,

10:02lastly,

10:03Doc,

10:04how can we

10:05prevent

10:06diabetes

10:07before we

10:08develop symptoms

10:09and reach

10:10the pre-diabetes

10:11stage?

10:12Okay.

10:13First of all,

10:14it's important

10:15for the birth

10:16of the baby

10:17that we breastfeed.

10:18Breast milk

10:19protects children

10:20from diabetes

10:21and other

10:22cardiovascular diseases.

10:23So,

10:24breastfeeding

10:25is really

10:26important.

10:27Second,

10:28while the

10:29kids are growing up,

10:30we should avoid

10:31sweet cereals,

10:32sugary food,

10:33and drinks

10:34because later on

10:35in life,

10:36this can be

10:37a trigger

10:38for diabetes

10:39mellitus.

10:40Third,

10:41always involve

10:42your child

10:43in physical

10:44activities.

10:45It's also important

10:46to vaccinate

10:47because there are

10:48certain viral

10:49infections like

10:50mumps,

10:51rubella,

10:52etc.

10:53So,

10:54it's important

10:55to have

10:56a holistic

10:57approach to

10:58diabetes,

10:59not just

11:00avoiding

11:01food and

11:02lifestyle.

11:03We also need

11:04to vaccinate.

11:05Alright,

11:06thank you

11:07so much,

11:08Dr.

11:09Cristina,

11:10for your

11:11time and

11:12information

11:13you shared

11:14with us

11:15about juvenile

11:16diabetes.

11:17Thank you

11:18so much,

11:19doctor.

Say ni Dok | Alamin: Ano nga ba ang tinatawag na juvenile diabetes?

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